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04/30/2020 Robert D Teitelbaum, DPM
Pandemic-Induced Shortages of Peroxide and Isopropyl Alcohol
What used to cost $24 for sixteen quarts (4 gallons) of 91% alcohol from Sam's Club now costs about the same amount for two quarts with the hefty additional hazmat shipping charge from a catalog/web site/amazon link. But if you think and look outside the box, equivalents may be found (not witch hazel). While shopping at one of the dollar stores I looked down at the bottom shelf and saw those round pint size plastic bottles that IPA used to come in, before the quart containers became common. The fluid was pink, not clear and the bottle said it contained "Arthritis and Sports Medicine Pain Relieving Rub". The label said it contained IPA, methyl salicyate, (the active ingredient of Ben-Gay) and capsaicin.
I had to crack open the cap of one of them, knowing that I would have to at least buy that one. But that is risking all of one dollar. It reeked of alcohol, which of course is no quantitative assay of IPA content but it impressed me as something I could press into use in these strange times. I cleared out the other remaining seven bottles on the shelf. The bottle also had a number to call the company--LGN Labs, which I did the next morning. I asked the receptionist what the alcohol content of this rub was and she said that it was a proprietary and confidential piece of information. I didn't realize I was perilously close to infringing on intellectual property.
I was concerned about possible allergic reactions to the salicylate and capsaicin ingredients, and with using this fluid on at least forty patients, I have found no one who even noticed it. My staff and I also like the pleasant pink color. And possibly, the capsaicin element relieves the sensitivity of our neuropathic patients.
As for peroxide, I recommend using one of your patients as a scout at Wal-Mart. Wal-Mart, after the U.S. government, is the largest employer in this country, and every practice either has a patient who works for them or you have a relative or friend who does. And they can let you know when they get deliveries of these fluids that remain on the shelf for all of seven minutes when they are displayed at odd times throughout the week. Of course, you show your appreciation with a generous gratuity. And that is how we will get through these unusual times--thinking outside the box, or bottle. Robert D Teitelbaum, DPM, Naples, FL
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