PHARMACY CORNER

Pain-relieving patches, or heat patches for muscle stiffness, provide targeted relief over several hours.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

The Bermuda Half Marathon Derby is for many of us the official start of summer. Cheering on friends and family is a great way to kick off the long holiday weekend. But maybe this year you are one of those brave souls actually running.

Not many of us can hope to match the standards of local legend Sir Stanley Burgess – who competed for 60 years, running his last race when he was 82. For most of us, just surviving 13 miles will be an accomplishment – with the added benefit of raising some money for a favourite charity.

If you are an entrant, your preparation will no doubt be in the final lap. But what about once you’ve crossed the finish line? Now is the time to visit Pharmacy Corner and stock up on a few items which, when the euphoria wears off and the exhaustion sets in, will speed you on the road to recovery.

REHYDRATE

Once you have staggered over the finish line, the first thing you need to do is rehydrate. Depending on the conditions, you can expect to lose up to two litres of water during the course of a half marathon. There are refreshment stations, to be sure, but afterwards the trick is to sip fluids – slowly! – to replace water and minerals. We have a great range of electrolyte drinks in tablet or powdered form, and a great range of flavours, from brand leaders like Nuun Sport, Pedialyte Sport and Voost, to help athletes of all levels replenish essential minerals lost during the course of a long run.

REFUEL

Fun fact: during a half marathon, you will burn enough energy to charge your iPhone for six months, according to Runner’s World magazine. Which, given energy costs at the moment, would be a neat trick. While scientists figure out how to do this, though, you will need to refuel your own batteries. Bananas, chocolate milk – or protein shakes (all available in our main shop) are good options for replenishing your energy levels quickly, and easy to pack in a post-race care bag.

CUT TO THE CHAFE

Thighs, groin, underarms – and nipples – are particularly prone to chafing in a half marathon. Most sports experts recommend that runners protect vulnerable areas with Vaseline (or if you object to petroleum-based products, a balm made with beeswax).

Once it’s all over bar the wincing, shower as soon as possible. Clean any raw areas gently with antibacterial soap (check out our selection!) and pat – do not rub – dry. Then apply a soothing barrier cream like Sudocrem (not just for babies, though it is available in our baby section).

OH, THE PAIN

Did you know that after a long race you may actually get shorter (temporarily!) because of tightened back muscles and fluid loss between the discs in your spine? Don’t panic! You’ll be standing tall again once you replenish your fluid levels. But what of the pain?

First off, take a beat. Experts recommend waiting two hours before you pop ANY painkillers – because you need time to rehydrate.

After that, avoid anti-inflammatories – NSAIDs like ibuprofen (Advil) or naproxen (Aleve). It may sound counter intuitive, but these types of painkillers can put a strain on your kidneys and actually increase the risk of dehydration. Acetaminophen also known as Paracetamol (Tylenol) is a much safer bet.

If you have a specific muscle strain, you can use a topical NSAID, like Voltarol, which will be less likely to affect your kidneys. But you could also opt for liniment (Bengay and Icy Hot offer a number of choices), most of which are free from NSAIDs. Topical magnesium creams (Theraworx) are also great for relaxing the muscles and easing cramping.

Hydrocolloid blister patches absorb excess moisture and form a protective cushion, providing instant pain relief and optimum healing conditions to protect blisters on the feet.

BRUISED TOENAILS

Not so fun fact: most half-marathon newbies are going to get at least one black toenail. This is the result of shoes that are too small, too big, too new – or even socks that are too tight – leading to a blood blister or bruise under the nail. There’s not much you can do about it. Just keep the affected nail(s) scrupulously clean and dry. And protect them, when wearing street shoes, with a sterile dressing.

BLISTERS

It’s worth checking out our footcare section, before the big day, to have a look for blister prevention plasters. But if it’s too late, and you’ve already got ‘em, an epsom salt foot (or full body) bath can’t hurt, and may soothe the pain and promote healing. You can even indulge using Lavender or Eucalyptus scented Dr. Teal’s Epsom Salts.

If your blister has burst it should be covered with a tight, clean bandage (after you’ve washed the area with soap and water) to prevent infection. A hydrocolloid patch, like the ones made by Compeed, is a good option.

Smaller blisters that have not burst can be protected with moleskin padding (Dr Scholl’s make this). Cut a patch bigger than the blister; then trim a hole in the middle with nail scissors, so the blister is open to the air, allowing it to dry out safely. Finally, cover with gauze.

Then, settle down and enjoy that sense of accomplishment! You have earned it!

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

Nature is a great stress reliever. A walk along the beach, or around the Botanical Gardens (without checking your device every two seconds) can work wonders to restore your ‘joy’.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

Welcome to Stress Awareness month. For most of us, stress – and being aware of it – is not something confined to April.

But what exactly IS stress? Can it ever be a good thing? And is there something we can do to combat it? (Spoiler alert: the answer is yes, and some helpful ‘weapons’ in this battle can be found right here in Pharmacy Corner.)

