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Q I have rosacea, and as I’ve gotten older, the outbreaks on my cheeks and nose have become more pronounced. I have tried Prosacea, Finacea, dietary change and various creams even Vagisil!

Nothing worked until a daily application of pure aloe vera (no colors or scents) virtually eliminated the blistering. It dries the bumps, and it seems to prevent new outbreaks. The rosy pigment under the skin remains but is lighter. That’s a great improvement.

A We are glad to learn of your good response to topical aloe vera. There appears to be only a little research on this treatment, but aloe vera does have anti inflammatory activity and has been suggested for alleviating rosacea (Journal of Drugs in Dermatology supplemental, July 2008).

Q I recently have started using an e cigarette. It has dramatically cut down my smoking of traditional cigarettes, plus there is no smoke smell or residual on clothing or furniture.

I initially experienced headaches and was told to reduce the nicotine percentage in the liquid. That helped. Are you aware of any other side effects?

A Electronic cigarettes contain a battery powered heater to vaporize a nicotine solution so that the nicotine can be inhaled. This avoids some of the other toxins in cgarette smoke, but nicotine itself can have side effects. They include headache, heart rhythm disturbances and elevated blood pressure.

A preliminary report in JAMA Internal Medicine (online, March 24, 2014) noted that people using e cigarettes were no more likely to quit smoking than those using traditional cigarettes alone. Nicotine is a powerfully addicting drug.

Q I had not had a chigger bite for more than 50 years, so I wasn’t sure what the bites were when I got some last year. I tried the old remedies, including nail polish and calamine lotion, to no avail.

I read somewhere that toothpaste on a blemish helped it heal. In desperation, I daubed it on the bites, and the itching stopped. I reapplied several times, and the bites went away.

I recently stepped into my little garden knowing I would probably get a chigger bite. I did, but once again I applied toothpaste, and there was no itching. It’s a little messy, but I will take that over the intense itching any time.

A Thanks for this interesting remedy. We have heard from people who have used toothpaste on minor burns, yellow jacket stings or itchy fungus under the breasts.

This is the first report we have had that toothpaste might ease the itching from chigger bites.

Dermatologists often prescribe strong corticosteroid creams or gels to calm the itch. If toothpaste works for you, so much the better.

Q Insurers require us to use generic drugs. My wife and I both take Ambien when we travel, which is quite often. If we were buying brand name Ambien, it would cost us more than $350 out of pocket for 30 pills. Our insurance would not pay a penny.

The generic zolpidem costs $8 to $10 for the same number of pills. We have found that one generic works just like the brand name, but a different maker’s generic doesn’t work at all.

So far, we’ve been able to request the specific maker we prefer from the pharmacy. But we worry that if the pharmacy can’t supply the one that works, we might get no sleep at all on our journeys.

Do you have any recommendations about how to deal with this problem?

A Like hundreds of other readers, you have discovered that generic drugs are not all “identical.”

Despite reassurances from the Food and Drug Administration, some generic manufacturers seem to provide better products than others.

Your strategy to request the generic that works for you is sensible. This approach may require planning ahead, since the pharmacy might have to place a special order for you.

Write to Joe and Teresa Graedon via their website Their newest book is “Top Screwups Doctors Make and How to Avoid Them.”