Surgery in addison’s disease

Cardiovascular, malignant, and infectious diseases are responsible for the higher mortality rate. Even after diagnosis and treatment, the risk of death is more than 2-fold higher in patients with addison’s disease.
Patients with chronic adrenal insufficiency who need surgery with general anesthesia are treated with injections of hydrocortisone and saline. Injections begin on the evening before surgery and continue until the patient is fully awake and able to take medication by mouth. The dosage is adjusted until the maintenance dosage given before surgery is reached.
Some complications can occur if you take too little or too much adrenal hormone supplement.