A BRIEF HISTORY

Stress has been around forever. We may think we live in stressful times – and we do. But historically, our ancestors had to deal with some pretty terrifying ‘stressors’, too, including attacks by wild animals.
But in those days, there wasn’t a name for it. ‘Stress’ is a shortening of ‘distress’; and back in the 1300s, it meant adversity. By the 1600s, ‘stress’ was being used by scientists to describe a force that could bend materials out of shape.

It was not till 1936 that an Austrian-born Hungarian scientist called Hans Selye, working out of McGill University in Canada, coined the term for humans.
The ‘Father of Stress’, as Selye became known, noticed in his days as a medical student in Prague that hospital patients shared certain symptoms, regardless of their illness. He had a hunch it was due to duress.

Later, at McGill, he did experiments on rats, subjecting them to more duress. This caused increased levels of hormones adrenaline and cortisol. And ulcers. So, he borrowed the term ‘stress’ from physics, to describe the ‘non-specific response of the body to any demand for change’.

In a bit of karma, perhaps, Selye himself came under pressure, late in his life, after suggesting smoking as a means of stressbusting – without revealing that he’d been funded by Big Tobacco.

IS STRESS A MENTAL ILLNESS?

No. Stress can be a cause of mental illness – leading to anxiety, depression or PTSD – and also a result of mental illness. But mostly it is a natural reaction to an incident. It’s only when it persists that it’s a problem.

CAN STRESS EVER BE GOOD?

Yes. One type – ‘eustress’ – can be helpful, providing a burst of energy at crucial moments: when writing something on deadline, or giving a speech. Or in sporting competitions. It’s thrilling – like the feeling you get when riding a rollercoaster. And like a rollercoaster, it doesn’t last.

AND THE BAD KINDS?

In this category, we have Acute Stress – a one-off, ‘fight or flight’ response to a specific event (a car accident, a big argument). Our body pumps adrenaline and cortisol into the bloodstream, increasing our heart rate and our energy levels, so we can escape from – or deal with – the problem. If Acute Stress recurs, it becomes Episodic Acute Stress. We see this in folks with high pressure jobs like ER staff, for instance.

And finally, there is Chronic Stress, when our body’s engine is revving away indefinitely. This can put strain on our heart, depress our immune system, and wreak havoc on our digestion.

HOW CAN I TELL IF MY GOOD STRESS HAS GONE BAD?

Constant irritability is one sign. A permanent state of dread is another. And, saddest of all, a ‘loss of joy’. Physical symptoms, like insomnia, digestive issues (loss of appetite) and exhaustion are also indicators. If they persist, you should talk to your GP.

WHAT CAN I DO ABOUT IT?!

Your doctor might recommend therapy or counselling.

But there are steps we can take on our own, too – and some of the tools we can use in the fight against stress can be found here, in Pharmacy Corner. Exercise is a great stressbuster, releasing endorphins into our system which help us to feel better.

A good night’s sleep is crucial, too. Here in the pharmacy, we have all sorts of sleep aids, from melatonin gummies to herbal bedtime teas. There are also supplements, for when you are feeling overwhelmed. Olly’s Goodbye Stress gummies are designed to restore calm, when you feel like life is getting on top of you.

Nature is a great stress reliever. A walk along the beach, or around the Botanical Gardens (without checking your device every two seconds) can work wonders to restore your ‘joy’.

Many people swear by aromatherapy. Lavender oil, used in a diffuser, or diluted in a ‘carrier oil’ and used for massage or in a bath, is soothing. (Although concentrated essential oils should never be applied directly to the skin.) Check out our selection the next time you pop in.

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

SPRING is, er, springing out all over – and if you like to garden, now is the perfect time to get outside and do a bit of tidying, to make sure your beds and borders look their best come summer.

Spending time in the garden is not just good for your plants – it’s good for you, too: gentle exercise that soothes the soul. But sometimes we can get so caught up in our green-fingered chores that we overdo things. That’s when your friendly neighbourhood Pharmacy Corner can help. We’ve got plenty of remedies, to deal with the small mishaps which can occur.

First up, though: a big thing. Tetanus. Dirt and blood are a bad combo, and if you get a deep cut while gardening – particularly one inflicted by a rusty tool – and there is dirt in it, then tetanus (sometimes known as lockjaw, after the stiffness that is one of the telltale symptoms) should be a concern. While this is a much less common threat than it used to be, thanks to widespread vaccination, the bacteria which causes the tetanus infection is still commonly found in soil and manure. In the UK in 2024, two out of every three cases reported was the result of a gardening accident.

When was the last time you had a tetanus shot? The Department of Health recommends getting one every ten years, as an adult (when it’s combined with a vaccine to prevent diptheria, in the so-called Tdap booster). If you’re not sure whether you’re up to date, contact the health department and ask for an ‘immunisation report’.

