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My Recent Posts · 04/24/04

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ETS is SUPPOSED TO BE a LAST RESORT surgery. Before undergoing ETS you should be aware of alternative therapies and you should try them. Don't rush, you have lived with your condition this long, try the alternative therapies first.

Here are a few alternative therapies for HH:

Botox is close to FDA approval in the US for Hyperhidrosis and has received approval already in Canada. Studies show it is effective. Insurance may cover it for you already in the U.S. It is naturally reversable, where ETS is not, and you might really wish it was. Consult a dermatologist.

Secure * www.pharmacy.ca (medicated pads) brand of topical Glycopyrrolate provides local control of sweating in areas such as face and neck, armpits, hands and feet. The pharmacists recommend starting with a low strength and going up if necessary.

Avert * www.pharmacy.ca brand of glycopyrrolate is an oral anticholinergic which is effective in reducing excessive sweating. Always consult your primary care physician when taking prescriptions.

Primary care physicians can prescribe Robinul or Ditropan and there are posts on other forums about this having positive results for HH.

Topical and Non-prescription Products
Topical Aluminum based products - antiperspirants

Mitchum should be available over the counter, at least in the U.S.

Odaban www.odaban.com/what.htm

Whip WetLess: www.whipwetless.com/

Drysol: www.sunrisemeds.com
Maxim: www.stopsweat.com/item/Maxim

Certain-Dri: www.drugstore.com

www.rateitall.com search for comments on Certain-Dri

This unit is a little uncomfortable (but so is dealing with HH!), but it can work and with some time can be worth the effort. There are units for hands, feet and underarms:
www.drionic.com

Clothing and underarm shields:
www.comfywear.com

I don't know about alternative therapies for blushing so those who do please share. Blushers should at least see a dermatologist, there are effective laser treatments and medications that can be tried first.

My Recent Posts · 06/14/08

Nice work. I did a similar post here a long time ago - http://www.socialphobiaworld.com/posts6814-0.html

Unfortunetely I feel there are less treatments than may appear.

Underarms - this is the easiest to treat, all the topicals work well here, even botox if you can afford it. Then there are liposuction and curretage surgeries which have no side fx to note. ETS shouldn't even be brought up.

Hands and feet - very little options. Only iontophoresis, and oral medication. botox seems to only be avavailable for these areas in the US, and is expensive and painful, plus we become immune to it.

Face - secure wipes/glycopyrrolate cream, odaban or oral medicaiton. I wouldnt advise using the alcl3 topicals because of the irritation, plus we become immune to them.

Everywhere else - oral medicaton.

My Recent Posts · 07/28/08

Pinker's list from Medications section, thanks for such a great list Pinker:

The secretion of sweat is mediated by a portion of our vegetative nervous system: the Sympathetic Nervous System. 'Specifically, it is the Thoracic Sympathetic Ganglion Chain, which runs along the vertebra of the spine inside the chest cavity'. It is believed that in some people (approximately 1% of the population), this system is working at a very high activity level (over active), far higher than needed to keep a constant temperature. This condition is referred to as hyperhidrosis - excessive sweating. Depending on which part of the chain becomes overactive, different parts of the body become affected.

There are two types: primary/idiopathic HH (unknown cause) and secondary HH (known cause). Secondary HH can arise from various conditions, for example, endocrine disorders such as hyperthyroidism (overactive thyroid gland), endocrine treatment for malignant disease, menopause, obesity, psychiatric disorders, systemic malignant disease. An over-reactive thyroid gland can be checked for by having a blood test.

Definitions: Sweaty Hands (Palmar Hyperhidrosis), Sweaty Feet (Pedal/plantar Hyperhidrosis), Underarm Sweat (Axillary Hyperhidrosis), Facial (forehead, cheeks, neck), Facial Blushing (Erythrophobia), Flushing and Cold Hands (Raynauds Syndrome), truncal (trunk, buttocks), bromhidrosis (Odour Problems), Gustatory Sweating (sweating on the forehead, face, scalp, and neck in response to eating), CS (compensatory sweating/Reflex sweating), general.

More definitions: http://groups.msn.com/ExcessiveSweatHH/definitionsabbrev.msnw

Based on research and feedback from forum members, below is a list of the main ways to combat hyperhidrosis;

*Topical Applications - antiperspirants (For the whole body)

These are the simplest products and often the first line of products to be used by sufferers. For more severe cases they are sometimes not very effective in treating palmar and plantar hyperhidrosis but they are often successful when used to treat axillary hyperhidrosis. Applying the solution to the area every night for a week (use a hairdrier to dry it on) should give noticable results. Most of the roll on applicators contain Aluminium Chloride which is belived to form a 'matrix' in the sweat gland which prevents sweat secretion.
Aluminium Chloride information - http://www.hyperhidrosisuk.org/aluminium.htm

The roll ons and sprays below should halt most axillary sweating after a few applications, unless in severe cases. When applying these, apply at night before bed (The body is suppost to sweat less when lying down), do not overapply and use a hairdrier to dry the solution otherwise the area will become itchy and inflamed. It has been suggested roll-on applicators may become ineffective over time as the body builds up a resistance to the total blockage after a few years of use.

Driclor (20% aluminum chloride solution).
http://www.netdoctor.co.uk/medicines/100000855.html

Certain dri Roll on applicator.
http://www.skinsite.com/info_hyperhidrosis.htm

Drysol Roll on applicator.
http://www.drugstore.com/qxa1067_333181_sespider-what_is_drysol.htm
http://www.buydrysol.com/

Maxim Roll on applicator.
http://maximteam.com/
http://www.coradhealthcare.com/

Anhydrol Forte Roll on applicator.
http://www.netdoctor.co.uk/medicines/100000141.html

30% Aluminium chloride solution (or stronger)
On prescription and made up by a dermatologist or pharmacist.

Odaban *recommended
A spray - noted to be less irritation than driclor & the other roll on applicators and no gradual resistance from the sweat glands. Primarily for facial and underarm HH.
http://www.odaban.com/

MegaDry antiperspirant Roll on applicator.
http://www.megadry.com/
Dermatolgist who developed megadry: http://etsandreversals.yuku.com/reply/1061/t/New-MegaDry-antiperspirant.html#reply-1052
"The active ingredient is aluminum chlorohydrate which appears to be more effective than aluminum chloride, without any of the side effects."

*Alternative/Misc Topical Remedies (For the whole body)

Products in the form of wipes or containing some chemicals other than aluminium chloride.

Secure Wipes (topical glycopyrrolate) *recommended
These are like a tissue or pad which are wiped across the area. The glycopyrrolate prevents synaptic transmission as the "messenger" acetylcholine is inhibited from stimulating receptors on the sweat glands.
Order online: http://www.pharmacy.ca/
Positive responses to the wipes: http://www.esfbchannel.com/phpBB2/viewtopic.php?p=2387&

'Sweat-stop' (bodyspray and lotion in Forte and Forte plus+) *recommended
A spray and a facial lotion used for excessive perspiration.
http://www.sweat-stop.com/en/

PerspireX Underarm Roll On/Hand and Foot Lotion
One product for underarms and a lotion for hands and feet.
http://www.mosquit-ex.co.uk/perspirex/index.html

Lazerformalyde (10% formaldehyde)
A product used for excessive sweating of the feet.

