How do I install the Ata Hc Dosing Regimen skill?

Run npx skillmds@latest add dromlakhani/ata-hc-dosing-regimen in your terminal (requires Node.js), paste this page's agent-chat prompt into Claude, Cursor, or any MCP-connected agent, or download the SKILL.md file and copy it into your agent's skills directory.

Is Ata Hc Dosing Regimen safe to use?

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Which AI agents work with Ata Hc Dosing Regimen?

This skill is tagged as working with Claude Code, Claude.ai, OpenAI Codex. SKILL.md is an open format, so most agents that read a skills directory can load it too.

Is Ata Hc Dosing Regimen free to use?

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Who published Ata Hc Dosing Regimen?

dromlakhani (@dromlakhani) published this skill. Their other Agent Skills are listed on their SkillMD profile.

Ata Hc Dosing Regimen by dromlakhani

Name: Ata Hc Dosing Regimen
Rating: 4.5 (4 reviews)
Author: dromlakhani

Ata Hc Dosing Regimen

Recommends hydrocortisone replacement dosing of 15–20 mg total daily, administered as a single dose or divided doses with the highest dose given in the morning upon awakening and the second dose in the afternoon (two-dose regimen) or second and third doses at lunch and late afternoon (three-dose regimen). Use when initiating glucocorticoid replacement for adrenal insufficiency; triggers include diagnosing adrenal insufficiency requiring glucocorticoid replacement.

dromlakhani Updated Aug 19, 2026 10 repo stars

File contents

Determine hydrocortisone replacement dosing regimen

STEP 1 — Gather Information

Confirm diagnosis of adrenal insufficiency requiring glucocorticoid replacement; assess patient preference for dosing frequency; consider any contraindications to divided dosing (e.g., adherence issues, schedule constraints).

STEP 2 — Rule In / Rule Out

Determine if the patient can adhere to divided dosing (two or three times daily) versus prefers a single daily dose regimen.

STEP 3 — Classify or Stratify

If divided dosing is preferred, choose between a two-dose regimen (morning + afternoon) or three-dose regimen (morning + lunch + late afternoon) based on lifestyle; if single dose is preferred, prepare to administer the total daily dose once daily.

STEP 4 — Decide

Prescribe hydrocortisone 15–20 mg total daily according to the selected regimen; provide clear instructions on timing and stress-dose adjustments for illness or surgery.

Clinical Guardrails / Mimics / Pitfalls

Avoid over-replacement (>20 mg/day) unless clinically indicated for stress; avoid under-replacement (<15 mg/day) unless adverse effects occur; do not use fludrocortisone in secondary adrenal insufficiency; avoid dexamethasone for routine replacement; monitor for Cushingoid features, weight gain, or signs of adrenal crisis.

Concrete Clinical Example

A 48-year-old man with new-onset secondary adrenal insufficiency prefers twice-daily dosing; prescribe HC 10 mg upon awakening and 5 mg in the afternoon; counsel on stress dosing (double or triple dose) during febrile illness.

Source: Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2016, doi:10.1210/jc.2016-2118

---name: ata-hc-dosing-regimendescription: Recommends hydrocortisone replacement dosing of 15–20 mg total daily, administered as a single dose or divided doses with the highest dose given in the morning upon awakening and the second dose in the afternoon (two-dose regimen) or second and third doses at lunch and late afternoon (three-dose regimen). Use when initiating glucocorticoid replacement for adrenal insufficiency; triggers include diagnosing adrenal insufficiency requiring glucocorticoid replacement.---# Determine hydrocortisone replacement dosing regimen## STEP 1 — Gather InformationConfirm diagnosis of adrenal insufficiency requiring glucocorticoid replacement; assess patient preference for dosing frequency; consider any contraindications to divided dosing (e.g., adherence issues, schedule constraints).## STEP 2 — Rule In / Rule OutDetermine if the patient can adhere to divided dosing (two or three times daily) versus prefers a single daily dose regimen.## STEP 3 — Classify or StratifyIf divided dosing is preferred, choose between a two-dose regimen (morning + afternoon) or three-dose regimen (morning + lunch + late afternoon) based on lifestyle; if single dose is preferred, prepare to administer the total daily dose once daily.## STEP 4 — DecidePrescribe hydrocortisone 15–20 mg total daily according to the selected regimen; provide clear instructions on timing and stress-dose adjustments for illness or surgery.## Clinical Guardrails / Mimics / PitfallsAvoid over-replacement (>20 mg/day) unless clinically indicated for stress; avoid under-replacement (<15 mg/day) unless adverse effects occur; do not use fludrocortisone in secondary adrenal insufficiency; avoid dexamethasone for routine replacement; monitor for Cushingoid features, weight gain, or signs of adrenal crisis.## Concrete Clinical ExampleA 48-year-old man with new-onset secondary adrenal insufficiency prefers twice-daily dosing; prescribe HC 10 mg upon awakening and 5 mg in the afternoon; counsel on stress dosing (double or triple dose) during febrile illness.**Source:** Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2016, doi:10.1210/jc.2016-2118

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