Now that that’s out of the way, we can move onto the smaller things.

YOU CUT ME…

There are plenty of ways to get cuts or grazes in the garden, and often you are so focused on the job in hand that you fail to notice till later. Assuming it’s not a large wound (see tetanus terror, above), then you can probably deal with it yourself. Clean the wound well with soap and water, making care to wash out the dirt. Then it’s time for a good disinfectant/antibiotic. Bactine Max wound wash is an excellent option. Or just plain TCP or Dettol, diluted (one part disinfectant, to two-three parts water).

For those of us with a low pain threshold – no shame! – Bactine Max pain relieving cleansing spray is a must for the medicine shelf. It does what it says on the label, thanks to a small amount of lidocaine.

We also stock plenty of bandages – including wrap-around options for fingers – from market leaders Bandaid, Curad and Nexcare.

Antibiotic ointment is always good to have on hand. Ask one of our helpful pharmacists for help.

For bumps and bruises, why not investigate an alternative option – like Arnica? Made from the roots and flowers of the ‘mountain daisy’ or wolf’s bane, it’s usually found in cream or gel form, and is great for bumps and bruises, reducing swelling and easing pain when used topically (though you should never apply it to broken skin or, worse, swallow it).

OH MY ACHING BACK

Bending over to attack those weeds may be satisfying – but it can also leave you with a killer case of backache. We can help there, too. Tylenol Precise contains the maximum (over the counter) amount of lidocaine, to silence back and joint pain (and features a roller ball top, for easy application). IcyHot’s range promises instant relief – thanks to a formula which simultaneously cools and warms (just like it says on the label). And don’t forget old favourite Bengay: a tried and tested option beloved by many Bermudians.

DON’T BUG ME

Thanks to the recent downpours, there may well be standing water in your garden – keep an eye out for pots or containers that have become breeding grounds for mosquitos and empty them. If you do get bitten, apply a mild (1 per cent) hydrocortisone cream as soon as you can, to limit the swelling. Later, you can use Anthisan bite and sting cream to ease that infernal itching.

NAILING IT

Once you’re done for the day, scrub the dirt from under your fingernails with a bar of Surly Soap (Mild). Half soap, half exfoliator, it will leave your hands clean as a whistle. We also have nail brushes to get rid of any stubborn dirt. Handy for keeping on the side of the sink, ready to bristle into action.

And now: get gardening!

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

February is Children’s Dental Health Month. Dentists recommend that you start brushing your child’s teeth – very gently, obviously – as soon as the first milk tooth pops through the skin. Usually at about six months.

But some experts believe you can start the process even earlier – on the grounds that good oral hygiene doesn’t need teeth. Whatever you feel on that subject, here’s some suggestions and tips for you to chew over…

INFANTS

There is a school of thought that says that even before your baby gets his or her first milk tooth, you should wipe their gums gently twice a day – either with a soft (clean!) cloth, a bit of gauze or a ‘baby finger toothbrush’ (a bristled silicone sheath that slips over your finger – and looks a bit like a spiky Dalek). No need for toothpaste at this stage – water is fine.

What’s the point of this, I hear you ask? Well, wiping the gums gets rid of any lingering bacteria from leftover milk or formula. It helps your baby get used to the brushing process. And it may also feel good, if they are teething. (And on that front, we can help, too: we stock several cooling gels including Orajel and Bonjela, to soothe your little one’s discomfort.)

6 MONTHS – 3 YEARS

Once baby’s first tooth does appear, you can move on to proper brushing. You’ll need a baby toothbrush – which we stock (and which needs to be replaced every 3-4 months). Something with a small head – to fit in their small mouth – rounded edges and soft bristles. Oh, and a handle that YOU find comfortable – because you’ll be doing the driving.

Use a tiny smear of children’s toothpaste – a ‘rice-sized’ blob, of a brand that offers at least 1000 ppm of fluoride. Fluoride is important because it helps to protect against decay and strengthen the brand-new enamel of those tiny teeth, while they are at their most vulnerable and exposed.

It may seem obvious, but let’s say it anyway: don’t let your child eat the toothpaste. Fluoride may be great for milk teeth, but it’s not great for tummies. We also stock fluoride-free toothpaste for small children like Tom’s and Punch and Judy, so that you don’t have to worry the toothpaste being sucked in and swallowed.

Remember the dentist’s golden rule: 2-2-2 (which applies to grown-ups, too). Brush TWICE a day (with the second brushing coming just before bedtime), for TWO minutes a time. And visit the dentist TWICE a year.

3-6 YEARS

Carry on with the 2-2-2 rule and brush at least twice a day – for two minutes, no skimping! – with one of those sessions occurring just before bed.

By the age of three, your child can probably handle an electric or battery-operated toothbrush – although the old-fashioned kind is just fine, too. If you do go electric, make sure it’s one recommended for children, with a soft bristled head. You don’t want an adult model which could be too powerful and inadvertently cause harm.

