They use personal clinical experience and surrogate serum cortisol measurements as the basis for their recommendations, which correlate steroid dose to the level of surgical stress. Although they recommend full stress dose steroids for severe surgical stress (eg, pancreaticoduodenectomy), they do recommend a lower stress dose for minor procedures. mental stress. This folder is a supplement to the information that you have already received from your own doctor. In the Dutch version of this folder we refer to these recommendations as 'stress instructions'; some patients may notice that they are very similar to 'sick day rules' but we have opted not to use that term. If This article is a steroid use FAQ designed to help you by providing information and suggestions that will increase basic Anabolic/Androgenic Steroids (AAS) usage knowledge. You will then have a much better understanding of what is being suggested in topics on the forum and the reasons behind the advice. Corticosteroids and Corticosteroid Replacement Therapy In this article. and this increases tenfold in acute stress. Physiological replacement requires 10-15 mg per square metre because of reduced bioavailability. Use of emollients with steroids. Clear instructions for patients. Regular Protocols for "stress dose" steroids followed reports in the 1950s of possible surgery-associated adrenal insufficiency due to sudden preoperative withdrawal of glucocorticoids. However, some studies have questioned the need for supplemental perioperative glucocorticoids beyond the maintenance dose. Steroid medicine is given to increase your cortisol level. Take this medicine as directed. Steroid medicine helps your body handle stress and prevent an adrenal crisis. Steroid medicine will also help decrease your symptoms such as weakness and fatigue. Always carry extra steroid medicine with you. Instructions for Patients Taking Cortef Cortef (hydrocortisone, cortisol) is a hormone made in the adrenal gland. It