Scottish Daily Mail

Can silver gloves chilli cream and help tackle winter woes?

- By CAROLINE JONES

SnEEZinG, aching joints, cold sores, stomach bugs — when the temperatur­e drops, it can prompt a litany of health problems. Pharmacy shelves are now stacked with products that promise to help with a variety of winter ailments, but are they any good?

We asked Dr Gill Jenkins, a GP in Bristol, Dr Ross Perry, a dermatolog­ist and medical director of cosmedics skin clinics in harley Street, london, and Dr Sundeept Bhalara, a consultant rheumatolo­gist at West hertfordsh­ire hospitals nhS Trust, for their views. We then rated the products.

FREEZING FEET

Gehwol Warming Balm 75ml, £5.65, simplyfeet.co.uk conTAininG warming ingredient­s including paprika (a type of capsicum), ginger, rosemary and camphor, the maker says massaging in a small amount of this cream will stimulate the circulatio­n and warm up cold feet.

EXPERT VERDICT: ‘capsaicin is the compound that makes chillies hot and is licensed for use in prescripti­on products to ease painful conditions such as osteoarthr­itis and shingles,’ explains Dr Gill Jenkins. it’s also present in lower doses in some over-the-counter creams to create a warm or even burning-type sensation when applied to skin.

‘The camphor and ginger oil have a similar warming effect on skin — i think this balm may give a pleasant, albeit temporary, warming sensation, although paprika and camphor can be irritating to the skin,’ adds Dr Jenkins. ‘Wearing socks would be a cheaper option.’ 6/10

INFECTIONS

Nilaqua Hand Sanitiser 500ml, £4.15, boots.com An Alcohol-free hand sanitising gel that claims to be able to kill ‘99.9999per cent’ of bacteria as well as viruses — including norovirus (the winter vomiting bug) — in as little as 30 seconds. Also said to provide up to six hours’ protection after it’s rubbed on to your hands.

EXPERT VERDICT: ‘Sanitisers actively kill germs and give a little added protection as they remain on the hands,’ says Dr Jenkins.

‘As to whether this does kill 99.9999per cent of germs — a lot would depend on how you used it — you should rub it thoroughly all over your hands and into all the crevices.

‘But sanitisers should not be a substitute for washing with soap and water which, although it won’t kill bacteria or viruses, does dislodge them.

‘hand sanitisers can cause irritation and skin reactions in those with sensitive skin. But carrying a travel-sized hand sanitiser with you can be useful if you find yourself somewhere without access to a hand basin.’ 6/10 Lemlift Immune Support Plus 20 tablets, £4.99, boots.com ThiS provides 1,000mg of vitamin c and 15mg zinc — both of which the maker says contribute to the normal function of the immune system. Dissolve in a glass of water and drink daily. EXPERT VERDICT: ‘Research shows that vitamin c helps immunity, particular­ly by supporting our cell walls to keep out bacteria and viruses,’ says Dr Jenkins.

‘Although studies haven’t found taking vitamin c prevents colds, a cochrane review [the independen­t body that reviews medical findings] did find taking at least 200mg per day could reduce the duration and severity, if taken at the first sign of symptoms.

‘But simply eating vitamin crich foods such as citrus fruits, berries, peppers, broccoli and potatoes is a cheaper way to top up your levels.

‘Zinc is another important nutrient for the function of the immune system, but you can boost your levels by eating zincrich foods such as shellfish, dairy and meat.

however, there is also growing evidence that zinc supplement­s could have benefits if your immune system isn’t functionin­g as well as it should be; for example, if you have a gastrointe­stinal problem such as coeliac or crohn’s disease that prevents its absorption from your food.

‘Findings from another cochrane review concluded that if 75mg [much higher than this product contains] of zinc was taken daily within 24 hours of the onset of cold symptoms, it reduced the duration of those symptoms. if your diet isn’t good, this might be a useful insurance policy.’ 5/10

ARTHRITIC KNEES

Cura-Heat Arthritis Pain (for knees) 4 pack, £4.79, boots.com An elasticate­d knee wrap that comes with heat packs which are placed either side of the knee. The ingredient­s react once exposed to air, producing heat.

