Treatments for Hyperhidrosis
Hyperhidrosis: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Hyperhidrosis may include:
Drugs and Medications used to treat Hyperhidrosis:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Hyperhidrosis include:
- Aluminum Chloride Hexahydrate
- Certain Dri
- Drysol
- Xerac AC
Latest treatments for Hyperhidrosis:
The following are some of the latest treatments for Hyperhidrosis:
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Book Excerpts: Treatment of Hyperhidrosis
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Hypernatremia:
Treatment
(In a Page: Signs and Symptoms)
-
Patients with severe dehydration and hypotension should be treated emergently with IV fluids (lactated Ringer's or NSS)
-
Calculate free water deficit:
0.6 ×weight (kg) ×[(Na+measured/140) – 1]
–Correct free water deficit over 48–72 hours; give patient
maintenance fluids and replacements for ongoing losses
–Reduce serum Na+by no more than 10–15 mEq/L/day
(0.5 mEq/L/hour) in chronic hypernatremia and 1
mEq/L/hr in acute hypernatremia
-
Too-rapid correction of serum Na+can precipitate seizures or cerebral edema with ensuing herniation
-
Isovolemic hypernatremia: Replace fluid with D5W (replace half of fluid deficit in the first 24 hours)
-
Hypovolemic hypernatremia: Replace fluid with NSS
-
Hypervolemic hypernatremia: Administer D5W and loop diuretics both to decrease hypertonicity by increasing Na+excretion and to add free H2O while removing volume
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» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Night Sweats:
Treatment
(In a Page: Signs and Symptoms)
-
Treatment depends on etiology, although identifying the correct diagnosis is usually the most difficult aspect of the disease
-
Treating the appropriate condition if amenable to therapy will relieve the night sweats
-
Antipyretics (e.g., ibuprofen, acetaminophen)
-
Cessation of substance abuse
-
Appropriate antimicrobials if infectious cause
-
Cessation or decreased dose of causative medication(s), if possible
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Hypernatremia:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
If dehydration is present
–Fluid resuscitation with normal saline (20 cc/kg bolus)
–Water deficit =0.6 ×weight ×(1
– 140/[Na+])
–Administer hypotonic IV solutions to correct sodium and rehydrate over 48 hours
-
Too rapid correction can result in water shift into brain cells (due to the presence of “idiogenic” osmoles produced in response to the hypernatremia) resulting in cerebral edema
-
Central DI
–Treat with exogenous vasopressin (DDAVP)
- Nephrogenic DI
–Treat with infusions of hypotonic saline or D5W (depending on the clinical situation and hydration status)
–Allow free access to water
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Night Sweats:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Reassurance of the parents
-
Education concerning “normal” temperature and bed clothing in children's rooms
-
Pulmonary TB is treated with 6 months of isoniazid and rifampin supplemented with 2 months of pyrazinamide initially
-
Chemotherapy for Hodgkin or other malignancies
-
Discontinuation of offending drugs if possible
-
Treatment or control of endocrinologic disorders
-
BiPAP or surgery for obstructive sleep apnea
-
Treatment of specific infections
-
Treatment of GERD with acid blockade and/or prokinetics
-
Behavioral therapy for anxiety disorders
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Hyperhidrosis (Excessive Sweating):
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
If the patient is critically ill, stabilize the patient's airway, breathing, and circulation
-
Remove precipitating factors
–Put patient in cool environment, remove excessive clothing, and offer cool fluids
-
Treat fever with antipyretics
–The patient may sweat more with defervescence
-
Treat infections with appropriate medications
-
Address congestive heart failure
–Consult cardiology
–Initially, diuretics are used
–Digoxin, an antiarrhythmic and inotrope, is also used
–Corrective surgery or cardiac transplantation
-
For excessive sweating that is bothersome to the patient, topical aluminum chloride may be used; anticholinergics work, but have many side effects
-
Surgery, including removal of axillary sweat glands and cervicothoracic sympathectomy, is rarely used
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Hyperhidrosis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
The treatment of choice is application of 20% aluminum chloride in absolute ethanol. (Most antiperspirants contain a 5% solution.) Formaldehyde may also be used but may lead to allergic contact sensitization. Glutaraldehyde produces less contact sensitivity than formaldehyde but stains the skin; it’s used more often on the feet than on the hands, as a soak or applied directly several times a week and then weekly as needed.