*Topical creams/gels

Glycopyrrolate cream
Glycopyrrolate is an anticholinergic compound, also found in Secure wipes, Avert tablets and Glycopyrrolate solution (iontophoresis). This is available in the UK from nova laborotories in strengths ranging from 0.01% to 10%.
http://www.socialphobiaworld.com/postt16795.html
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2993
http://hyperhidrosiscare.com/Skin_Hyperhidrosis_Article.htm

Dehydral Cream (Feet)
http://www.brandmeds.com/dehydral.html
Order online - http://www.pharmacy.ca/

Hydrosal Gel *recommended
A new first-line topical gel treatment for excessive sweating. Developed by dermatologists, the gel contains salicylic acid which, as well as having antiperspirant properties of its own, is meant to enhance the penetration of aluminum chloride. The absence of ethanol also reduces irritaion.
http://www.hydrosalgel.com/index_en.html
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2545&highlight=hydrosal+gel

*Oral Medications

Ordered by prescription (recommended) or over the Internet. These are often unreliable as they are not specifically for HH, but some people have success. Robinul (avert) is the most popular and has the least side effects.
Oral medications: http://www.excessive-sweating.net/sweat_oralmed.html
Oral Medications: http://www.sweathelp.org/English/PFF_Treatment_Oral_Medications.asp

WARNING:
"treatment with Ditropan XL®(i) (oxybutynin extended-release or ER), caused significant memory deterioration. Importantly, the individuals receiving oxybutynin ER failed to notice the change in their memory function. These findings were presented during the 2006 Annual Meeting of the American Urological Association (AUA)."
Article - http://www.eurekalert.org/pub_releases/2006-05/k-nds052306.php

Ditropan (Oxybutynin Hydrochloride)

Ditropan XL (Oxybutynin Hydrochloride)

Pro Banthine (propantheline bromide)
http://www.subscriberx.com/.SRX?Service=SRXLeaflet&Function=GetLeaflet&DrugId=12261&Dialect=English

Robinul (Glycopyrrolate) - 1 mg Glycopyrrolate
http://www.askapatient.com/viewrating.asp?drug=12827&name=ROBINUL
Glycopyrrolate side effects: http://www.gicare.com/pated/glycopyrrolate.htm

Robinul Forte - 2 mg Glycopyrrolate

Avert (Glycopyrrolate) - ranging from 0.5mg - 2.0mg
Order online - http://www.pharmacy.ca/

Beta Blockers (Propranolol)
'Beta-blockers (e.g. propranolol) may be helpful when history indicates that symptoms are precipitated or exacerbated by stress.

*Iontophoresis *recommended
(For hands & feet, also underarms and trunk area)

This involves placeing the hands and/or feet into shallow trays filled with water, while a small electrical current is passed into metal plates and the water. After 5-10 initial treatments dryness can last up to 3 weeks in applied areas. The idrostar, i2ma, iomax 4, Drionic, idromed 4 and IONTEX machines also enable the armpits to be treated and also the trunk and buttocks in the case of the Drionic.
Be sure to rest hands and feet on the plastic grills (if supplied) otherwise a direct connection will be made with the metal and not through the water. Remove any metal such as watches, belts or earings.
"Maintenance treatments" should be carried out weekly or monthly as required to maintain constant dryness or 'sweat relief'. "Complete abolition of sweating was found to last one to two weeks and sweating quickly returned without maintenance therapy." - ets & reversals forum
http://www.sweathelp.org/English/PFF_Treatment_Iontophoresis.asp
http://www.sweathelp.org/English/HCP_Treatment_Iontophoresis.asp

The water in your area can affect the effectiveness of the treatment. Hard water contains more minerals which is an important factor. To increase effectiveness with 'soft water', baking soda (Bicarbonate of soda) or Sea salt can be added to water to aid electrolytes (tiny particles that help the electric current travel through the water and into the skin).
Map of hard and soft water regions in the uk:
http://www.dwi.gov.uk/pubs/hardness/index.htm#4

You may want to custon build your own trays, for example use a deep container so the whole foot can be treated and not just the soles of your feet. You may want to use a small container just large enough to treat your hand, so if you are using glycopyrrolate solution you do not have to use excessive amounts. All that is needed is the tray and a stainless steel/aluminium metal strip to act as the electrode. Search ebay for "aluminium plates" or stainless steel.

Information here on tray modifications: (thanks to superyou ESFB channel forum)
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=968&highlight=

Studies show Iontophoresis with a 0.05% glycopyrronium bromide solution (Glycopyrrolate) (or a stronger concentration) to be significantly superior to tap water in suppression of palmoplantar hyperhidrosis.
Article - http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15527429&dopt=Abstract
Some more information - http://no-ets.com/forums/viewtopic.php?t=21
British NHS information -
http://www.addenbrookes.org.uk/resources/pdf/patient_visitors/patient_information_leaflets/consent_forms/dermatology/CF030_derm_ionto%20consent.pdf

This solution is used as an alternative when tap-water iontophoresis is not fully effective at reducing palmoplantar sweating. Glycopyrrolate is an anticholinergic*. The solution can be re-used a few times.
It can be ordered on prescription in the UK from Nova Laborotories Ltd in England. Dr Andrew Twitchell, Tel: 0116 2643783 or 0116 2230100 ext. 3783 is the main contact.

If you are treating both hands and feet, you may need to treat each side on a separate day if the side effects are intense. There are various possible side effects but the main ones will be a dry mouth and throat, and possibly eyes and nose. Worse side effects are more likely with tablets or strong concentrations which contain higher doses of the drug.
Water can be mixed in to reduce side effects, but this also reduces effectiveness.

*Anticholinergics are a class of medications that act by preventing acetylcholine from stimulating receptors on the sweat glands. In this way, anticholinergics shield the sweat gland from the action of acetylcholine. One anticholinergic, glycopyrrolate, is unlike the most others in that it does not cross the blood brain barrier and is therefore less likely to produce certain side effects.
http://www.sweathelp.org/English/HCP_Treatment_Topical_Anticholinergics.asp

Note: you can also crush robinul/avert tablets and add to water instead of using this solution, however this may not be as effective due to undissolved particles.

New/future treatment Administering botox by iontophoresis
This treatment is still in it's early stages.
The case study reports this "Can be effective up to 3 months with only one treatment". No numbness of the thumb or other joints reported.
The anhidrosis period given suggests the botox is a much stronger method, this could be positive for people with very severe sweating. This could be a good alternative as tap-water treatment is very time consuming, and has limited effect in some people, whilst glycopyrrolate produces undesirable side effects and its effect is also limited in some people.
The case study: http://www.sweathelp.org/PDF/BotoxDeliveryByIontophoresis.pdf
Article: http://www.sweatsolutions.org/SweatSolutions/Article.asp?ArticleCode=33984200&EditionCode=95129982
Discussion: http://www.esfbchannel.com/phpBB2/viewtopic.php?p=23269#23269

Iontophoresis Machines:

Information, discussion and pictures on iontophoresis machines: http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2595

Drionic
http://www.drionic.com/
Drionic instruction manual: http://groups.msn.com/hyperhidrosis/drionicinstructions.msnw
Buttock electrode option: http://groups.msn.com/hyperhidrosis/hydrohidrosis.msnw?action=get_message&mview=0&ID_Message=1536&LastModified=4675479904306153269
http://www.drionic.com/amputee_sweat.htm

Customising the Drionic: http://www.geocities.com/drionicmods/index.html
(Includes an order form to buy the machine at a reduced price of $100)

i2m laboratories
Idrostar, i2ma, iomax 4
i2m website: http://www.transpiration.biz
http://www.i2m-labs.com/p_gb/index.htm
STD Pharmaceuticals: http://www.stdpharm.co.uk/default.asp?page=machines
Idrostar instruction manual: http://www.ajgruppen.no/brukerveiledning_eng_idrostar.pdf

Idrostar/general Iontophoresis accessories: http://www.iontophoresis.info/idrostar-accessories.html

i2m machines can be bought from STD Pharmaceuticals, England. People buying i2m iontophoresis machines through treatment on the British NHS may have the cost subsidised when the machine is purchased from STD Pharmaceuticals.
I reccommend buying rechargable batteries with a power rating of 1500 - 2700mAH for the battery powered machines.

