Q: I am 40 years old diabetic man and take Glycomet 1250 mg daily. I am also taking Tonact 10 mg for high cholesterol, Betacap TR 40 mg for migraine and Razo 20 mg for gastro-esophageal reflux disease (GERD) / hiatus hernia. Can you suggest some vaccinations for influenza, hepatitis and other ailments to avoid further complications?

A:Vaccination against hepatitis B is certainly recommended. Unfortunately influenza is less useful because the virus changes its structure frequently making it very difficult to prevent its attack. If your drinking water supply is not very good, you can get vaccinated against typhoid (brand name: Vactyph). Propranolol (Betacap TR) is known to make diabetes worse; hence it is better to take another agent for migraine.