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hydrocortisone dose of 15–25 mg ( 8 ). The conventional treatment involves a double or triple administration of glucocorticoid, thus causing a supraphysiological cortisol exposition. Recently, a new once-daily dual-release hydrocortisone formulation has been
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). Once-daily dual-release hydrocortisone (DR-HC) has been demonstrated to provide a cortisol exposure-time profile close to the physiological one. It is characterized by an immediate-release fraction of HC in the outer layer of the tablet and an extended-release
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(expressed as area under the curve, AUC) in patients with adrenal insufficiency during conventional hydrocortisone (conv-HC) and with dual-release hydrocortisone (DR-HC) compared to healthy controls. conv-HC ( n = 18) DR-HC ( n = 18) P conv
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-term outcomes. Dual-release hydrocortisone (herein referred to as Plenadren), and prednisolone both offer a once-daily solution to glucocorticoid replacement therapy. Apart from the convenience and improved adherence to treatment with once-daily dosing, both
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crises, whereas excessive replacement puts patients at the risk of Cushingoid symptoms and cardiovascular disease ( 6 , 7 ). In an attempt to mimic circadian rhythmicity, hydrocortisone analogues have been developed, including dual release hydrocortisone
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hydrocortisone group, we excluded patients receiving glucocorticoids other than hydrocortisone and those receiving dual-release hydrocortisone. Matched analysis Patients receiving prednisolone at doses <3 mg/day and >6 mg/day in the prednisolone group
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modified- and dual-release hydrocortisone (Chronocort® and Plenadren®) may allow for safer fasting practices ( 19 , 20 ). Chronocort®, a modified-release formulation of hydrocortisone, administered twice daily at predawn and at sunset, has been shown to
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Giampietro A Mazziotti G De ML Giustina A. Bone safety of dual-release hydrocortisone in patients with hypopituitarism . Endocrine 2018 60 528 – 531 . ( https://doi.org/10.1007/s12020-017-1512-1 ) 29313195 10.1007/s12020-017-1512-1
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. ( https://doi.org/10.1530/EC-17-0257 ) 6 Choudhury S Tan T Lazarus K & Meeran K . The use of prednisolone versus dual-release hydrocortisone in the treatment of hypoadrenalism . Endocrine Connections 2021 10 R66 – R76 . ( https://doi.org/10
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trial of a novel hydrocortisone dual-release formulation . Journal of Clinical Endocrinology and Metabolism 2012 97 473 – 481 . ( https://doi.org/10.1210/jc.2011-1926 ) 10.1210/jc.2011-1926 8 Bergthorsdottir R Nilsson AG Gillberg P Ekman B