R.A. Fischer, MD-1a
R.A. Fischer company: http://www.rafischer.com/
Unit instructions: http://www.rafischer.com/share/md1a-manual.pdf
Usage manual: http://www.rafischer.com/share/md1a-usage.pdf
Safety: http://www.rafischer.com/share/md1a-infopage.pdf
Save $25: http://www.sweathelp.org/English/CMN_News_IHHS_Details.asp?newsID=61&Nav=MP

A prescription is needed to purchase the Fischer.

Idromed 4
To buy: www.beathyperhidrosis.com/idromed4.htm ($899 US free global delivery)
To buy: www.iontophoresis-device.com/ (470 Eur). 'child friendly' device available.
To buy: www.hybec.com/hospital/Idromed4.htm (£255.00 ex VAT)
Instruction manual: http://www.drhoenle.de/pdf/hoenle_idromed_engl.pdf
Idromed PS machine discussion: http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2555

It has been noted that some Idromed 4 machines are 110V so a step up converter may be needed (US and UK mains are 230V/240V).

IONTEX 3, IONTEX S
http://en.kimetec.com/products/iontophoresis-devices

*Other

Botox (Underarms, less so for hands & feet)

Botulinum toxin injections. Specifically for axillary hyperhidrosis. *recomended
The responses have been as long as 1 year, but in most cases the anhidrosis effect begins to weaken in 4 months. It is usually very expensive unless covered by insurance. It may be used on the hands and feet but with less effect than the armpits. Injections in the hands and feet have been reported to be painful. Slight numbness of the thumb has been reported (caused by injection or diffusion of molecules into thenar muscle). This can account for a slight loss of grip.
International HH society article: http://www.sweathelp.org/English/PFF_Treatment_injections.asp
Article: http://www.beautybeforeage.com/botox/botox_nosweat.htm

Video about botox (international Hyperhidrosis society): http://www.sweathelp.org/English/palmer_mov.html

Electrolysis

Electrolysis is used for permanent hair removal. A needle is inserted into into the skin and an electrical current destroys the follicle, but the sweat gland can also be destroyed itself. The drawback of this method is sweat glands are very numerous especially in the hands, so it may take a long time to destroy enough to notice a difference.
http://www.socialphobiaworld.com/postp144697.html#144697

*Alternative methods

"Anti sweat" for HH
A herbal pill to be taken for 3 weeks which claims to cure hyperhidrosis.
Website - www.anti-sweat.com
Discussion topic - http://www.esfbchannel.com/phpBB2/viewtopic.php?t=1077

A poster's success with compensatory sweating
Apple Cider Vinegar, raw, organic honey and distilled water
http://groups.msn.com/ExcessiveSweatHH/general.msnw?action=get_message&mview=&ID_Message=20420

Diet
Try experimenting by cutting out certain foods. Certain foods and drinks, nicotine, and smells can trigger a response. Caffeine in tea and coffee will trigger sweating, possibily even in small amounts (e.g. caffine in chocolate). Check if you are hypoglycemic:
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=936

Taking iron tablets with a banana
http://www.socialphobiaworld.com/postt7122.html

Dried sage leaves
Discussion topic: http://www.esfbchannel.com/phpBB2/viewtopic.php?t=775
Article: http://www.sweatsolutions.org/SweatSolutions/Article.asp?ArticleCode=62908455&EditionCode=29354836

Herbal
Herbal medicines may help. It is best to consult a professional.
http://www.socialphobiaworld.com/postt9354.html

Acupuncture
http://www.hyperhidrosis.us/hyperhydrosis-acupuncture.php

Hypnotherapy
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2219522&dopt=Abstract

Therapy
Learning how to deal with anxiety and cope in stressful situations may help.

Anxiety relieving medications
A forum member explains how he takes certain medications to relive periods of worry. He says it relieves his social anxiety disorder which in turn reduces excessive sweating occuring.
http://groups.msn.com/ExcessiveSweatHH/general.msnw?action=get_message&mview=0&ID_Message=21206&LastModified=4675590079758067619action=get_message&mview=0&ID_Message=21206&LastModified=4675590079758067619

Antihidrosin R32
Homeopathic Formula for Symptoms of Excessive Perspiration
http://organicpharmacy.org/products/Antihidrosin.R32?PHPSESSID=ae0fafd814331521529b95c34aae148b

COREcontrol to help thermoregulation
As the video on the website shows you would put your hand in the machine and it would work to reduce hot flushing or the general feeling of being too hot.
http://www.avacore.com/about.html

*Clothing

Certain types of long lasting and disposable clothing and dress-shields are available which prevent sweat soaking through into clothes, leaving noticable marks and uncomfortable moisture.
www.kleinertsshields.com
www.dressshields.com
http://www.newlifeshirts.co.uk/
www.comfywear.com

*Other/possible future treatments

"Dry Type" iontophoresis
A new iontophoresis device was manufactured which did not use tap water to control sweating.
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1524-4725.2007.33007.x?cookieSet=1&journalCode=dsu

Electrical stimulation of the sympathetic nervous chain
A proposed method of treating palmar hyperhydrosis by 'applying an oscillating electric field to the stellate ganglion'.
http://www.patentstorm.us/patents/6356786-fulltext.html

Genetic techniques
A UCLA study in 2002 suggests a strong genetic link to hyperhidrosis.
http://www.eurekalert.org/pub_releases/2002-02/uoc--usf022802.php
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=486

Stem cells
Growing stem cells to repair the damaged sympathetic nervous pathway in ETS patients who suffer with negative side effects.

*Surgery

ETS surgery
Endoscopic Thoracic Sympathectomy. The last resort. This is a procedure that generates conflicting opinions due to a very diverse range of possible side effects. In general terms ETS does not offer a true cure for hyperhidrosis, but usually moves sweat from one area to another - referred to as reflex sweating. But side effects may be much more serve than this as told by post-ETS patients (see ETS & reversals forum link below).
Sympathectomy is performed through small keyhole incisions in the underarm area under general anesthesia. Certain sympathetic nerve ganglia are cut/burned/cauterised/severed at the 'T1'-'T5' levels in the thoracic cavity depending on the type of hyperhidrosis in question, thus interrupting the nerve signals which ordinarily would stimulate the body's fight-or-flight response. ETS is generally more successful for hand sweating than for plantar hyperhidrosis and facial blushing. Sufferers with widespread HH have an increased risk of compensatory sweating. Compensatory sweating can almost be expected because ETS does not solve the problem of excessive sweating but relieves it from the area being treated. Another method is ESB/ETS C (endoscopic sympathetic blockade, or sympathectomy clamping method) - clamping the nerves instead of destroying them. This method is to theoretically allow the nervous chain to be restored to its origional state by removing the clamps if undesirable effects develop, or reconstructing the nerve in the future. After quite a short period of time people have reported the sympathetic chain cannot be restored regardless of removing the clamps.

