Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

187 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Can Vagifem Peswsories,Somac and Nasonex be taken together?

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

default
Posted on Tue, 2 Sep 2014 in Medicines and Side Effects
Question: I am a 58 year old post menopausal women - last period Aug 2006. I have type 2 diabetes and have been taking 500 g of metform for about 2 months, Have been taking vagifem peswsories since February. I also am being treated for acid reflux and have been on somac and nasonex for about a month.
Is there any harm in taking these a t the same time and do I have an increased risk of getting pregnant.
I have noticed that blood sugar levels have been elevated lately
doctor
Answered by Dr. Shehzad Topiwala 5 hours later
Brief Answer:
No

Detailed Answer:
1 There is no known major clinically relevant nor significant interaction between these medications, to the best if my knowledge of published medical literature.
So it should be ok to take them at the same time.

2 At 58, I dont think you have a chance of getting pregnant unless you have been having regular menstrual cycles. I see you are on vagifem pessaries but this is a localized form of hormone replacement treatment. The average age of natural menopause worldwide in women is around 52. You say you are post menopausal. if you are not sure, a simple blood test for blood estradiol , FSH and LH levels will provide the answer with certainty.
However, the estrogen in vagifem may get absorbed a bit into the bloodstream and impact the results of the blood tests

3 If your blood sugar is rising then check with your doctor to see if the dose of the metformin can be gradually increased
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shehzad Topiwala 4 hours later
In regard to being 58 and wondering if I could be pregnant I heard of a 59 year old women in Uk who had a baby apparently after completion of menopause so I believe its possible and I had menopausal blood test about 12 months ago testing FH and LH levels and the doctor was satisfied that I came up menopausal however that was before I started on vagifem.

Sorry if it sounds silly question
doctor
Answered by Dr. Shehzad Topiwala 38 hours later
Brief Answer:
Rarest of the possibilities

Detailed Answer:
Yes, pregnancy is possible 'if and only if' you have a fertile egg left in your ovary. You have attained menopause in 2006. It would be the rarest of possibilities if you get pregnant now.

Again, in medicine nothing is sure for cent percent. Hope you understand and your query was quite interesting. Thanks for posting the same.

Regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,  
Treatment/Therapy
Lab Tests

Recent questions on  Gastroesophageal reflux disease

doctor1 MD

My daughter was diagnosed with reflux after having a 24 hr pH probe and bronchoscopy and laryngospy performed last month. Today I found out the results of the pH probe were that she not only had acid reflux but Alkaline Reflux. What is Alkaline Reflux???

doctor1 MD

I have inflamation causing dysfunction of my eustacian tubes which has been extremely uncomfortable for two months. (I feel like I m stuck underwater at the deep end of a swimming pool). I also had sudden hearing loss in my left ear in June and my hearing is impaired - it comes and goes depending upon whether or not I can pop my ears. I ve been seen by two ENT physicians and treated with nasonex, prednisone (which made it worse) and most recently with aciphex for possible gastric reflux (though I ve never had signs of this). My question: Could this be caused by wheat or other food allergy? I am female, 63 years old, 5 4 , 110 pounds and in good health otherwise.

doctor1 MD

Yes, I have a 13 yr old that has been vomiting and has had constipated/diarrhea for a month now. She has been seen by her physician and was prescribed Prilosec and miralax. She appears to be full of stool ( according to her x-ray). She is still having dull stabbing pain in her stomach and is still vomiting daily. She expresses vomiting is not always with nausea. I hope she will not need an endoscopy. I am wondering if it s GERD or IBS. Thanks for your response.

doctor1 MD

Hi. I am a 35 years old female. I don't exercise at all, i smoke but very actively working as a sales rep that sees clients at different places. I recently lost 40 pounds dieting alone within a year. Late this year, i experienced acid reflux too. After that, i began having palpitations, breathlessness (occassional and short) and nausea. The nausea one time took me a week getting over. I had ekg done, 78bpm is the result. I had blood tests and urinalysis done, cleared. I am a panicky person and a worrier too. What is wrong with me?

doctor1 MD

I had and was treated for strep. It has been a month, and I still have a lingering cough . Why is the cough hanging on? Have you had similar inquiries from other people?

doctor1 MD

Pain on left upper side of chest, out of breath, sweating in cold room, extremely fatigued and acid reflux .

doctor1 MD

HI, I seem to have a chest cold - in the morning a lot of mucus some yellow and Greene. then during the day a lot of dry cough . Now at night feel tight chest but can't cough anything out, but feel like something is there. so now the cough is dry....