Whatever kind of toothbrush you’re using, start to encourage your child to brush their own teeth…under your watchful gaze. News flash: you’re STILL the toothbrush monitor and will be till they are seven.

Use a tiny bit more toothpaste on the brush – a pea-sized blob, rather than a rice-sized smear – of your preferred children’s fluoride brand. Most major brands stock fun versions for kids – like Crest Advanced Kid’s Fluoride Toothpaste, which comes in bubblegum flavour, and changes colour from blue to pink, to encourage longer brushing.

Remind them to spit, not rinse. Rinsing means all that helpful fluoride goes right down the drain, literally – and still no eating, despite the bubblegum taste! Continue to replace your child’s toothbrush (or toothbrush head) every 3-4 months.

Once he or she gets enough teeth so that some are starting to touch, you can introduce flossing. Again, you’ll have to be the designated flosser, so be sure to use a light touch.
We have a number of suitable dental flosses in store, so if you need help, just ask one of our pharmacists for advice.

7 YEARS AND UP

By now, your child should be able to brush his or her own teeth – though you will still need to keep an eye on proceedings, to make sure they don’t cut corners.

You’ll also need to start buying a higher fluoride toothpaste – 1350-1500 ppm – to protect against cavities. Flossing will become important, too; since teeth may start to get crowded.

If your child wants to try using a mouthwash, a non-alcohol version with fluoride is OK (though not for younger kids, who might swallow it). But remember not to use mouthwash AFTER toothbrushing. Like rinsing after brushing, this will undo the good work that your toothpaste is doing (the fluoride in mouthwash is no match, in terms of protection, for that in toothpaste). Perhaps try using it in between the morning and evening brushing sessions.

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

Oh, the pain! Sometimes, even the bravest of us need something more than a stiff upper lip to manage our pain. Headaches, toothaches; muscle pulls and strains; arthritis… But what are our options? How do we make it stop?

Well, the two work horses of the pain relief world are acetaminophen, and a group of drugs known as NSAIDs. Wait, what was that first one again? Yes, acetaminophen is a bit of a mouthful, and many people struggle to pronounce it. In case you are wondering, it’s: ‘uh·see·tuh·mi·nuh·fen’. Alternatively, you could just ask for ‘paracetamol’. That’s what acetaminophen is called In the UK and Europe.

We stock many well-known brands of acetaminophen – including Tylenol (the market leader in the States) and Panadol – the biggest seller in Britain and Europe – as well as generic offerings.

Calpol – a pink liquid version designed specifically for children – has been a medicine cupboard staple in the UK for more than 60 years.

Acetaminophen can reduce pain and lower a fever – which makes it a great choice when you’ve got a splitter of a headache. Medical experts think that it works by raising your pain threshold – so it takes more discomfort for you to feel it, which is why physiotherapists sometimes suggest a pre-emptive dose before you do your rehab exercises.

And as pain relief goes, it’s easy on the tummy (though continued long-term use could lead to liver issues). But it does NOT reduce inflammation.

Which brings us to the NSAIDs, or Non-Steroidal Anti-Inflammatories (pronounced ‘En-Seds’, or ‘En-Sayds’…take your pick!). This umbrella group includes ibuprofen, naproxen and aspirin. Like acetaminophen, they work to relieve pain and bring down a fever. However, unlike acetaminophen, they can also reduce inflammation and swelling (the clue’s in the name). Which makes them ideal for muscle or joint (arthritis!) pain; period pain; and toothache.

On the downside, NSAIDs can sometimes cause tummy upset.

But what if you need more? More pain relief, to combat more pain. Well, it is possible to harness our two work horses together: to combine and conquer. Because they work in different ways, you can safely use acetaminophen and NSAIDs together – as long as you remember not to exceed the recommended dosages of either drug!

For a short sharp assault on whatever ails you, you can take the two drugs together. Or, you may find that staggering them – taking acetaminophen at 8am, and ibuprofen at 10am…and so on…is what you need.

If you’re scratching your head now, fear not. Handily, our over the counter (OTC) pain killers are located right next to the pharmacist’s desk in our little corner of Lindo’s. So, if you’re confused, you can just ask for expert advice!

If you are pregnant, have high blood pressure, are already taking medication, or if you have any underlying health issues then check with a pharmacist or health care profressional before you proceed.  Certain pain killers are recommended – or advised against – depending on the above circumstances.

But rest assured: contrary to recent news stories, acetaminophen – particularly Tylenol – is perfectly safe for expectant mothers to take; again, just as long as you follow the recommended guidelines. There is no proven clinical link between acetaminophen use during pregnancy and autism. At all.

So, here’s wishing you a happy – and pain-free – 2026. But if you ARE suffering, you know where to come for help.

