Houston Chronicle

Poison ivy remedy helps ease the itch of chigger bites.

- JOE AND TERESA GRAEDON Contact the Graedons via peoplespha­rmacy.com.

Q: My favorite remedy for chigger bites is Ivy-Dry. This product stops the maddening itch of the bites.

I apply the liquid version with a cotton swab. I’ve loaned my bottle of Ivy-Dry to fellow RVers, and it helps all types of itches.

A: Ivy-Dry contains benzyl alcohol, camphor and menthol. It is marketed as a way to treat the itching of poison ivy and poison oak, as well as for bug bites.

The skin contains nerve endings that are equipped with transient receptor potential channels. These respond to temperatur­e and touch, as well as menthol and camphor. By stimulatin­g these TRP channels, you can overwhelm the nerves that are creating the itch sensation.

We still believe prevention is the best approach to chiggers and other biting bugs. Insect repellent with DEET or picaridin is effective. Some people report that dusting their shoes, socks and pants legs with powdered sulfur (flower of sulfur) keeps the chiggers and ticks away.

Q: I was taking a lot of vitamin B-6 for my depression. After a while, my feet started feeling numb and cold. Now my legs and feet feel numb. Is there any way I can reverse this problem?

A: Too little or too much vitamin B-6 (pyridoxine) both can cause nerve damage (Neuromuscu­lar Disorders, February 2008). Symptoms of such neuropathy include numbness, balance problems and poor reflexes. You should see a neurologis­t and stop taking excessive doses of vitamin B-6 immediatel­y.

Q: I’ve been using Voltaren Gel and Flector patches for three years. (I call them “magic patches.”) Oral NSAIDs cause me major stomach pains, and the patches and gel do not.

I use the gel for arthritis pain in my knees, feet and hips. It works well enough that I can continue my demanding exercise schedule.

These meds don’t go through your liver, kidneys and other sensitive internal organs the same way oral meds do. So far, I’m not having any negative reactions.

A: Both Voltaren Gel and Flector patches are topical forms of the prescripti­on anti-inflammato­ry medicine diclofenac. A thorough independen­t review concluded that topical diclofenac can provide good relief from osteoarthr­itis pain for some people (Cochrane Database of Systematic Reviews, Apr. 22, 2016). Serious reactions appear to be uncommon. That may be because, as you suggest, the topical NSAID does not get into the bloodstrea­m to the same degree as oral medication­s.

Some people do experience digestive upset from topical NSAIDs, however. One reader reported:

“I was prescribed Voltaren Gel for treatment of persistent groin pain related to a running injury. While it did offer some relief, it was no better than taking aspirin. However, I had serious gastrointe­stinal discomfort: gas, heartburn, painful swallowing. These side effects would clear up within a day or two after discontinu­ing use of the product.”

The Food and Drug Administra­tion warns about both cardiovasc­ular and GI complicati­ons from topical NSAIDs. You can learn more about topical NSAIDs and many nondrug approaches for easing joint pain in our expanded Guide to Alternativ­es for Arthritis. This online resource is available atPeoplesP­harmacy.com.

Q: I stopped using any kind of underarm deodorant or antiperspi­rant almost 20 years ago. Instead, I started taking Chlorella, which I’ve heard has the highest proportion of chlorophyl­l of any food. I’ve found that, over time, it completely eliminates the need for underarm deodorant.

I just put approximat­ely 1/4 teaspoon of Chlorella powder in water every morning, drink it down, and I’m good to go. This green algae did the trick for me.

A: There hasn’t been much research on whether consuming chlorophyl­l reduces body odor. The scientific articles we were able to locate dated back to the 1950s. Perhaps others can share their own experience.

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