What is an acceptable level of cortisol in someone with PTSD?

Q. What is an acceptable level of cortisol in someone with PTSD?

Answered by
Dr. M. A. Toyeb, Nazma Parveen
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 06, 2018 and last reviewed on: Jun 22, 2023

Hello doctor,

I am a 35-year-old male. What is the normal range of cortisol in a 24-hour collected urine probe? Is having too low cortisol levels in a 24-hour collected urine probe a clinical matter? In the last six months, I had three urine testings with the account of cortisol between 10-12 µg/24 hours. I am dealing with PTSD and distinct fatigue.



Welcome to icliniq.com.

You have not mentioned why you got your urine cortisol levels checked. The normal cortisol levels vary between 10 to 100 micrograms and vary from one person to another, and are affected by many factors. What are the symptoms you are experiencing? Are you having any sleep disturbances? Are you on any medications? Please revert back with the above answers for a proper diagnosis. Thank you and take care. Regards.

Hello doctor,

Thank you for your answer and your further questioning about my health issues. As I mentioned in my first message, I am dealing with post-traumatic stress disorder. In conjunction with that, one of my biggest challenges is severe fatigue. Sometimes, it just constrains me to bed. I nearly cannot get out of it, and it pushes me down. When I exercise to get into activity again and to stimulate my circulation, afterward, it gets even worse; I am exhausted, not activated. So, in research, because of my struggle with PTSD, I found an article that mentioned decreased cortisol levels in people with PTSD. So, I was curious about my own cortisol level. Therefore I did several tests. I really wonder if low cortisol could be one of the underlying reasons for my fatigue. You wrote about a range from 10 to 100 micrograms. I saw several ranges, which began at 20 micrograms upward. What is a range I can orientate on, and what are the influencing factors? Respective to my medication I can add the following: Fluvoxamine 100 mg (1/d), Pantoprazole 20 mg (1/d). I personally think that 10 to 100 is such a great range and if you are at the bottom of it, could it be that you are at the bottom is primary?



Welcome back to icliniq.com.

You are absolutely correct. Low cortisol levels are seen in patients with PTSD (post traumatic stress disorder). The normal range of cortisol varies from laboratory to laboratory, depending on the method they use. The normal range should be mentioned in your report and should be taken as the reference range. Low levels of cortisol do cause extreme weakness, fatigue, and low blood pressure. You should discuss this with your physician. You already taking Fluvoxamine for PTSD. I hope you are taking cognitive therapy as well. Another natural way to improve adrenal function that I can suggest is the ingestion of licorice, about 25 milligrams daily. I hope that answers your question. Thank you and take care.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
How can a person with PTSD, depression and anxiety be treated?

Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety ... If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will p   Read full

Is there any way to cure PTSD and bipolar disorder?

.. your query and understand your concerns. I would like to inform you that most of the psychiatric medications take too long to show effects on individuals. Since you were prescribed Risperidone just a week back, there is no need to wait for more time.   Read full

My father is having negative thoughts and vivid dreams. Why?

.. may have PTSD (post-traumatic stress disorder). It is less likely to be due to glioma. The symptoms of a vision problem and memory loss are due to gliomas. You can give him a small dose of antidepressants and Benzodiazepine for the sleep disturbances.   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a General Practitioner Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.