Welcome to part two of our feature on hyperhidrosis! In our last blog, we broke down what the condition is and basically, how excessive sweating isn’t fun and new treatments have been a long time coming!
At the recent Caribbean Dermatology Symposium, Dr. David M. Pariser highlighted that now, clinicians have an expanding range of options to offer patients with persistent hyperhidrosis. The treatment options include next generation antiperspirants that contain aluminum zirconium trichlorohydrex, which he said are more effective and less irritating than previously available products. New topical products on the horizon include oxybutynin gel wipes and more.
Using products at night
Although many patients apply antiperspirant in the morning, topical antiperspirants with aluminum chloride are actually most effective when applied overnight, or for at least 6-8 hours and to ensure your skin is dry. However, if irritation happen, be sure to wash it off in the morning before sweating begins.
Aluminium chloride products should be applied every night until patients see improvement, and then they can decrease how often they use them. Although some may have worried about a potential link between aluminium and Alzheimer’s in a 1960s study, Dr. Pariser highlighted the importance of not jumping to those conclusions as no definite proof has yet to validate those claims.
Options available directly from physicians
Botox ® is a very useful treatment. However, for many people, health insurance coverage for Botox ® is quite poor. Physicians who do have the capability to use it are often limited by health coverage. We also prescribe the oral medication glycopyrrolate, which can decrease fluid production, but does mean you will need to drink more water. So far, our patients have had positive experiences with it! Another effective option, which can be expensive, is treatment of the sweat glands using an ultrasound technique.
In conclusion, we hope this new variety of options means that it will lead to improved quality of life for those with hyperhidrosis, and it’s encouraging to know that all these treatments are economical, easy to learn and incorporate into our practice.