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

Have you noticed more moustaches recently? Well, that may be because we are now in Movember (the month formerly known as November) when ‘bros’ around the world are growing moustaches to raise awareness of – and money for – men’s health issues. In particular, prostate cancer, testicular cancer and mental health issues (including suicide prevention, because sadly men are still three times more likely to kill themselves than women, according to the most recent figures from The Samaritans).

The Movember movement started in 2003, in Australia, by accident. Two friends from Melbourne were having a beer when they came up with the idea of resurrecting the ‘Mo’, which they felt was on the way out Down Under. Sad, when you think of some of the great Australian ’tashes over the years – just Google cricket legends Dennis Lillee and Merv Hughes, if you’d like a reminder of a couple of classics.

Buddies Travis Garone and Luke Slattery missed the moustache and wondered if they could bring it back. So, they persuaded 30 friends to stop shaving their upper lip for a month; and though no money was raised, a lot of fun was had. The next year, they decided to try to persuade more men to do the same thing – and use that fun for a good cause. So, they set up a website. And this time, they added a fund-raising element. The slogan was: ‘Grow a Mo, save a Bro.’ November has been Men’s Health Awareness month for even longer than it’s been Movember, so it was a perfect fit.

Gradually, the movement spread – till today, it is a thing in more than 20 countries (including Bermuda). And instead of the 30 Australians who first decided to leave their upper lip alone for a month, there are now more than 290,000 Mo Bro’s and ‘Mo Sisters’ – the supportive womenfolk who are also committed to the campaign – around the world.

Last year, the movement raised more than $90 million for men’s health. In Bermuda, Movember has been active for the past 15 years and has so far raised more than half a million dollars for good causes. In partnership with the Bermuda Cancer and Health Centre, the movement is once again organising competitions for fund-raising – and mo-growing. Visit https://www.cancer.bm to see how you can get involved and give back to the community.

The ‘MO Finale’ will take place on Wednesday, November 26, at Modern Gent, in the Mechanics’ Building on Queen Street. Who will walk off with the title of ‘Ultimate Mo’? If you want it to be you – and if you are just as keen NOT to be the recipient of the ‘Lame Mo’ award – then you should visit our pharmacy corner.

There, you’ll find everything you need to keep your ‘tash (and beard) looking tip-top all year round; not just in November. The Woody’s grooming range includes Stache Wax (for ‘full stache swagger’) and Beard Wash, designed to keep your facial hair soft and manageable.

And if your dreams of the ‘Ultimate Mo’ are dashed when your ‘tash comes in grey, fear not! We also stock Just For Men Moustache & Beard dye. Now get growing!

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

Ladies! When was the last time you took a good long look at your breasts?

Forgive me if that sounds a bit rude. But October is Breast Cancer Awareness Month. And no matter what your relationship is with your body – and let’s face it, most of us do not consider the mirror our friend – if you don’t already have a routine in place to check for lumps and bumps, you need to start now.

In 2022, the last year for comprehensive global cancer statistics, there were 2.3 million new cases of breast cancer detected around the world. And according to the International Agency for Research on Cancer, in that same year, 670,000 women died from the disease. (It’s worth noting that men can get it too; and it’s believed that between 0.5 and 1 per cent of all breast cancer cases occur in men.)

The most recent figures in Bermuda – from 2019 – show that if you’re a woman, and if you get cancer, it’s most likely going to be breast cancer. Thirty-eight per cent of all cases recorded between 2010-2019 (excluding non-melanoma skin cancer) were breast cancer. The silver lining is that we have a very high rate of early detection. More than two-thirds of Bermudian women (67 per cent) diagnosed with breast cancer between 2010-2012 had it picked up at Stage 1. Seven years later, that figure rose to 77 per cent.

At the risk of stating the obvious, spotting cancer early gives you and your doctors a much better chance of defeating this dreadful disease. In the UK, almost 100 per cent of women whose breast cancer is detected at Stage 1 will now survive for at least five years. At Stage 4, that rate plummets to 25 per cent. So early detection is incredibly important. But it requires YOU to be vigilant. You are your own best early warning system – after all, nobody knows your breasts like you do.

WHEN…

The trick is to make your breast self-exam part of your routine. Do it once a month. When your breasts are not sore – the week after your period has finished, say.

If you’re post-menopausal, pick a date you’ll remember (the first of the month, maybe), and make that The Day.

Even women who are breastfeeding (which research indicates may slightly reduce the risk of breast cancer) should do it. Though there’s so much going on at this exciting time it does make detecting the ‘unusual’ trickier. Checking monthly means if something DOES change, you’ll be more likely to spot it.

WHERE…

Somewhere you feel comfortable – and where there’s a mirror. The bathroom is a good idea (because you can do some of the check in the shower).

HOW…

It’s easy! Stand in front of the mirror with your arms at your side and have a good long look at your chest. Notice anything different? A change in the texture of your skin – a sort of ‘orange peel dimpling’?

What about size? Most of us are not symmetrical, worse luck. But what you’re looking for is a lopsided look that’s new for you.