In 2003, ETS was banned in its birthplace, Sweden, due to overwhelming complaints by disabled patients. In 2004, Taiwanese health authorities banned the procedure on patients under 20 years of age.
From wikipedia - http://en.wikipedia.org/wiki/Endoscopic_thoracic_sympathectomy

About ETS: http://www.sweathelp.org/English/HCP_Treatment_ETS_Surgery.asp
ETS information by odaban: http://www.odaban.com/surgery-hyperhidrosis-ets.html
Anti ETS board: http://groups.msn.com/ExcessiveSweatHH/antiets.msnw

Videos of ETS and Hyperhidrosis:
http://www.youtube.com/ExcessiveSweating

Possible side-effects with surgery:
http://www.no-ets.com/sideeffects.html
http://www.esfbchannel.com/phpBB2/viewtopic.php?t=602

More side effects and news reports:
http://www.drionic.com/surgery.htm

Pulse radio frequency sympathectomy
The sympathetic nerve is 'zapped' with radio frequencies, instead of being cut or burned as in ETS. The nerve is suppost to grow back, but slightly different to before.
http://etsandreversals.yuku.com/topic/3374/t/I-had-Pulse-Radio-Frequency-Sympathectomy-instead-of-ETS.html
http://www.socialphobiaworld.com/postt17650.html

CT Fluoroscopy
This procedure involves the use of needles to make a puncture through the upper back, using CT guidance a phenol-based medication is injected. This interrupts the nerve tracts and nodes that transmit signals to the sweat glands. It involves two injections in the third vertibrae for the hands and two in the lombar region for the feet to destroy the nervous pathway. It has been branded by some as 'chemical Sympathectomy'. This is a dangerous procedure like ETS and should be used as a last resort as the effects of destroying nervous pathways can be difficult to reverse to this date.
Article: http://www.medicalnewstoday.com/medicalnews.php?newsid=34310
Discussion on the procedure: http://p069.ezboard.com/fetsandreversalsfrm13.showMessage?topicID=236.topic

Excision (Skoog Procedure), curettage, Axillary Liposuction (Underarms)
"Curettage and Liposuction are similar. With curettage the sweat glands under the skin are removed by scraping. Liposuction removes glands by suction. Curettage is more effective than liposuction as many of the glands are left behind by suction and grow back within 6 months".
The Skoog procedure involves incision and dissection to expose the glands on the underside of the skin. The glands are surgically removed using fine scissors under magnification. The surgeon can see where glands have been removed, and where they have not. The scars are more noticeable with this procedure but it seems to be more effective in making sure all the glands are removed.
Information on procedures: http://www.emedicine.com/plastic/topic530.htm
Doctor's website: http://www.sweaty-armpit.com/bromhidrosiscure.html

Discussion on curettage: http://groups.msn.com/ExcessiveSweatHH/hhboard.msnw?action=get_message&mview=0&ID_Message=20332&LastModified=4675597953964563359

Surgical techniques (particularly ETS surgery) may result in severe compensatory sweating/Reflex sweating (CS), amongst other side effects:
Side effects by songboy123: http://groups.msn.com/ExcessiveSweatHH/antiets.msnw?action=get_message&mview=0&ID_Message=18351&LastModified=4675530616930409852

Conclusion

Surgical techniques should be the very last option due to the associated risks and the fact that the procedures are difficult to reverse. ETS should be the very last option and should try to be avoided. In my opinion, the best and safest treatments for hyperhidrosis are:

Palmar&Plantar - Tap water iontophoresis / Glycopyrrolate, antiperspirants, tablets, botox injections
Axillary - roll-on antiperspirants, Odaban, hydrosal gel, tablets, Botox injections, iontophoresis
Facial - Secure wipes, Sweat-Stop Aloe Vera Lotion plus+, Hydrosal gel, antiperspirants, tablets
Truncal - Secure wipes, Hydrosal gel, antiperspirants, tablets, Drionic machine with truncal iontophoresis device

Useful Forums (message boards)/Sites

http://etsandreversals.yuku.com ETS & Reversals Discussion Forum

http://www.esfbchannel.com/forum/index.html ESFB Channel Discussion Forum
http://www.esfbchannel.com/index.php ESFB channel
http://www.esfbchannel.com/forum/v01.html Old ESFB channel Forum (read only)

http://www.sweathelp.org/English/Index.asp International Hyperhirosis Society

http://www.youtube.com/results?search_query=hyperhidrosis&search=Search Hyperhidrosis on YouTube

http://groups.msn.com/hyperhidrosis/siteentrance.msnw "Hyperhidrosis" Very informative website
http://groups.msn.com/hyperhidrosis/yourwebpage4.msnw 'Hyperhidrosis' Forum
http://client4.addonchat.com/sc.php?id=222661 "Hyperhidrosis Chat"

http://www.hyperhidrosisuk.org/ Hyperhidrosis support group

http://groups.msn.com/ExcessiveSweatHH/messageboard.msnw Excessive Sweat-HH, MSN Board
http://groups.msn.com/ExcessiveSweatHH/ Excessive Sweat HH site

http://no-ets.com/forums/ A good Forum, lots of information
http://no-ets.com/ VERY informative site

http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2595 Iontophoresis pictures and information

http://www.wethandsclub.com/forum/ wet hands club forum
http://www.wethandsclub.com Wet habds club

http://editthis.info/corposcindosis/Main_Page Treatise; The Effects of Thoracic Sympathectomy in Humans

http://www.truthaboutets.com/Pages/ETSheadlines.html Truth about ETS

http://groups.msn.com/ExcessiveSweatHH/etstestimonials.msnw ETS TESTIMONIALS

http://pub16.bravenet.com/forum/show.php?usernum=1288879570&cpv=1 HH support Forum
http://www.hhsupport.150m.com/index.html HH support

http://www.sweatyhands.proboards79.com/ - teen hyperhidrosis Forum

http://groups.msn.com/BodyOdorSupport Bromhidrosis (body odor) site
http://groups.msn.com/BodyOdorSupport/messageboard.msnw Bromhidrosis Message board

http://www.sweaty-palms.com/forum/ Q&A Forum of Dr. Reisfeld

http://www.hyperhidrosis.ca/ Information packed site & videos of botox

http://www.sweathelp.org/PDF/Mayo_Clinic_Proceedings_Hyperhidrosis.pdf Diagnosis and Treatment of Hyperhidrosis

http://www.overmatigzweten.nl/ Dutch Forum

http://www.geocities.com/columbian1029/meds101.html HH Medications

http://www.neurotoxininstitute.org/chapter_hyperhidrosis.asp About HH and treatments

http://cancer.caring4health.com/Knowledgebase/Default.aspx?Category=alltopics&Display=topic&Hwid=nord216 Lots of information and remedies

http://www.mf.uni-lj.si/acta-apa/acta-apa-02-1/altman.html Treatment of palmoplantar hyperhidrosis

http://www.sweatsolutions.org/PDF/AAFParticle.pdf#search=%22palmoplantar%20hyperhidrosis%20%22 Palmoplantar Hyperhidrosis: A Therapeutic Challenge (pdf file)

Please post about any remedies not listed above and links to sites/forums[/i][/url]

