The Doc Replies

I have inflammation around both my eyes that my GP believes to be eczema. I have been using Cetraben and Hydrocortisone which does not help and has irritated my eyes further.

It’s very difficult to assess without seeing the rash. I suggest you return to see your doctor if your condition is still troubling you. Sometimes when conditions are not settling with a steroid cream, such as Hydrocortisone, it is because there is an infection – either bacterial or fungal – and your doctor may want to explore that.

I’m going through the menopause and my GP recommended I take an antidepressant for it. I don’t feel depressed though. What do you think?

Sometimes anti-depressants are recommended for treating the symptoms of menopause, including the hot flushes you might be experiencing. Antidepressants can be used instead of hormone replacement therapy which is normally recommended as the first line of treatment. HRT might not be suitable for you, however.

I use heel support for plantar fasciitis. Should I wear them all the time, or can I take a break if I’m wearing high heels?

There are various shoe inserts available to support the arch of your foot in the event of plantar fasciitis. These work best if you put them in your shoes at all times. The aim is to raise your heel by about one centimetre. If the heel is tender you can cut a hole in the pad – this means the tender part of your heel will not touch anything in your shoe. Inserts should be in both shoes even if you have only pain in one foot.