Don’t forget the nipples. Any warning bells here? Any indentation? If you’re not nursing, is there a discharge?

Then, put your palms on your hips – with attitude! – and stick your chest out. Look again for anything untoward.

Of course, the number one sign of breast cancer is a lump. To check for that, lift your right arm up, and rest your palm on the back of your head or neck, so your elbow is pointing up at the ceiling).

Then, using the three middle fingers of your left hand like a paddle, and moving in little circles, press gently but firmly around your right breast and nipple. You need to cover the whole right side… along the ribs, right into your armpit and up to the collarbone. Finally, give your nipple a little squeeze – not too hard! – to check for discharge.

When you’re done, repeat on the other side.

You can do this hands-on bit of the check in the shower, if that feels better. You can also do it while lying on your back in bed (if you go for this option, place a pillow under your shoulder on the side you’re checking).

WHAT TO DO…

…if you find something that worries you? Well, if you have a lump or swelling in your breast, chest or armpit; if you see any change that you’re not happy with – or if you have pain in your breast or armpit that does not go away – call your doctor!

There are MANY completely normal explanations for all of the above. Cysts, for instance. But your GP would much rather see you, and be able to put your mind at ease, than have you suffer in silence – and risk missing something.

AND ANOTHER THING…

Home breast checks are a great idea – but they’re not a replacement for a mammogram. The Bermuda Cancer and Health Centre has two digital mammography units, and their experts recommend that women aged 40 and over should have a mammogram once a year (you can book one yourself, over the phone or online).

The good news is that if you are insured, 100 per cent of the cost is covered. If you’re not, the cost may still be covered by the Centre’s Equal Access Fund. So, check it out.

If you have any other questions, feel free to come and ask us at the Pharmacy at Lindo’s!

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

VACATION is over, and I’m going back to school. Generations of Bermudians are still haunted by the W.J. Boyle’s advertising jingle, which gleefully proclaimed that the end (of fun) was nigh for the Island’s schoolchildren – usually with weeks of the holidays still left to go.

But now that the new school year really is upon us, it might be worth making a detour into Pharmacy Corner next time you’re in Lindo’s. After all, what’s the worst that can happen…

COVID

After a summer spent outdoors, the shift to a classroom setting – with lots of kids, trapped indoors together – means homework is not the only thing they’ll be bringing back with them at the end of the day.

Covid is making a comeback all over the world at the moment. And it makes sense to have some tests ready, in case someone in your family starts exhibiting the telltale signs. Ditto masks. If you’re like most of us, the lockdown reserves have now dwindled to…next to nothing.

Hand sanitiser is a good idea, too – who knows, your children might actually use it, if you tuck some in their backpack. We have a wide range of pocket-sized products in store.

HEAD LICE

Students putting their heads together – often literally – to work on a joint project…or just share gossip at break time…means that head lice often make an unwelcome appearance at this time of year, too.

The perceived wisdom used to be that Pediculus Humanus Capitis were attracted to dirty hair; and getting them reflected (badly) on the state of your home, and your person. But modern research has shown that they actually seem to prefer clean hair.

Over the years, treatments to combat these tiny, wingless insects have ranged from home remedies – mayonnaise, to ‘smother’ the blighters – to harsh chemicals. And back again.

Now, a more natural approach appears to be gaining the upper hand.

Most schools recommend checking your child’s hair regularly. There are three culprits to look for: the eggs (‘nits’), the immature lice, which are white (‘nymphs’), and the dark adults. If you spot any/all of the above, try ‘wet combing’. This involves washing your child’s hair, slathering it with conditioner – ones containing coconut and lavender may have some deterrent qualities, and also smell delicious – and then, using a ‘detection comb’, working from root to end to tease them out.

We have everything you’ll need for this unwelcome but necessary bonding exercise, right in Pharmacy Corner. For stubborn cases, an over-the-counter remedy – a medicated lotion or spray like Lyclear or Hedrin Treat & Go Spray – may be necessary. Thankfully, these are much milder nowadays, and designed to harm the lice, not your child (or you, if they have helpfully ‘passed it on’). Talk to one of our pharmacists if you need guidance in deciding which is the best form of attack.

EXHAUSTION

This is sort of linked to item number one. After the lazy days of summer, getting back into a routine for school – with early starts – can leave everyone in the family feeling shattered. And exhausted people are prone to catching bugs. Again, prevention is better than cure. So maybe now’s the time to start you and yours on a regime of probiotics – to boost your immune systems.

Olly do a Kids Immunity gummy – Cherry Berry flavour – which your little ones will need no persuading to take. There are adult versions, too (including – yes – gummies, because it’s not just kids who like them). But remember: if you are pregnant or have any underlying health issues (or are just unsure of what’s OK for you to take) please ask one of our helpful pharmacists.

