Lately there has been a lot of publicity about the death of a 17-year old track star due to her use of the common muscle relaxant sports cream Bengay.
As I was reading these articles, it reminded me of case I handled several years ago involving a similar product called Icy Hot.
In that case, a diabetic client that I represented had used the product and apparently due to her diabetic condition, developed topical salicylate poisoning due to the main ingredient found in the Icy
Hot product she used called Methyl Salicycate. This is the same ingredient used in Bengay.
I am sure it is inconceivable to the parents of this young track star that Bengay could have caused her death. I do not know all the facts but I know from prior experience that these topical treatments can be dangerous.
Salicylate poisoning can lead to a marked decrease in blood sugar which, in turn, can lead to a seizure which seems to be the case involving this young teenager’s death. For obvious reasons, a decrease in blood sugar could also adversely affect a diabetic.
In my client’s case, due to circulation problems in her feet (a common problem for diabetics) severe burns requiring surgery resulted from the use of this product.
This young teenage runner allegedly used the Bengay treatment to excess. She may have been taking an excessive amount of aspirin as well. In any event, she developed toxicity in her blood and apparently died from complications due to a marked decrease in her blood sugar.
The question, of course, is whether this young teenager and/or any other consumer would conceivably be aware of the dangers connected with these over the counter products.
Most consumers do not believe they could die from use of an over the counter topical product but, they can as has been demonstrated. This tragedy underscores the need for greater warnings to the public, particularly when particular adverse events can be anticipated by the manufacturer of the product.
I know from the case I handled against the manufacturer of Icy Hot that if a diabetic uses these products, there can on occasion be adverse consequences.
At one time, some manufacturers did include warnings advising diabetics to be cautious when using this type of product, however, these warnings were later removed.
Query, whether the warning in the Bengay product was sufficient to notify the teenager and her parents that she might be risking death if she overused the product?
Frequently Asked Questions
How Does Methyl Salicylate Enter the Body Through the Skin?
Methyl salicylate can be absorbed through the skin after a topical pain-relief cream is applied. The amount absorbed may increase depending on how much product is used, how often it is applied, the condition of the skin, and whether the area is covered or heated.
Does Using More Pain-Relief Cream Make It Work Faster?
Using more than the label recommends does not necessarily provide faster or better relief. It may increase the risk of skin damage, excessive absorption, and serious side effects. Consumers should follow all application limits and usage instructions.
Can Muscle Cream Interact With Aspirin or Other Medications?
Products containing methyl salicylate may create additional risks for people who take aspirin, blood thinners, or certain other medications. Consumers should ask a healthcare professional or pharmacist about possible interactions before combining these products.
Is It Safe to Cover the Treated Area With a Bandage?
Covering the application area with a tight bandage, compression wrap, or other material may affect absorption and increase irritation. Consumers should not cover treated skin unless the label specifically permits it or a healthcare professional provides instructions.
Should Topical Pain Cream Be Applied Before Exercise?
Athletes should use these products only as directed and should not depend on them to mask an injury before training or competing. Continued exercise may worsen an underlying muscle, tendon, or joint injury that requires evaluation.
How Should Muscle Cream Be Stored Around Children and Teenagers?
Topical pain-relief products should be kept in their original containers and stored where children cannot access them. Parents should also explain that over-the-counter availability does not make repeated or excessive application safe.
What Information Should Be Preserved After a Serious Reaction?
Keep the product container, packaging, receipt, application instructions, photographs, and medical records. It may also help to document when the product was applied, how much was used, what other medications were taken, and when symptoms began.
When Should an Injured Consumer Contact a Product Liability Lawyer?
Legal advice may be appropriate when a topical pain-relief product is connected to hospitalization, severe burns, permanent injury, or death. A product liability lawyer can investigate the warning label, product instructions, medical evidence, and whether the manufacturer adequately disclosed known risks.