When a person is experiencing low cortisol symptoms they need to have blood tests done to determine their exact cortisol levels. A blood test will be done on potassium, sodium and ACTH levels as well as cortisol levels at the same time. To measure the ACTH levels the person must be given a shot of synthetic ACTH first. Then the doctor will test the cortisol levels. An MRI or CT scan may also be done so the doctor can see the condition of the adrenal glands and the pituitary gland. If the test shows the person does indeed have low cortisol levels the treatment for their low cortisol symptoms can include prescription medications. These medications are corticosteroids classified as hydrocortisones and are used to replace the cortisol that the body is not making.
Low blood pressure readings in healthy subjects without symptoms or organ damage need no treatment. All patients with symptoms possibly due to low blood pressure should be evaluated by a doctor. Patients who have had a major drop in blood pressure from their usual levels even without the development of symptoms also should be evaluated. The doctor needs to identify the cause of the low blood pressure; remedies will depend on the cause. For example, if a medication is causing the low blood pressure, the dose of medication may have to be reduced or the medication stopped. Do not adjust medication dose on your own, and do not stop taking any medication without first consulting your doctor.