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Originally published Sunday, June 29, 2008 at 12:00 AM

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The People's Pharmacy

Mouthwash showed depth of alcoholism

Q: I'm a 40-year-old recovering alcoholic who has not had an alcoholic drink in more than four years. That last drink was a store-brand...

Syndicated columnists

Q: I'm a 40-year-old recovering alcoholic who has not had an alcoholic drink in more than four years. That last drink was a store-brand mouthwash.

This last-ditch effort to resort to some form of alcohol that wasn't a "real drink" was what convinced me that I was a hopeless alcoholic. Though I had tried many times to tell myself that I could control my drinking, it was that last gulp of mouthwash that finally made something click firmly in my thick skull that I should at all costs avoid drinking anything with alcohol for the rest of my days.

My life is now lovely. If you know somebody who drinks mouthwash, you might want to very gently steer him to the nearest AA meeting.

A: Thank you for sharing your story. You were smart to recognize that drinking mouthwash is a serious sign of addiction. Others may not. We heard from one grieving widow: "My husband died in February from drinking mouthwash. ... I tried so many times to save him, but I couldn't. Drinking mouthwash is deadly. I advise anyone with this problem to please get help!"

Q: I have taken thyroid medication for decades. In addition, I take amitriptyline, calcium, multivitamins, Prempro and aspirin.

My eyebrows have become so sparse that I need to use an eyebrow pencil to look normal. I have also lost hair on my legs and arms as well as on my head.

When I mentioned this to my dermatologist, he suggested I try Rogaine. It hasn't been very effective.

My TSH (thyroid-stimulating hormone) level is between 5 and 6, and my cholesterol is over 240. I am a vegetarian and eat a very healthy diet with lots of fruits and vegetables. No matter how much I exercise or watch my diet, I can't seem to lose weight. When I ask my doctor about all this, he dismisses my symptoms as unimportant. I'd be grateful for any advice.

A: Many of your symptoms, such as high cholesterol, sparse eyebrows, hair loss, depression and trouble losing weight, are consistent with too little thyroid hormone. Your TSH is high, another indication of inadequate thyroid function.

Estrogen (found in Prempro) may affect your thyroid test. Taking thyroid medication with a multivitamin or calcium could interfere with absorption and effectiveness.

Q. Can glaucoma eyedrops lower heart rate? Ever since I started using timolol, I haven't been able to reach my target heart rate when I exercise.

A. Timolol (Timoptic) is a beta blocker, which means it can slow heart rate whether taken orally or as eyedrops.

In their column, Joe and Teresa Graedon answer letters from readers. Write to them c/o King Features Syndicate, 888 Seventh Ave., New York, NY 10019, or via their Web site: www.peoplespharmacy.org

Copyright © 2008 The Seattle Times Company

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