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Go easy on medicated lotions, creams, gels Lidocaine, methyl salicylate, hydrocortisone. You probably don't think twice about using over- the- counter creams with these ingredients when you need to soothe a sore muscle or bug bite, prep your legs before hair removal, or combat that vaginal itch. If the product's available without a prescription, it can't hurt you, right? Wrong. One study estimates that women apply 1. Take Arielle Newman, for instance, a New York City- area high school track star who died last year from a sports- cream overdose. She'd used large amounts of popular OTC pain- relieving ointments like Icy Hot and Ben- Gay on her sore muscles.

The key ingredient in such products is methyl salicylate, which built up in Newman's body, may have interacted with other aspirin- based meds she was using, and caused her to go into cardiac arrest. Another case: In 2. Shiri Berg, 2. 2, of North Carolina died of a lidocaine overdose. Following the instructions she'd been given by the staff at a local hair- removal clinic, she generously applied a numbing gel to her legs, then covered them in plastic wrap.

On her way to the clinic to get hair lasered from her legs, Berg passed out. She went into convulsions, then a coma.

Eight days later, she was dead. Women dying in the name of hair removal? Athletes putting themselves at risk by using mentholated muscle soothers? Extreme situations, to be sure.

But with all the stuff each of us slathers on our skin (one study estimates that women apply 1. Your skin is designed to protect you from countless insults: from air pollution to murky lake water, from dirty gasoline- pump handles to staph. Skin cells provide a physical barrier, sort of like bricks and mortar, to keep the bad stuff out - - most of the time, says Francesca J. Fusco, M. D., assistant clinical professor of dermatology at the Mount Sinai School of Medicine. The cells aren't as tightly packed as real bricks, though, which means things can squeeze by and pentrate." That's good news if you want, say, an antiaging wrinkle cream to wage war against your crow's feet or an anti- itch product to tackle that exercise- induced rash on your inner thighs.

Bad news when strong chemicals meet sensitive or thin skin, cause an allergic reaction, or dangerously flood your bloodstream. Here, we investigate 1. Methyl salicylate Most OTC muscle creams (including Ben- Gay, Icy Hot, and Tiger Balm) contain one or more of three main ingredients: the cooling agents menthol and camphor, and the pain reliever methyl salicylate. The last one is similar to topical aspirin, says Matt Zirwas, M. D., director of The Ohio State University Medical Center Contact Dermatitis Center. And what happened to track- star Newman is essentially the same thing that could happen with an aspirin overdose, he says.

The safe way to use muscle creams? Watch Elephant Sighs Tube Free here. Rub a small amount (about the size of a quarter) into the painful muscle or joint area not more than three or four times a day to prevent accumulation. If you're applying more than a four- ounce tube a week, that's probably too much, Zirwas says. And watch your aspirin intake - - too much can increase your risk of overdose (in addition to the creams, Newman may have been using a pain- relieving patch and taking aspirin), as can wrapping or using a heating pad on ointment- covered skin. Rubs with methyl salicylate may also interact with blood- thinning prescription drugs, such as Plavix or Coumadin, used to prevent blood from clotting, says Brian J. Krabak, M. D., sports- medicine physician at the University of Washington's department of rehabilitation medicine.

Because of its toxicity, any product containing 5 percent or more of methyl salicylate (also called wintergreen oil) has to carry a warning label stating it must be used as directed and kept out of children's reach. Lidocaine, benzocaine, tetracaine If you've ever numbed a mole before the doc removed it or undergone laser hair removal, you've probably used a topical anesthetic that contains one of the "caines" - - lidocaine, benzocaine, or tetracaine - - which are commonly used in various strengths in medical and cosmetic situations. Most OTC types contain small amounts (less than 5 percent) of numbing ingredients and should be safe when used according to package instructions, experts say.

There are dangers, however, if your skin is too numb to detect that it's being harmed. If you have no feeling at all during a bikini wax or hair lasering, for instance, you won't be able to tell whether the wax is too hot or the laser is too strong. An allergy is also possible, particularly when using vaginal- itch treatments with benzocaine, Zirwas says. A benzocaine product may temporarily help the problem, he says, "but a half- hour or an hour later, the itching will return - - often worse - - so women apply more cream," he says. Sometimes we see patients who are using these creams 1.

The results can be a severe vaginal rash. Zirwas' advice: "If the itch comes back an hour after you apply the cream or if you develop a rash, suspect that you have a benzocaine allergy and see a doctor." When topical anesthetics are seriously overused, there can be big trouble. Shiri Berg applied a product called Lasergel Plus 1. Experts have said the gel, a prescription- strength compound given to the 2. Berg's system to handle. After her death, the Food and Drug Administration pointed out that risks rise when a topical anesthetic is left on the skin for extended periods of time or applied to broad portions of the body, especially if a bandage, plastic, or another type of dressing is used as a covering. This is exactly what Berg did, not knowing either the strength of the product she was using or that there was any danger.

Even more surprising: Berg was not the first woman to die from the overzealous use of numbing cream. Blanca Bolanos, a 2. Tucson, Arizona, suffered a similar fate (convulsions, then a two- year coma ending in death) after using a cream of 6 percent each lidocaine and tetracaine prior to laser hair removal. The safe way to use numbing creams? Apply them sparingly - - use as little as possible, most experts say. And always know the ingredients in and the strength of the product. Click here for tips on correctly applying creams.

Hydrocortisone An anti- inflammatory topical steroid that shrinks swollen tissue by constricting blood vessels, hydrocortisone is often used to stop the itching caused by chronic skin conditions like eczema and contact dermatitis, and it's also an ingredient in vaginal and hemorrhoidal creams. OTC topical steroids can contain just 1 percent hydrocortisone, which should be safe, says Dina D. Strachan, M. D., a dermatologist in private practice in New York City. Be careful, though, when applying the creams to sensitive spots such as the eyelids, armpits, and groin (all places where eczema, rashes, and allergic reactions are particularly common). In these locations, skin is thinner and more folds exist, so skin hits skin often, which can cause medications to penetrate more deeply. These areas are also prone to stretch marks, irritation, hypopigmentation (lightening), and "a crinkly, cigarette- paper appearance," Strachan explains - - a good reason to avoid that old beauty- queen trick of using hemorrhoidal cream to de- puff eye bags, experts say.

In fact, last year the makers of Preparation H issued a warning cautioning consumers to avoid applying hemorrhoid cream to the face. Health. com: The year's best beauty products Overuse of topical steroids containing hydrocortisone can cause the skin to develop a resistance (called tachyplaxis) to the medication, says Daniel Behroozan, M. D., dermatologic surgeon and founder of the Dermatology Institute of Southern California, and clinical instructor at the University of California, Los Angeles, School of Medicine.