Patients who should have a steroid emergency injection kit
| Primary adrenal insufficiency | All causes. Commonest causes are Addison's disease, congenital adrenal hyperplasia, bilateral adrenalectomy and adrenal haemorrhage |
| Pituitary/hypothalamic disease | Patients with hypothalamo-pituitary dysfunction known to be steroid dependent Patients with hypothalamo-pituitary dysfunction advised to take steroids for intercurrent illness |
Clinical discretion should be used and steroid emergency injection kit given to other high risk patients as clinically appropriate.