My Recent Posts · 10/24/09

HI!
I suffer from Hyperhirosis of the hands and feet and have done since I was a child. After years of embarassment and one incident where a Doctor just laughed at me and said I was just a 'very sweaty' person, I was referred to a specialist. I was delighted to discover that they may be able to help me and they booked me in to receive a series of Botox injections in both my hands and feet. The immediate side effect was a temporary weakness to the muscles of my hands and a loss of dexterity (Difficult when you are an art teacher- but no worse than trying to draw in front of 25 kids whilst the paper soaks up a sea of sweat!) After 2 weeks the results were great - I had increased dexterity and minimal sweating, to the point where my hands were dry and I had to use hand cream. This wore off after around 10 weeks and i went back for a post op where they booked me in again. I returned this week and had my third session booked and the specialist suggested that this method may not be a good long term solution as it is not recommended to go under general anaesthetic with such frequency. It was then he put to me the idea of ETS as a more durable solution. Up until now my knowledge of ETS was limited as I had heard of a procedure which sounds like ETS but thought it had been stopped because of the dangers. The specialist did not mention the potential risks but did talk about collapsing my lungs to peform the procedure and at this alarm bells began to ring. I was hoping somebody may be able to respond with some advice.
thanks

My Recent Posts · 10/24/09

Hi missiwitt,

I would encourage you to stick with Botox or other non-surgeical treatments. While many hospitals, clinics and surgeons routinely assert that ETS surgery is associated with only a few, typically mild side effects, decades worth of published medical literature paint a different picture. ETS has been shown to cause many adverse side effects and these side effects are often severe. Be wary of claims of high satisfaction rates for ETS. Those data are collected only a few months after surgery. Long-term studies show very high regret rates over the long term.

You can read about the many side effect here on our website. Keep in mind that even for those who don't experience all of these side effects, the surgery doesn't actually cure hyperhidrosis, it just moves it to other places on the body. The most common outcome of this surgery is that a large area of body becomes incapable of perspiring at all and hyperhidrosis problem is displaced to the remainder of the body where it often soaks through clothing. "Compensatory sweating" is the euphemism that surgeons use to describe this displaced hyperhidrosis.

The surgery also sympathetically denerves the heart, lungs, airways and vascular smooth muscle leading to a whole host of other adverse side effects.

Anyway, that's my advice. Don't take the risk. There are those who escape the surgery without bad side effects and the doctors collect their telephone numbers and use those patients to convince others to take the risk. I urge you not to fall for that ploy. While there is a chance you might escape the bad side effects as well, the chance you'll regret your decision over the long term is quite high.

I wish you luck on coping with your condition.

My Recent Posts · 10/24/09

"Depending on which part of the chain becomes overactive, different parts of the body become affected."

Is there ANY evidence for this? Was the chain and ganglion of any of the patients ever 'tested'? Where there any measurements taken? I am just curious, because there are several websites that make similar statements - and I often think that they just copy this information from each other.
If we have some research on overactive bits within the sympathetic chain, please post it here, we should know about it.
If there is none, then it should be stated that this is nothing more than fictionalized medical 'science'. Fake science.

My Recent Posts · 10/24/09

"Depending on which part of the chain becomes overactive, different parts of the body become affected."

Is there ANY evidence for this? Was the chain and ganglion of any of the patients ever 'tested'? Where there any measurements taken? I am just curious, because there are several websites that make similar statements - and I often think that they just copy this information from each other.
If we have some research on overactive bits within the sympathetic chain, please post it here, we should know about it.
If there is none, then it should be stated that this is nothing more than fictionalized medical 'science'. Fake science.

