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

Answered by
Dr. Nazma Parveen
and medically reviewed by iCliniq medical review team.
Published on Apr 06, 2018

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 24-hours 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 a distinct fatigue.

Dr. Nazma Parveen

Family Physician General Practitioner
#

Hello,

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 is 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 proper diagnosis.

For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner

Hello doctor,

Thank your 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 challenge is severe fatigue. Sometimes, it just constrains me to the bed. I nearly cannot get out of it, it pushes me down. When I exercise to get into activity again and to stimulate my circulation, afterwards it gets even worse, I am exhausted, not activated. So, in research, because of my struggle with PTSD, I found an article which mentioned decreased cortisol levels in people with PTSD. So, I was curious about my own cortisol level. Therefore I did several testings. 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 microgram. I saw several ranges, which began on 20 micogram 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?

Dr. Nazma Parveen

Family Physician General Practitioner
#

Hello,

Welcome back to icliniq.com.

You are absolutely correct. Low cortisol levels are seen in patients with PTSD. 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 the adrenal function that I can suggest is ingestion of licorice about 25 milligrams daily.

I hope that answers your question.

For more information consult a general practitioner online --> https://www.icliniq.com/ask-a-doctor-online/general-practitioner

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