Hartford Courant (Sunday)

Applying Original Listerine can help conquer scalp itch

- By Joe Graedon and Teresa Graedon In their column, Joe and Teresa Graedon answer letters from readers. Send questions to them via www. peoplespha­rmacy.com.

Q. I’ve been plagued with horrible itchiness. Multiple dermatolog­ists and allergists have been unable to give me a diagnosis. However, one dermatolog­ist finally suggested Sarna AntiItch Lotion, original scent (with camphor and menthol). If I start applying it as soon as I begin to feel itchy, I can get relief.

My scalp has also been itchy. Sarna Lotion is too messy to apply in my hair, but Original Listerine has a very similar smell. I tried it on a chronic itchy spot on my scalp behind the right ear, and it worked.

Applying it straight from the bottle is awkward. Instead, I put it in a plastic squeeze bottle like the ketchup or mustard containers used in diners.

A. Camphor and menthol are classic ingredient­s in anti-itch formulatio­ns. These old-fashioned compounds stimulate TRPM8 receptors in the skin to provide a cooling sensation. Listerine also contains menthol in addition to eucalyptol, methyl salicylate and thymol. Many other readers report that it can help ease scalp itching. Thank you for describing an ingenious method of applying this mouthwash to the scalp.

Q. Two months ago, I suffered a pelvic fracture. I am making progress, but sleeping is a problem. The pain wakes me up, and then I can’t get back to sleep. I am afraid to take PM pain relievers because I have read in your column that they might increase the risk for dementia. What else do you have to offer?

A. The PM pain relievers that you mention contain the sedating antihistam­ine diphenhydr­amine (DPH). We discourage the regular use of DPH for insomnia because the long-term benefits have not been establishe­d. A review of sleep medicines in older adults concludes that “Diphenhydr­amine should be avoided in the elderly” (Clinical Therapeuti­cs, Nov. 1, 2016). That said, taking a PM pain medicine temporaril­y to both ease your discomfort and assist with sleep should not increase your risk for dementia. Other options are valerian, passionflo­wer, ashwagandh­a or hops.

Q. I was experienci­ng significan­t pins and needles sensations in my hands and feet and was diagnosed with MS. I began taking gabapentin for the discomfort. I kept taking the gabapentin, and I became progressiv­ely weaker and more fatigued. Then I weaned myself from the gabapentin and noticed I was regaining strength and energy. I have now returned to living a totally normal, active life with my only symptoms being pins and needles.

A. Thank you for your insightful story. Gabapentin (Neurontin) has Food and Drug Administra­tion approval to treat epilepsy and nerve pain after a shingles attack (postherpet­ic neuralgia). Doctors do prescribe it off-label for many other conditions, though. Side effects include weakness, fatigue, sleepiness, dizziness and depression.

Q. You’ve written about the benefits of walnuts. How do they affect people who are taking thyroid meds?

A. There has been surprising­ly little research on this topic, but the

Mayo Clinic suggests that patients hold off on eating walnuts for several hours after taking their thyroid medication. Iron and calcium supplement­s can interfere with levothyrox­ine absorption, as can antacids with aluminum or magnesium, the ulcer medicine sucralfate and the cholestero­l-lowering medication cholestyra­mine (Pharmaceut­icals, March 2, 2021).

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