Author	Comment
Aubrey	Alternative Therapies before ETS		Lead	[-]
Member Posts: 548 04/24/04 06:05 AM Administrator	Tags : None ETS is SUPPOSED TO BE a LAST RESORT surgery. Before undergoing ETS you should be aware of alternative therapies and you should try them. Don't rush, you have lived with your condition this long, try the alternative therapies first. Here are a few alternative therapies for HH: Botox is close to FDA approval in the US for Hyperhidrosis and has received approval already in Canada. Studies show it is effective. Insurance may cover it for you already in the U.S. It is naturally reversable, where ETS is not, and you might really wish it was. Consult a dermatologist. Secure * www.pharmacy.ca (medicated pads) brand of topical Glycopyrrolate provides local control of sweating in areas such as face and neck, armpits, hands and feet. The pharmacists recommend starting with a low strength and going up if necessary. Avert * www.pharmacy.ca brand of glycopyrrolate is an oral anticholinergic which is effective in reducing excessive sweating. Always consult your primary care physician when taking prescriptions. Primary care physicians can prescribe Robinul or Ditropan and there are posts on other forums about this having positive results for HH. Topical and Non-prescription Products Topical Aluminum based products - antiperspirants Mitchum should be available over the counter, at least in the U.S. Odaban www.odaban.com/what.htm Whip WetLess: www.whipwetless.com/ Drysol: www.sunrisemeds.com Maxim: www.stopsweat.com/item/Maxim Certain-Dri: www.drugstore.com www.rateitall.com search for comments on Certain-Dri This unit is a little uncomfortable (but so is dealing with HH!), but it can work and with some time can be worth the effort. There are units for hands, feet and underarms: www.drionic.com Clothing and underarm shields: www.comfywear.com I don't know about alternative therapies for blushing so those who do please share. Blushers should at least see a dermatologist, there are effective laser treatments and medications that can be tried first.
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pinker		#1	[url]	[-]
Member Posts: 147 06/14/08 10:30 AM	Nice work. I did a similar post here a long time ago - http://www.socialphobiaworld.com/posts6814-0.html Unfortunetely I feel there are less treatments than may appear. Underarms - this is the easiest to treat, all the topicals work well here, even botox if you can afford it. Then there are liposuction and curretage surgeries which have no side fx to note. ETS shouldn't even be brought up. Hands and feet - very little options. Only iontophoresis, and oral medication. botox seems to only be avavailable for these areas in the US, and is expensive and painful, plus we become immune to it. Face - secure wipes/glycopyrrolate cream, odaban or oral medicaiton. I wouldnt advise using the alcl3 topicals because of the irritation, plus we become immune to them. Everywhere else - oral medicaton.
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Aubrey	Pinker's list	#2	[url]	[-]
Member Posts: 548 07/28/08 01:25 PM Administrator	Pinker's list from Medications section, thanks for such a great list Pinker: The secretion of sweat is mediated by a portion of our vegetative nervous system: the Sympathetic Nervous System. 'Specifically, it is the Thoracic Sympathetic Ganglion Chain, which runs along the vertebra of the spine inside the chest cavity'. It is believed that in some people (approximately 1% of the population), this system is working at a very high activity level (over active), far higher than needed to keep a constant temperature. This condition is referred to as hyperhidrosis - excessive sweating. Depending on which part of the chain becomes overactive, different parts of the body become affected. There are two types: primary/idiopathic HH (unknown cause) and secondary HH (known cause). Secondary HH can arise from various conditions, for example, endocrine disorders such as hyperthyroidism (overactive thyroid gland), endocrine treatment for malignant disease, menopause, obesity, psychiatric disorders, systemic malignant disease. An over-reactive thyroid gland can be checked for by having a blood test. Definitions: Sweaty Hands (Palmar Hyperhidrosis), Sweaty Feet (Pedal/plantar Hyperhidrosis), Underarm Sweat (Axillary Hyperhidrosis), Facial (forehead, cheeks, neck), Facial Blushing (Erythrophobia), Flushing and Cold Hands (Raynauds Syndrome), truncal (trunk, buttocks), bromhidrosis (Odour Problems), Gustatory Sweating (sweating on the forehead, face, scalp, and neck in response to eating), CS (compensatory sweating/Reflex sweating), general. More definitions: http://groups.msn.com/ExcessiveSweatHH/definitionsabbrev.msnw Based on research and feedback from forum members, below is a list of the main ways to combat hyperhidrosis; *Topical Applications - antiperspirants (For the whole body) These are the simplest products and often the first line of products to be used by sufferers. For more severe cases they are sometimes not very effective in treating palmar and plantar hyperhidrosis but they are often successful when used to treat axillary hyperhidrosis. Applying the solution to the area every night for a week (use a hairdrier to dry it on) should give noticable results. Most of the roll on applicators contain Aluminium Chloride which is belived to form a 'matrix' in the sweat gland which prevents sweat secretion. Aluminium Chloride information - http://www.hyperhidrosisuk.org/aluminium.htm The roll ons and sprays below should halt most axillary sweating after a few applications, unless in severe cases. When applying these, apply at night before bed (The body is suppost to sweat less when lying down), do not overapply and use a hairdrier to dry the solution otherwise the area will become itchy and inflamed. It has been suggested roll-on applicators may become ineffective over time as the body builds up a resistance to the total blockage after a few years of use. Driclor (20% aluminum chloride solution). http://www.netdoctor.co.uk/medicines/100000855.html Certain dri Roll on applicator. http://www.skinsite.com/info_hyperhidrosis.htm Drysol Roll on applicator. http://www.drugstore.com/qxa1067_333181_sespider-what_is_drysol.htm http://www.buydrysol.com/ Maxim Roll on applicator. http://maximteam.com/ http://www.coradhealthcare.com/ Anhydrol Forte Roll on applicator. http://www.netdoctor.co.uk/medicines/100000141.html 30% Aluminium chloride solution (or stronger) On prescription and made up by a dermatologist or pharmacist. Odaban recommended A spray - noted to be less irritation than driclor & the other roll on applicators and no gradual resistance from the sweat glands. Primarily for facial and underarm HH. http://www.odaban.com/* MegaDry antiperspirant Roll on applicator. http://www.megadry.com/ Dermatolgist who developed megadry: http://etsandreversals.yuku.com/reply/1061/t/New-MegaDry-antiperspirant.html#reply-1052 "The active ingredient is aluminum chlorohydrate which appears to be more effective than aluminum chloride, without any of the side effects." *Alternative/Misc Topical Remedies (For the whole body) Products in the form of wipes or containing some chemicals other than aluminium chloride. Secure Wipes (topical glycopyrrolate) recommended These are like a tissue or pad which are wiped across the area. The glycopyrrolate prevents synaptic transmission as the "messenger" acetylcholine is inhibited from stimulating receptors on the sweat glands. Order online: http://www.pharmacy.ca/* Positive responses to the wipes: http://www.esfbchannel.com/phpBB2/viewtopic.php?p=2387& 'Sweat-stop' (bodyspray and lotion in Forte and Forte plus+) recommended A spray and a facial lotion used for excessive perspiration. http://www.sweat-stop.com/en/* PerspireX Underarm Roll On/Hand and Foot Lotion One product for underarms and a lotion for hands and feet. http://www.mosquit-ex.co.uk/perspirex/index.html Lazerformalyde (10% formaldehyde) A product used for excessive sweating of the feet. *Topical creams/gels Glycopyrrolate cream Glycopyrrolate is an anticholinergic compound, also found in Secure wipes, Avert tablets and Glycopyrrolate solution (iontophoresis). This is available in the UK from nova laborotories in strengths ranging from 0.01% to 10%. http://www.socialphobiaworld.com/postt16795.html http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2993 http://hyperhidrosiscare.com/Skin_Hyperhidrosis_Article.htm Dehydral Cream (Feet) http://www.brandmeds.com/dehydral.html Order online - http://www.pharmacy.ca/ Hydrosal Gel recommended A new first-line topical gel treatment for excessive sweating. Developed by dermatologists, the gel contains salicylic acid which, as well as having antiperspirant properties of its own, is meant to enhance the penetration of aluminum chloride. The absence of ethanol also reduces irritaion. http://www.hydrosalgel.com/index_en.html* http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2545&highlight=hydrosal+gel *Oral Medications Ordered by prescription (recommended) or over the Internet. These are often unreliable as they are not specifically for HH, but some people have success. Robinul (avert) is the most popular and has the least side effects. Oral medications: