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Excessive sweating, Hyperhidrosis
Hyperhidrosis, or the production of sweat in amounts that are not necessary for thermoregulation, is a common pathology that may seriously limit the lives of the patients who have it.
It can be classified according to its etiology into primary (PH) or idiopathic hyperhidrosis, and secondary hyperhidrosis. The latter can originate because of neurological, endocrinal, infectious or tumor syndromes or because of the use of different drugs such as opioids, some NSAIDs, antidepressants, calcium channel blockers or chemotherapy. It can also be classified according to its location into generalized hyperhidrosis or focal hyperhidrosis.
Frequently, this condition also includes bromohidrosis or an unpleasant odor of sweat, which results in the decomposing of sweat and rests of flaked skin cells due to bacteria and sweat fungi.
Then, it is not hard to imagine the social problem that hyperhidrosis implies, since it changes the patient’s image and self-esteem.
*Treatments to control it
In the clinical practice, local treatments in the form of solutions or roll-on antiperspirants are the first-line treatments for all the locations with focal primary hyperhidrosis (FPH) because of their safety and efficiency. Both, aluminium chloride and local anticholinergic agents are used.
Another efficient option with a longer effect are local intradermal treatments, which inhibit the presynaptic liberation of acetylcholine in the endings of sympathetic nervous fibers that reach eccrine sweat glands, thus decreasing sweat. It is applied 2 times a year, approximately.
It is contraindicated in case of allergy to the compound, infection in the area to be treated, pregnancy, breastfeeding, neuromuscular diseases o concomitant use of other medications that affect the liberation of acetylcholine in the neuromuscular plate.
Currently, it has been proven that the application of intradermal treatments has positive results by considerably decreasing the production of sweat and bad odor in patients (bromohidrosis).
One of our Certified Dermatologists will help you determine the correct treatment to counteract sweating.