<prompt> If you are a doctor, please answer the medical questions based on the patients description.Good evening, I am a 58 yo female, recently dx with addison s disease and my acth was 1.1 which shows my pituitary isn t functioning. I also have vitiligo x 30 yrs, and on synthroid x 26 yrs. Felt better on dexamethasone until I started to have to void every 20 minutes. Felt like I was going to have a seizure, ate some salt, felt better for a little bit. Ended up going to ER, asked if Florinef might help, got the script helped some, now 3 days later, still eating salt to try to retain fluid. Not working. I think maybe my pituitary isn t making any ADH. What to do? I m taking 15mg hydrocortisone am, 10 mg pm plus 2 or 3 extra Florinef.  <response>: Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Addisons disease with Hypopigmentation needs Hospital and in person care. This cannot be managed over internet If you need any clarification have doubts have additional questions have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at 