Adrenal Insufficiency


North South North West Statewide

Pre-referral work-up


All referrals should comply to referral standards and also include:

  • Symptoms of adrenal insufficiency such as fatigue, weight loss, pigmentation, nausea, vomiting, hypotension, hyponatraemia, hyperkalaemia, hypoglycaemia
  • Medication history is important as the condition may be caused by cessation of glucocorticoid therapy


  • U&E Cr, eGFr
  • Serum glucose
  • Cortisol
  • Cortisol response to Synacthen (short Synacthen test)
  • Renin, aldosterone
  • Pituitary tests if evidence of ACTH deficiency

Interim/GP management

To refer a patient with this condition, please see the Endocrinology clinic page for the full referral process and templates.

For more information please see the Tasmanian Health Pathways website.


Confirmed acute adrenal insufficiency
Severe untreated chronic adrenal insufficiency

Urgent / category 1

Suspected acute adrenal insufficiency
Confirmed cases of adrenal insufficiency

Semi-urgent / category 2

Cases of suspected cases of adrenal insufficiency

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.


Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED – Phone: (03) 6493 6340  Fax: (03) 6464 1926
RHH ED - Phone: (03) 6166 6100  Fax: (03) 6173 0489


Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.


We will endeavour to see these patients within 12 weeks


Next available appointment