The manufactur­er says this provides warming relief from arthritic pain for up to eight hours.

EXPERT VERDICT: ‘Joint pain becomes worse in cold weather for many patients, although we’re not sure why,’ explains rheumatolo­gist Dr Sundeept Bhalara.

‘one reason heat is thought to help is that it confuses the body’s pain receptors, shutting down the nerve pathway, which in turn prevents the original pain sensation from reaching the brain.

‘heat also increases blood flow to the area, which relaxes muscle tension and eases joint stiffness.

‘Although other ways of warming the knee, such as a hot water bottle, can be equally soothing, i’ve seen many patients with burns and other skin damage from doing this. heat patches only reach a safe, comfortabl­e temperatur­e [usually around 40c].

‘The packs are designed to sit over the joint lines on either side of the knee, which are the commonest sites of osteoarthr­itis knee pain, so should really target the pain effectivel­y.

‘however, heat can make inflammati­on worse, so it should be avoided by people with inflammato­ry joint conditions such as rheumatoid arthritis.’ 8/10

COLD SORES

Lipivir 2g, £8.99, lipivir.com ThiS lip gel contains ingredient­s called polyethyle­ne glycols (PEGs), which the maker claims forms a barrier on lips that ‘interrupts viral signalling’, preventing cold sores. Apply daily.

EXPERT VERDICT: ‘cold sores are caused by the herpes virus, which once caught remains in your body for life,’ says Dr Ross Perry.

Flare-ups occur when the virus is reactivate­d; known triggers for this include cold weather, probably as it can dry out lips.

‘PEGs are petroleum-based compounds used frequently in skin products as they are pretty effective moisturise­rs. Preventing the lips from drying out can be helpful as cracked lips are more hospitable to the herpes virus.

‘however, there is no robust evidence that PEGs can help prevent cold sore flare-ups or have a specific anti-viral effect.

‘if you find your cold sores are triggered by the cold, a cheaper option is to use an ordinary lip balm — or just a smear of Vaseline, morning and night.’ 3/10

BLOCKED NOSES

Boots Easy Breathing Vapour Plug-in £7.99 A PRoDucT said to make breathing ‘feel easier’ by filling the room with vapours, including menthol and eucalyptus oils.

EXPERT VERDICT: ‘Most research into menthol and eucalyptus oils so far has found they create a cool sensation in the nasal passages, which makes breathing feel easier but doesn’t actually decongest or unblock them,’ says Dr Jenkins. ‘however, they are unlikely to do any harm.’ 5/10

DRY SKIN

What Skin Needs Cracked Skin Cream 75ml, £8.99, whatskinne­eds.co.uk ThiS cream claims to soothe, rehydrate and repair rough, cracked and dry skin — especially on the elbows, knees and heels — when applied to the affected area twice daily. The key ingredient is plantolin — a ‘super-powered natural extract from an amazing plant native to Australia’, which the makers say has proven anti-inflammato­ry and antioxidan­t properties.

EXPERT VERDICT: ‘A combinatio­n of cold winds and central heating can dehydrate the skin, making it far more prone to dryness and cracking in the winter months,’ says Dr Perry.

‘The main ingredient­s in this product are lanolin and glycerin — both good emollients [moisturise­rs] that help the skin lock in moisture and promote healing. i have seen one small study suggesting plantolin may have some benefits, but i’ve not seen any robust independen­t trials back this up.

‘The cream also contains vitamin E, green tea and lemon oil — all of which can cause irritation, especially if the skin is already cracked.

‘My product of choice for dry, skin is Epaderm ointment (500g, £12.99, boots.com). it contains pure liquid paraffin, one of the most effective emollients.’ 4/10

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