How do I install the Ata Longer Acting Gc Selection skill?

Run npx skillmds@latest add dromlakhani/ata-longer-acting-gc-selection 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 Longer Acting Gc Selection safe to use?

This skill has not completed SkillMD's automated safety review yet. Independent scanners report: SkillSpector: PASS, Skill Scanner: PASS. Capability flags: docs only. SkillMD never runs a skill's scripts for you; review the SKILL.md before installing.

Which AI agents work with Ata Longer Acting Gc Selection?

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 Longer Acting Gc Selection free to use?

Yes. Installing skills from SkillMD is free, and the skill stays under its author's original license.

Who published Ata Longer Acting Gc Selection?

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

Ata Longer Acting Gc Selection by dromlakhani

Name: Ata Longer Acting Gc Selection
Rating: 4.2 (5 reviews)
Author: dromlakhani

Ata Longer Acting Gc Selection

Suggests using longer-acting glucocorticoids when standard hydrocortisone regimens are impractical due to nonavailability, poor adherence, or need for once-daily dosing. Triggers include glucocorticoid replacement therapy decisions where patients report difficulty with multiple daily doses, lack of access to hydrocortisone, or preference for simplified regimens.

dromlakhani Updated Sep 8, 2026 10 repo stars

File contents

Select longer-acting glucocorticoids for specific cases

STEP 1 — Gather Information

Collect diagnosis of adrenal insufficiency requiring glucocorticoid replacement; current glucocorticoid formulation and dosing schedule; patient-reported adherence challenges; availability of hydrocortisone formulations; patient lifestyle and preference for dosing frequency; any contraindications to specific longer-acting GCs (e.g., pregnancy for dexamethasone).

STEP 2 — Rule In / Rule Out

Is the patient requiring glucocorticoid replacement for adrenal insufficiency? If no, do not apply this skill; if yes, proceed to assess suitability for longer-acting GC.

STEP 3 — Classify or Stratify

Assess for circumstances favoring longer-acting GC: nonavailability of hydrocortisone, poor compliance with divided doses, or desire for once-daily convenience. If any present, classify as candidate for longer-acting GC; otherwise, continue with standard hydrocortisone.

STEP 4 — Decide

For candidates, select an appropriate longer-acting glucocorticoid (e.g., prednisone 5 mg daily or dexamethasone 0.5 mg daily) based on potency equivalence and patient factors; otherwise, prescribe hydrocortisone 15–20 mg daily in divided doses.

Clinical Guardrails / Mimics / Pitfalls

Avoid dexamethasone in pregnancy due to placental transfer; monitor for signs of over- or under-replacement (weight changes, glucose, blood pressure); do not use longer-acting GCs if patient requires stress dosing flexibility; ensure patient education on emergency glucocorticoid administration; avoid in patients with known hypersensitivity.

Concrete Clinical Example

A 45-year-old woman with secondary adrenal insufficiency works night shifts and misses afternoon hydrocortisone doses. She reports poor compliance with twice-daily HC. After confirming need for GC replacement and lack of contraindications, prescribe prednisone 5 mg once daily (equivalent to HC 20 mg) and provide stress-dose instructions.

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

---name: ata-longer-acting-gc-selectiondescription: Suggests using longer-acting glucocorticoids when standard hydrocortisone regimens are impractical due to nonavailability, poor adherence, or need for once-daily dosing. Triggers include glucocorticoid replacement therapy decisions where patients report difficulty with multiple daily doses, lack of access to hydrocortisone, or preference for simplified regimens.---# Select longer-acting glucocorticoids for specific cases## STEP 1 — Gather InformationCollect diagnosis of adrenal insufficiency requiring glucocorticoid replacement; current glucocorticoid formulation and dosing schedule; patient-reported adherence challenges; availability of hydrocortisone formulations; patient lifestyle and preference for dosing frequency; any contraindications to specific longer-acting GCs (e.g., pregnancy for dexamethasone).## STEP 2 — Rule In / Rule OutIs the patient requiring glucocorticoid replacement for adrenal insufficiency? If no, do not apply this skill; if yes, proceed to assess suitability for longer-acting GC.## STEP 3 — Classify or StratifyAssess for circumstances favoring longer-acting GC: nonavailability of hydrocortisone, poor compliance with divided doses, or desire for once-daily convenience. If any present, classify as candidate for longer-acting GC; otherwise, continue with standard hydrocortisone.## STEP 4 — DecideFor candidates, select an appropriate longer-acting glucocorticoid (e.g., prednisone 5 mg daily or dexamethasone 0.5 mg daily) based on potency equivalence and patient factors; otherwise, prescribe hydrocortisone 15–20 mg daily in divided doses.## Clinical Guardrails / Mimics / PitfallsAvoid dexamethasone in pregnancy due to placental transfer; monitor for signs of over- or under-replacement (weight changes, glucose, blood pressure); do not use longer-acting GCs if patient requires stress dosing flexibility; ensure patient education on emergency glucocorticoid administration; avoid in patients with known hypersensitivity.## Concrete Clinical ExampleA 45-year-old woman with secondary adrenal insufficiency works night shifts and misses afternoon hydrocortisone doses. She reports poor compliance with twice-daily HC. After confirming need for GC replacement and lack of contraindications, prescribe prednisone 5 mg once daily (equivalent to HC 20 mg) and provide stress-dose instructions.**Source:** Hormonal Replacement in Hypopituitarism in Adults: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2016, DOI:10.1210/jc.2016-2118

Frequently asked questions