http://www.excessive-sweating.net/sweat_oralmed.html Oral Medications: http://www.sweathelp.org/English/PFF_Treatment_Oral_Medications.asp WARNING: "treatment with Ditropan XL®(i) (oxybutynin extended-release or ER), caused significant memory deterioration. Importantly, the individuals receiving oxybutynin ER failed to notice the change in their memory function. These findings were presented during the 2006 Annual Meeting of the American Urological Association (AUA)." Article - http://www.eurekalert.org/pub_releases/2006-05/k-nds052306.php Ditropan (Oxybutynin Hydrochloride) Ditropan XL (Oxybutynin Hydrochloride) Pro Banthine (propantheline bromide) http://www.subscriberx.com/.SRX?Service=SRXLeaflet&Function=GetLeaflet&DrugId=12261&Dialect=English Robinul (Glycopyrrolate) - 1 mg Glycopyrrolate http://www.askapatient.com/viewrating.asp?drug=12827&name=ROBINUL Glycopyrrolate side effects: http://www.gicare.com/pated/glycopyrrolate.htm Robinul Forte - 2 mg Glycopyrrolate Avert (Glycopyrrolate) - ranging from 0.5mg - 2.0mg Order online - http://www.pharmacy.ca/ Beta Blockers (Propranolol) 'Beta-blockers (e.g. propranolol) may be helpful when history indicates that symptoms are precipitated or exacerbated by stress. *Iontophoresis recommended (For hands & feet, also underarms and trunk area) This involves placeing the hands and/or feet into shallow trays filled with water, while a small electrical current is passed into metal plates and the water. After 5-10 initial treatments dryness can last up to 3 weeks in applied areas. The idrostar, i2ma, iomax 4, Drionic, idromed 4 and IONTEX machines also enable the armpits to be treated and also the trunk and buttocks in the case of the Drionic. Be sure to rest hands and feet on the plastic grills (if supplied) otherwise a direct connection will be made with the metal and not through the water. Remove any metal such as watches, belts or earings. "Maintenance treatments" should be carried out weekly or monthly as required to maintain constant dryness or 'sweat relief'. "Complete abolition of sweating was found to last one to two weeks and sweating quickly returned without maintenance therapy."* - ets & reversals forum http://www.sweathelp.org/English/PFF_Treatment_Iontophoresis.asp http://www.sweathelp.org/English/HCP_Treatment_Iontophoresis.asp The water in your area can affect the effectiveness of the treatment. Hard water contains more minerals which is an important factor. To increase effectiveness with 'soft water', baking soda (Bicarbonate of soda) or Sea salt can be added to water to aid electrolytes (tiny particles that help the electric current travel through the water and into the skin). Map of hard and soft water regions in the uk: http://www.dwi.gov.uk/pubs/hardness/index.htm#4 You may want to custon build your own trays, for example use a deep container so the whole foot can be treated and not just the soles of your feet. You may want to use a small container just large enough to treat your hand, so if you are using glycopyrrolate solution you do not have to use excessive amounts. All that is needed is the tray and a stainless steel/aluminium metal strip to act as the electrode. Search ebay for "aluminium plates" or stainless steel. Information here on tray modifications: (thanks to superyou ESFB channel forum) http://www.esfbchannel.com/phpBB2/viewtopic.php?t=968&highlight= Studies show Iontophoresis with a 0.05% glycopyrronium bromide solution (Glycopyrrolate) (or a stronger concentration) to be significantly superior to tap water in suppression of palmoplantar hyperhidrosis. Article - http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15527429&dopt=Abstract Some more information - http://no-ets.com/forums/viewtopic.php?t=21 British NHS information - http://www.addenbrookes.org.uk/resources/pdf/patient_visitors/patient_information_leaflets/consent_forms/dermatology/CF030_derm_ionto%20consent.pdf This solution is used as an alternative when tap-water iontophoresis is not fully effective at reducing palmoplantar sweating. Glycopyrrolate is an anticholinergic. The solution can be re-used a few times. It can be ordered on prescription in the UK from Nova Laborotories Ltd in England. Dr Andrew Twitchell, Tel: 0116 2643783 or 0116 2230100 ext. 3783 is the main contact. If you are treating both hands and feet, you may need to treat each side on a separate day if the side effects are intense. There are various possible side effects but the main ones will be a dry mouth and throat, and possibly eyes and nose. Worse side effects are more likely with tablets or strong concentrations which contain higher doses of the drug. Water can be mixed in to reduce side effects, but this also reduces effectiveness. Anticholinergics are a class of medications that act by preventing acetylcholine from stimulating receptors on the sweat glands. In this way, anticholinergics shield the sweat gland from the action of acetylcholine. One anticholinergic, glycopyrrolate, is unlike the most others in that it does not cross the blood brain barrier and is therefore less likely to produce certain side effects. http://www.sweathelp.org/English/HCP_Treatment_Topical_Anticholinergics.asp Note: you can also crush robinul/avert tablets and add to water instead of using this solution, however this may not be as effective due to undissolved particles. New/future treatment *Administering botox by iontophoresis* This treatment is still in it's early stages. The case study reports this "Can be effective up to 3 months with only one treatment". No numbness of the thumb or other joints reported. The anhidrosis period given suggests the botox is a much stronger method, this could be positive for people with very severe sweating. This could be a good alternative as tap-water treatment is very time consuming, and has limited effect in some people, whilst glycopyrrolate produces undesirable side effects and its effect is also limited in some people. The case study: http://www.sweathelp.org/PDF/BotoxDeliveryByIontophoresis.pdf Article: http://www.sweatsolutions.org/SweatSolutions/Article.asp?ArticleCode=33984200&EditionCode=95129982 Discussion: http://www.esfbchannel.com/phpBB2/viewtopic.php?p=23269#23269 Iontophoresis Machines: Information, discussion and pictures on iontophoresis machines: http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2595 Drionic http://www.drionic.com/ Drionic instruction manual: http://groups.msn.com/hyperhidrosis/drionicinstructions.msnw Buttock electrode option: http://groups.msn.com/hyperhidrosis/hydrohidrosis.msnw?action=get_message&mview=0&ID_Message=1536&LastModified=4675479904306153269 http://www.drionic.com/amputee_sweat.htm Customising the Drionic: http://www.geocities.com/drionicmods/index.html (Includes an order form to buy the machine at a reduced price of $100) i2m laboratories Idrostar, i2ma, iomax 4 i2m website: http://www.transpiration.biz http://www.i2m-labs.com/p_gb/index.htm STD Pharmaceuticals: http://www.stdpharm.co.uk/default.asp?page=machines Idrostar instruction manual: http://www.ajgruppen.no/brukerveiledning_eng_idrostar.pdf Idrostar/general Iontophoresis accessories: http://www.iontophoresis.info/idrostar-accessories.html i2m machines can be bought from STD Pharmaceuticals, England. People buying i2m iontophoresis machines through treatment on the British NHS may have the cost subsidised when the machine is purchased from STD Pharmaceuticals. I reccommend buying rechargable batteries with a power rating of 1500 - 2700mAH for the battery powered machines. R.A. Fischer, MD-1a R.A. Fischer company: http://www.rafischer.com/ Unit instructions: http://www.rafischer.com/share/md1a-manual.pdf Usage manual: http://www.rafischer.com/share/md1a-usage.pdf Safety: http://www.rafischer.com/share/md1a-infopage.pdf Save $25: http://www.sweathelp.org/English/CMN_News_IHHS_Details.asp?newsID=61&Nav=MP A prescription is needed to purchase the Fischer. Idromed 4 To buy: www.beathyperhidrosis.com/idromed4.htm ($899 US free global delivery) To buy: www.iontophoresis-device.com/ (470 Eur). 