BLISTERS

W.J. Boyle were trying to boost sales of their school shoes with that annoying jingle, all those years ago. And it’s true that getting new shoes for school is one of the silver linings of the holidays coming to a close. But often kids don’t have the time (or the inclination) to break them in properly first. Which means blisters. Why not grab a couple of packs of Compeed or Scholll heel plasters, so you’re ready for the first blister of term?

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

Morning sickness is very common in pregnancy and usually occurs between the 4th and 7th week.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

PREGNANCY is a weird and wonderful time. Wonderful, because…you’re having a baby! Weird, because your body – which normally answers only to you – suddenly answers to something the size of an olive.

Luckily, your friendly neighbourhood Pharmacy Corner can help with many of the annoying little things that can make this time seem less like ‘blooming’ and more like ‘blooming hell’.

Naturally, if you have any doubts or worries about taking or using anything during your pregnancy, check with a medical expert. Our pharmacists are always happy to help; and you can (and should) also speak to your doctor if you have any concerns.

BLOOMING MARVELLOUS

Doctors recommend that pregnant women (and those trying to conceive) take 400 micrograms of folic acid a day, until the 12th week of term. Why? Because it’s important for the healthy development of your baby’s brain and spinal cord.

Folic acid is found naturally in dark green leafy veg (like spinach and kale…found right outside our pharmacy corner in the fruit and veg aisles). But to get 400 micrograms you need a lot of kale (five cups of the cooked stuff).

Why not have a look at our supplements aisle? Vitabiotics’ Pregnacare range provides folic acid – and vitamin D, which in small doses is also important (for healthy bones and teeth). Olly’s Prenatal gummies are another good way to make sure that you, and your growing baby, are getting everything you need.

Do ask a pharmacist, though, before you start popping lots of pills and potions. Some vitamins – such as Vitamin A – are not good for mom or baby. Err on the side of caution!

Hydration is key when treating stretch marks during pregnancy. Opt for a moisturiser that is formulated for sensitive skin and safe for use during pregnancy.

MORNING SICKNESS

In the early stages of pregnancy, one in three women will experience nausea and sickness. Scientists at Cambridge University think this is caused by your unborn baby producing a hormone called GDF15. This is already present in our bodies – but in much smaller amounts than your little bundle of joy is now pumping out into your system.

The result? Big-time nausea. Usually this will disappear by the 20th week – though in some women it will continue, and be so extreme that medical attention is needed, to stop mother and baby from becoming dangerously dehydrated. That condition is called hyperemesis gravidarum and luckily it is pretty rare.

If your ‘morning sickness’ (which can actually strike at any time of the day, worse luck) is unpleasant but not dangerous, your doctor may prescribe an antiemetic (anti-nausea) pill. This works by blocking the neurotransmitter receptors in the brain and stomach which, when triggered, make you feel sick. (In the same way an antihistamine blocks the neurotransmitter receptors that cause allergic reactions.)

Otherwise, you can try to quell those queasy feelings by using…ginger. Yes, when we were growing up, our moms sometimes used to give us ginger ale when we felt nauseous.

And it turns out it’s not just an old wives’ tale. Ginger does seem to have properties that can help soothe the savage stomach. Britain’s NHS guidelines recommend that if you have mild morning sickness, you could try sipping ginger tea, nibbling on ginger biscuits – or (kudos Mom) nursing a ginger ale. Here in Pharmacy Corner, we have a number of supplements containing ginger, such as Gravol Ginger Lozenge or Dramamine Natural, which might be worth checking out, too.

INDIGESTION

This is a big issue for a lot of moms-to-be. Again, some of it is down to hormones – which are relaxing muscles all over your body, including those in your digestive system…allowing acid reflux to occur. And some is down to the simple fact that your baby is taking up more and more space as it grows…and pressing against your stomach. Net result: indigestion.

There are lots of tricks for dealing with this: have lots of little meals rather than one or two whoppers. Sit up straight while you are eating; and afterwards, while you are digesting.

Prop yourself up slightly in bed when you settle down for the night (a prime time for indigestion to strike). Or try to sleep on your left side. Gravity is your friend here, for once. If you lie on your left side, your stomach is below your oesophagus – and it’s harder for stomach acid to back up and cause trouble.

If you’re still feeling uncomfortable, ask your pharmacist to recommend an antacid that is safe for pregnant women. There are lots! And make sure you follow the instructions, when it comes to dosage.

THE NINE MONTH STRETCH

Stretch marks. Not everyone gets them, but they are unsightly. And there’s not much you can do about them, until after you’ve had your baby.

But massaging your baby bump won’t hurt. It may help to ease feelings of tightness. And it could also help you and your partner bond with the new addition to your family.

Medical experts recommend you hold off until the third month. And keep your strokes soft and light – particularly toward the end of your pregnancy.

Choose a gentle cream or oil. Something containing vitamin E is good, because that will soothe any itchiness you may be feeling.