Iontophoresis (low-level electric current applied locally to skin surfaces) reduces sweat secretion at the site. Repeated treatments will be necessary for sustained relief.
Therapy sometimes includes anticholinergics, except in patients with glaucoma or prostatic hypertrophy. Severe hyperhidrosis unresponsive to conservative therapy may require local axillary removal of sweat glands or, as a last resort, a cervicothoracic or lumbar sympathectomy.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Hyperhidrosis:
Treatment
(Handbook of Diseases)
The treatment of choice is the application of 20% aluminum chloride in absolute ethanol. (Most antiperspirants contain a 5% solution.) Formaldehyde may also be used but may lead to allergic contact sensitization.
Glutaraldehyde produces less contact sensitivity than formaldehyde but stains the skin; it’s used more commonly on the feet than on the hands as a soak or applied directly several times per week and then weekly as needed. Therapy sometimes includes anticholinergics, except in patients with glaucoma or benign prostatic hyperplasia.
Severe hyperhidrosis unresponsive to conservative therapy may require local axillary removal of sweat glands or, as a last resort, a cervicothoracic or lumbar sympathectomy.
Clinical tip Another form of effective treatment involves iontophoresis of water into involved areas of skin by a device that may be purchased by the patient.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Skin, clammy:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Take the patient’s vital signs frequently and monitor urine output. If clammy skin occurs with an anxiety reaction or pain, offer the patient emotional support, administer pain medication, and provide a quiet environment.
Patient teaching
If an underlying illness is related to the patient’s clammy skin, provide information on the condition. If the condition is related to an alteration in the patient’s blood glucose level, provide information on management of hypoglycemia and early signs of a falling blood glucose level. Provide information on the importance of nutrition and hydration.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Diaphoresis:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Explain to the patient and his family that diaphoresis signals a return to normal body temperature after it has risen for any reason. Explain that diaphoresis can also occur spontaneously, after taking an antipyretic, or as a sympathetic reaction to pain or stress. Be sure to discuss proper skin care to avoid skin breakdown and maceration.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Skin, clammy:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Because the patient with cool, clammy skin may be acutely ill, provide emotional support to him and his family. Explain what’s happening using short, simple sentences. Orient them to the intensive care unit, if applicable, explaining the equipment and the unit’s routines.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Diaphoresis:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ After an episode of diaphoresis, sponge the patient's face and body and change wet clothes and sheets.
▪ To prevent skin irritation, dust skin folds in the groin and axillae and under pendulous breasts with cornstarch, or tuck gauze or cloth into the folds.
▪ Replace fluids and electrolytes.
▪ Monitor fluid intake and urine output.
▪ Keep the patient's room temperature moderate to prevent additional diaphoresis.
▪ Prepare thepatient for diagnostic tests, such as blood tests, cultures, chest X-rays, immunologic studies, biopsy, a computed tomography scan, and audiometry.
▪ Monitor the patient's vital signs, including temperature.
Patient teaching
▪ Explain proper skin care and the importance of good hygiene.
▪ Discuss the importance of fluid replacement and encourage oral fluids high in electrolytes such as sports drinks.
▪ Explain the underlying disease process and its treatments.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Skin, clammy:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Take the patient's vital signs frequently.
▪ Monitor the patient's intake and output.
▪ Provide measures to correct the underlying condition. For example, if clammy skin occurs with an anxiety reaction or pain, offer the patient emotional support, administer pain medication, and provide a quiet environment.
Patient teaching
▪ Explain the underlying disorder and its treatment.
▪ Orient the patient to the intensive care unit.
▪ Explain any diagnostic tests or procedures.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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