Patient questions (26)

  • Question about Ovestin Ovula Pessaries

    Does Ovestin stop the hot flushes and help with better sleep?

    Does Ovestin stop the hot flushes and help with better sleep?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Hi there,
    Ovestin mainly helps with vaginal dryness. Only small amounts of the oestrogen is absorbed into the system. Therefore it is not effective in treating hot flushes or other systemic menopausal… More

  • Question about Clonac Tablet

    Can I take clonac with paracetamol and codeine??

    Can I take clonac with paracetamol and codeine??

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Hi there,
    Clonac is Diclofenac which is a non-steroidal anti inflammatory. You can certainly take this in combination to paracetamol and codeine.
    The combination of these medications can… More

  • Question about Asherman syndrome

    Hi, I had a D & C after a miscarriage 3 months ago. My periods are now much shorter (2 days) and lig

    Hi, I had a D & C after a miscarriage 3 months ago. My periods are now much shorter (2 days) and lighter. I am concerned about the Asherman's syndrome. Could you please advise a specialist in Asherman's syndrome in Adelaide to diagnose it?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    I agree with the above. I did my advanced training in minimally invasive surgery in Adelaide. During the training, I managed quite a few patients with Asherman's syndrome. I would recommend Dr David… More

  • Question about Femular Tablets

    Can I use Femular with Birth Control pills at the same time ?

    Can I use Femular with Birth Control pills at the same time ?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Femular is black cohosh and is primarily utilized for the treatment of menopausal symptoms. This treatment does not have great results and is no better than placebo. Sometimes it is started in the perimenopausal… More

  • Question about Femular Tablets

    Is common to have blood spotting while taking Femular tablets?

    Is common to have blood spotting while taking Femular tablets?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Black cohosh is a medication prescribed for the treatment of menopausal symptoms. Its efficacy is no better than placebo. The estrogenic effect of the black cohosh may result in vaginal spotting. Nevertheless… More

  • Will I have periods if I take Estalis and how will it affect my sexual health?

    Will I have periods if I take Estalis and how will it affect my sexual health?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Hi there, The combined HRT in the form of a patch is a very good option for control of menopausal symptoms such as hot flushes, dry vagina and mood disturbances. It reduces the risk of osteoporosis and… More

  • Question about Miscarriage

    I had 5 miscarriage in a row , what should i do?

    I had 5 miscarriage in a row , what should i do?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Hi there, Having 5 miscarriages in a row is a tough situation for anyone to go through and I hope you have good support at home.
    The definition of recurrent miscarriages is 3 or more miscarriages.… More

  • Question about Menopause

    Need to boost my ostreogen levels as they are very low. Was on Premarin got scared of the breast can

    Need to boost my ostreogen levels as they are very low. Was on Premarin got scared of the breast cancer risk and now taking femular. Have has little relief nothing major. Are there better options for me?? I am going crazy with menopause and not knowing what medications to take for my health.

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    If you commence HRT at the onset of menopause and use it for up to 5 years, the risk of breast cancer is very small. Femular is expensive and not proven to be effective.

    Other options may… More

  • Question about Femular Tablets

    What are the better and cheaper options for hot flushes ?

    What are the better and cheaper options for hot flushes ?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    I agree with Dr Thomas. If you are worried about HRT, or have contraindications to it, there are non-hormonal alternatives that have been studied and proven to be efficacious in the management of hot flushes: More

  • Question about Ozole 150 mg Capsules

    can I take a second capsole of Ozole . still experiencing some internal itching?

    can I take a second capsole of Ozole . still experiencing some internal itching?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Yes you can certainly take another capsule 72 hours later as the medication continues to work in the vagina for that duration... The treatment is effective in 90% of cases therefore there is a 10% chance… More

  • Question about Femular Tablets

    What are better and cheaper options than Femular for hot flushes and anxiety please?

    What are better and cheaper options than Femular for hot flushes and anxiety please?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    There certainly are better options than Femular. Femular is not clinically proven as opposed to the conventional HRT.
    HRT is mostly safe to take if you commence at onset of menopause and for a period… More

  • Question about Auscap Capsules

    I have started taking auscopan, I was having menopausal hot flushes but am now experiencing extra lo

    I have started taking auscopan, I was having menopausal hot flushes but am now experiencing extra long periods of excessive hot sweating to the point of having sweat running down my face etc. Is this normal? I am 54.

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    If you started taking fluoxetine to treat hot flushes, then this treatment is no better than a placebo.
    One of the side effects of fluoxetine can be excessive sweating. A lot of these side effects… More

  • Question about Di-Con One Capsules

    How long before the itching and soreness stops with di-con one capsules? It's been 17 hours since I

    How long before the itching and soreness stops with di-con one capsules? It's been 17 hours since I took the capsule and the itching and soreness are still there.

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Fluconazole may take up to 48 hours to treat the thrush. If it does not do so, you may have a complicated thrush infection with a different type of Candida infection. This would require different treatment.… More

  • Question about Femular Tablets

    After raking formulae forte for 8 months and noticing my hot flushes were more bearable/less frequen

    After raking formulae forte for 8 months and noticing my hot flushes were more bearable/less frequent I have started to have s slight relapse. ie my hot flushes are more severe and frequent again. Can I up the dose of femular forte to 2 tablets per day for greater relief? I have had no ill effects

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Unfortunately Femular is not clinically proven to work any better than placebo. The marketing behind this medication is that the conventional HRT is unsafe. For most women, Hormone Replacement Therapy… More

  • Question about Cancer - cervix

    I had leep surgery 18 months ago , I went for a papsmear yesterday and they couldn't do it as I have

    I had leep surgery 18 months ago , I went for a papsmear yesterday and they couldn't do it as I have to much scarring on my cervix will I need surgery to remove this? as I want to start trying for a baby next year

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    If the scarring is severe enough it could certainly interfere with conception. This is known as cervical stenosis and is a rare side effect of this surgery. In severe cases it can cause interference with… More

  • can you use progesterone cream at the same time, as the Estalis patch?

    can you use progesterone cream at the same time, as the Estalis patch?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Hi there, the Estalis patch contains both oestrogen and progesterone. The oestrogen is for the management of menopausal symptoms and the progesterone protects the lining of the uterus from developing endometrial… More

  • Question about Clonac Tablet

    I am a breast feeding mom. I am taking this clonac tablet, can this affect my baby?

    I am a breast feeding mom. I am taking this clonac tablet, can this affect my baby?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    Very small amounts of the clonac (diclofenac) is found in the breast milk. We use it after Caesarean sections regularly and we have been doing so for many years (mainly in suppository form). There are… More

  • How long can Duracortin Solution for injections be used after being kept it in room temperature?

    How long can Duracortin Solution for injections be used after being kept it in room temperature?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    That is a tricky question to answer. The drug becomes unstable at room temperature and the recommendation is to store it at around 6-8 degrees Celsius. There is no data looking at how long the drug can… More

  • Question about Ranoxyl Tablets

    What side effects does ranoxyl have on a person using yaz birth control pill?

    What side effects does ranoxyl have on a person using yaz birth control pill?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    There is no evidence that these two drugs interact.

  • Question about Clonac Tablet

    Can i consume alcohol whilst using clonac ec as prescribed by my doctor for rotator cuff tendonitis?

    Can i consume alcohol whilst using clonac ec as prescribed by my doctor for rotator cuff tendonitis?

    DOCTOR'S RESPONSE:

    Joseph Jabbour

    i would advise against alcohol with clonac as alcohol can increase the rate of toxicity and cause worsening of some side effects-Mainly gastrointestinal problems such as gastritis, peptic ulcers, reflux,… More