Adrenal Failure

Author: Marisa Healy, BSN, RN
Content Contributor: Allyson Van Horn, MPH
Last Reviewed: August 01, 2024

What is adrenal failure?

The body has two adrenal glands. One sits on top of each kidney. The adrenal glands make hormones that are used throughout the body. Adrenal failure happens when there are not enough adrenal hormones in the body. If these hormones are not being made, or the hormones that are made cannot be used by the body, severe, possibly life-threatening adrenal failure can happen. Adrenal failure may also be called “adrenal insufficiency.”

Adrenal failure or insufficiency can be caused by:

Adrenal insufficiency and failure often do not cause symptoms until your adrenal gland is really damaged or if your hormone levels are very low.

Symptoms of adrenal failure may be:

  • Dizziness.
  • Fatigue.
  • Loss of appetite (not feeling hungry).
  • Weight loss.

How is adrenal failure treated?

Blood tests are done to look for changes in hormone levels. Lab tests may also show low sodium and bicarbonate levels, and high potassium and BUN levels.

If you have adrenal failure, your provider may give you medications to replace the hormones your adrenal glands are not making. Take these medications as prescribed.

When should I call my care team?

Adrenal insufficiency or failure does not have symptoms until it is far along. If you are having any of the symptoms above, call your care provider.

Naziat A, Grossman AB. Adrenal Failure. In: Endocrinology and Diabetes. New York: Springer; 2014.

Sharifi N, Gulley JL, Dahut, WL. (2010). An update on androgen deprivation therapy for prostate cancer. Endocrine-Related Cancer. 2010; 17(4); R305-R315.

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