Table 5.

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.