Many big-name brands – like Palmer’s or Vaseline – do their own belly bump formulas. There’s Palmer’s Stretch Mark cream and Bio-Oil is also excellent for stretch marks and scars.

You can also use a gentle carrier oil, like jojoba or sweet almond (we have a good selection in store. But please check with your doctor or one of our pharmacists if you want to add aromatherapy oils, because not all are safe for pregnant moms.

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.

Itchy mosquito bites? Over-the-counter antihistamines can help relieve itching. A hydrocortisone cream can also help reduce itching and inflammation.

By Stephanie Simons,
Head Pharmacist,
Lindo’s Pharmacy in Devonshire

Ah, summer. School holidays. Family vacations. Cup Match. Plenty of good excuses (if you need any) to have fun in the sun. A day at the cricket, or the beach, or the campsite, can leave you feeling relaxed and happy. But there can be less positive after-effects, too.

Sunburn, for starters. Obviously, everyone who hasn’t been living under a rock for the past 20 years knows that you should wear a good sunscreen (minimum SPF30) when spending time outdoors and reapply every two hours and after swimming.

We have a wide range to choose from, including ones specifically designed for babies and children, from market leaders Coppertone, Blue Lizard and Banana Boat, to mention just three. (And by the way, now’s a good time to check the expiry date on your old sunscreen. The FDA requires manufacturers to ensure their products last for three years, but after that it’s wise to replace.)

Every sunburn, no matter the degree of burn, damages your skin and increases your risk of developing skin cancer. Remember to slip, slop, slap, seek, slide and limit your sun exposure on high UV index days.

Still, sometimes, no matter how prepared we are, mistakes are made. We nod off in a hammock. We forget to reapply our sunscreen. Or forget it altogether. What to do then?  Well, first off, if you are experiencing any of the following symptoms – blistering or swelling of the sunburned area, a high temperature, dizziness or nausea, shivering, headache or muscle cramps – speak to a doctor right away.

If you just feel tender, and look like a lobster, you can probably help yourself. Drink plenty of water, to prevent dehydration. Oral Rehydration products like Nuun, Liquid IV and Pedialyte which are available in numerous flavours will also help to prevent and treat symptoms of dehydration. Take some pain relief – either an acetaminophen (Tylenol, Paracetamol) or an NSAID (Advil, Nurofen); all available in our pharmacy corner.

Have a cool shower. Or a tepid bath with a little bit of baking soda in it (about 60g per tub; available in Lindo’s baking aisle!). Remember, though, if you are treating a child or baby, do not let them get too cold.

Wear loose fitting clothes – any contact with your sunburnt skin will be excruciating. Apply an after-sun product that contains aloe vera, like Solrx’s Aftersun or Panama Jack’s Burn Relief. Good old calamine lotion can also be very soothing. If you pop these items into the fridge before applying, they will feel even better on your sensitive skin.

Medical experts sometimes recommend using a 1 per cent hydrocortisone cream a couple of times a day, for up to three days – check with one of our pharmacists on what’s right for you. Again, storing the cream in the refrigerator will increase the ‘Aaaaah’ factor.

There are other kinds of fallout from a great day in the great outdoors, too. Mosquitos are often uninvited guests at these gatherings. We have a new product; mosquito repellent bracelets and stickers which contain essential oils that are great for adults and small children. But, if you get bitten, what should you do? Reassuringly, most bites will get better on their own after a couple of days.

Clean the affected area well, to prevent infection. If you have some handy, apply an antihistamine cream like Benadryl or Anthisan or over-the-counter hydrocortisone cream (see above). Applied early, it may help to stop the swelling in its tracks.

You can also try using an ice pack, or cold compress, for 20 minutes. If the bite continues to itch, ask one of our pharmacists about an oral antihistamine. Ones containing chlorphenamine (Piriton) or diphenhydramine (Benadryl) will work quickly but can cause drowsiness while loratadine (Clarityn) will not make you drowsy, so you can still drive safely, and carry on with your daily routine.

And what if it’s not your outsides that are bothering you, but your insides? Too much picnicking can lead to indigestion and/or heartburn. Again, we have a wide range of products to ease your pain.

Mild indigestion is usually nothing to worry about – particularly if it follows on after a blowout al fresco feast. If your indigestion re-occurs frequently, or persists for more than two weeks, please consult your doctor.

Otherwise, ask one of our pharmacists which is the best treatment for your tummy trouble. We have everything from old favourites like Alka Seltzer and ENO salts, to help settle your stomach; to our Gas-X range, to deal with that ‘I can’t believe I ate the whole thing’ bloated feeling. Plus, many other options. Check us out, and make sure your summer memories are good ones!

Stephanie Simons is the head pharmacist at Lindo’s Pharmacy in Devonshire. She earned her Bachelor of Science in Pharmacy at Massachusetts College of Pharmacy and has been practicing for over 20 years. She is a registered pharmacist with the Bermuda Pharmacy Council and is a member of the Bermuda Pharmaceutical Association.