Moth balls are made of Napthalene, which is a close relative of benzene. Not sure what medication could be causing this. Does he have any liver problems? It could be cased by cirrhosis and is sometimes called fetor hepaticus.
Thank you for information about fetor hepaticus.
We can ask his doctor about his liver function.
At present, the doctor has not indicated any such concern.
The medication I was questioning was lisinopril, or the combination of lisinopril and lipitor (both are low dosages).
The problem with the moth ball odor occurred after he started lisinopril.
Oddly, the odor seems have cleared up today.
He has started to use a saline solution for his sinuses.
I also had him stop using Listerine, and gave him an alcohol-free mouth wash.
I don't know yet if the problem has cleared up for good, or if it will come back.
Your comment about benzene was interesting.
I don't know if this is significant, but I noticed that benzene was part of the process for the production of lisinopril.
RE: lisinopril
The present invention provides a process for preparing N-[1(S)-ethoxycarbonyl-3-phenylpropyl]-N-trifluoroacetyl-L-lysine and lisinopril thereof. Lisinopril shows excellent angiotensin converting enzyme inhibitor activity. Friedel-Crafts acylation of benzene with maleic anhydride in the presence of AlCl3 affords trans- beta -benzoylacrylic acid. Treatment of benzoylacrylic acid with HCl gas in ethanol gives ethyl 2-chloro-4-oxo-4-phenylbutyrate in high yield. The coupling reaction between ethyl 2-chloro-4-oxo-4-phenylbutyrate and trifluoroacetyl-L-lysine benzyl ester in the presence of a base pair and sodium iodide produces alkyl lydine derivative with a good diastereoselectivity. Catalytic hydrogenation of lysine derivative with palladium gives N-[1(S)-ethoxycarbonyl-3-phenylpropyl]-N-trifluoroacetyl-L-lysine. This intermediate is activated to form cyclic N-anhydride by using N,N-carbonyldiimidazole and coupled with L-proline methyl ester hydrochloride to give fully protected lisinopril derivative, which is converted into crude lisinopril by hydrolysis.