'child friendly' device available. To buy: www.hybec.com/hospital/Idromed4.htm (£255.00 ex VAT) Instruction manual: http://www.drhoenle.de/pdf/hoenle_idromed_engl.pdf Idromed PS machine discussion: http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2555 It has been noted that some Idromed 4 machines are 110V so a step up converter may be needed (US and UK mains are 230V/240V). IONTEX 3, IONTEX S http://en.kimetec.com/products/iontophoresis-devices *Other Botox (Underarms, less so for hands & feet) Botulinum toxin injections. Specifically for axillary hyperhidrosis. recomended The responses have been as long as 1 year, but in most cases the anhidrosis effect begins to weaken in 4 months. It is usually very expensive unless covered by insurance. It may be used on the hands and feet but with less effect than the armpits. Injections in the hands and feet have been reported to be painful. Slight numbness of the thumb has been reported (caused by injection or diffusion of molecules into thenar muscle). This can account for a slight loss of grip. International HH society article: http://www.sweathelp.org/English/PFF_Treatment_injections.asp* Article: http://www.beautybeforeage.com/botox/botox_nosweat.htm Video about botox (international Hyperhidrosis society): http://www.sweathelp.org/English/palmer_mov.html Electrolysis Electrolysis is used for permanent hair removal. A needle is inserted into into the skin and an electrical current destroys the follicle, but the sweat gland can also be destroyed itself. The drawback of this method is sweat glands are very numerous especially in the hands, so it may take a long time to destroy enough to notice a difference. http://www.socialphobiaworld.com/postp144697.html#144697 *Alternative methods "Anti sweat" for HH A herbal pill to be taken for 3 weeks which claims to cure hyperhidrosis. Website - www.anti-sweat.com Discussion topic - http://www.esfbchannel.com/phpBB2/viewtopic.php?t=1077 A poster's success with compensatory sweating Apple Cider Vinegar, raw, organic honey and distilled water http://groups.msn.com/ExcessiveSweatHH/general.msnw?action=get_message&mview=&ID_Message=20420 Diet Try experimenting by cutting out certain foods. Certain foods and drinks, nicotine, and smells can trigger a response. Caffeine in tea and coffee will trigger sweating, possibily even in small amounts (e.g. caffine in chocolate). Check if you are hypoglycemic: http://www.esfbchannel.com/phpBB2/viewtopic.php?t=936 Taking iron tablets with a banana http://www.socialphobiaworld.com/postt7122.html Dried sage leaves Discussion topic: http://www.esfbchannel.com/phpBB2/viewtopic.php?t=775 Article: http://www.sweatsolutions.org/SweatSolutions/Article.asp?ArticleCode=62908455&EditionCode=29354836 Herbal Herbal medicines may help. It is best to consult a professional. http://www.socialphobiaworld.com/postt9354.html Acupuncture http://www.hyperhidrosis.us/hyperhydrosis-acupuncture.php Hypnotherapy http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2219522&dopt=Abstract Therapy Learning how to deal with anxiety and cope in stressful situations may help. Anxiety relieving medications A forum member explains how he takes certain medications to relive periods of worry. He says it relieves his social anxiety disorder which in turn reduces excessive sweating occuring. http://groups.msn.com/ExcessiveSweatHH/general.msnw?action=get_message&mview=0&ID_Message=21206&LastModified=4675590079758067619action=get_message&mview=0&ID_Message=21206&LastModified=4675590079758067619 Antihidrosin R32 Homeopathic Formula for Symptoms of Excessive Perspiration http://organicpharmacy.org/products/Antihidrosin.R32?PHPSESSID=ae0fafd814331521529b95c34aae148b COREcontrol to help thermoregulation As the video on the website shows you would put your hand in the machine and it would work to reduce hot flushing or the general feeling of being too hot. http://www.avacore.com/about.html *Clothing Certain types of long lasting and disposable clothing and dress-shields are available which prevent sweat soaking through into clothes, leaving noticable marks and uncomfortable moisture. www.kleinertsshields.com www.dressshields.com http://www.newlifeshirts.co.uk/ www.comfywear.com *Other/possible future treatments "Dry Type" iontophoresis A new iontophoresis device was manufactured which did not use tap water to control sweating. http://www.blackwell-synergy.com/doi/abs/10.1111/j.1524-4725.2007.33007.x?cookieSet=1&journalCode=dsu Electrical stimulation of the sympathetic nervous chain A proposed method of treating palmar hyperhydrosis by 'applying an oscillating electric field to the stellate ganglion'. http://www.patentstorm.us/patents/6356786-fulltext.html Genetic techniques A UCLA study in 2002 suggests a strong genetic link to hyperhidrosis. http://www.eurekalert.org/pub_releases/2002-02/uoc--usf022802.php http://www.esfbchannel.com/phpBB2/viewtopic.php?t=486 Stem cells Growing stem cells to repair the damaged sympathetic nervous pathway in ETS patients who suffer with negative side effects. *Surgery ETS surgery Endoscopic Thoracic Sympathectomy. The last resort. This is a procedure that generates conflicting opinions due to a very diverse range of possible side effects. In general terms ETS does not offer a true cure for hyperhidrosis, but usually moves sweat from one area to another - referred to as reflex sweating. But side effects may be much more serve than this as told by post-ETS patients (see ETS & reversals forum link below). Sympathectomy is performed through small keyhole incisions in the underarm area under general anesthesia. Certain sympathetic nerve ganglia are cut/burned/cauterised/severed at the 'T1'-'T5' levels in the thoracic cavity depending on the type of hyperhidrosis in question, thus interrupting the nerve signals which ordinarily would stimulate the body's fight-or-flight response. ETS is generally more successful for hand sweating than for plantar hyperhidrosis and facial blushing. Sufferers with widespread HH have an increased risk of compensatory sweating. Compensatory sweating can almost be expected because ETS does not solve the problem of excessive sweating but relieves it from the area being treated. Another method is ESB/ETS C (endoscopic sympathetic blockade, or sympathectomy clamping method) - clamping the nerves instead of destroying them. This method is to theoretically allow the nervous chain to be restored to its origional state by removing the clamps if undesirable effects develop, or reconstructing the nerve in the future. After quite a short period of time people have reported the sympathetic chain cannot be restored regardless of removing the clamps. In 2003, ETS was banned in its birthplace, Sweden, due to overwhelming complaints by disabled patients. In 2004, Taiwanese health authorities banned the procedure on patients under 20 years of age. From wikipedia - http://en.wikipedia.org/wiki/Endoscopic_thoracic_sympathectomy About ETS: http://www.sweathelp.org/English/HCP_Treatment_ETS_Surgery.asp ETS information by odaban: http://www.odaban.com/surgery-hyperhidrosis-ets.html Anti ETS board: http://groups.msn.com/ExcessiveSweatHH/antiets.msnw Videos of ETS and Hyperhidrosis: http://www.youtube.com/ExcessiveSweating Possible side-effects with surgery: http://www.no-ets.com/sideeffects.html http://www.esfbchannel.com/phpBB2/viewtopic.php?t=602 More side effects and news reports: http://www.drionic.com/surgery.htm Pulse radio frequency sympathectomy The sympathetic nerve is 'zapped' with radio frequencies, instead of being cut or burned as in ETS. The nerve is suppost to grow back, but slightly different to before. http://etsandreversals.yuku.com/topic/3374/t/I-had-Pulse-Radio-Frequency-Sympathectomy-instead-of-ETS.html http://www.socialphobiaworld.com/postt17650.html CT Fluoroscopy This procedure involves the use of needles to make a puncture through the upper back, using CT guidance a phenol-based medication is injected. This interrupts the nerve tracts and nodes that transmit signals to the sweat glands. It involves two injections in the third vertibrae for the hands and two in the lombar region for the feet to destroy the nervous pathway. It has been branded by some as 'chemical Sympathectomy'. This is a dangerous procedure like ETS and should be used as a last resort as the effects of destroying nervous pathways can be difficult to reverse to this date. Article: http://www.medicalnewstoday.com/medicalnews.php?newsid=34310 Discussion on the procedure: http://p069.ezboard.com/fetsandreversalsfrm13.showMessage?topicID=236.topic Excision (Skoog Procedure), curettage, Axillary Liposuction (Underarms) "Curettage and Liposuction are similar. With curettage the sweat glands under the skin are removed by scraping. Liposuction removes glands by suction. Curettage is more effective than liposuction as many of the glands are left behind by suction and grow back within 6 months". The Skoog procedure involves incision and dissection to expose the glands on the underside of the skin. The glands are surgically removed using fine scissors under magnification. The surgeon can see where glands have been removed, and where they have not. The scars are more noticeable with this procedure but it seems to be more effective in making sure all the glands are removed. Information on procedures: http://www.emedicine.com/plastic/topic530.htm Doctor's website: http://www.sweaty-armpit.com/bromhidrosiscure.html Discussion on curettage: http://groups.msn.com/ExcessiveSweatHH/hhboard.msnw?action=get_message&mview=0&ID_Message=20332&LastModified=4675597953964563359 Surgical techniques (particularly ETS surgery) may result in severe compensatory sweating/Reflex sweating (CS), amongst other side effects: Side effects by songboy123: http://groups.msn.com/ExcessiveSweatHH/antiets.msnw?action=get_message&mview=0&ID_Message=18351&LastModified=4675530616930409852 Conclusion Surgical techniques should be the very last option due to the associated risks and the fact that the procedures are difficult to reverse. ETS should be the very last option and should try to be avoided. In my opinion, the best and safest treatments for hyperhidrosis are: Palmar&Plantar - Tap water iontophoresis / Glycopyrrolate, antiperspirants, tablets, botox injections Axillary - roll-on antiperspirants, Odaban, hydrosal gel, tablets, Botox injections, iontophoresis Facial - Secure wipes, Sweat-Stop Aloe Vera Lotion plus+, Hydrosal gel, antiperspirants, tablets Truncal - Secure wipes, Hydrosal gel, antiperspirants, tablets, Drionic machine with truncal iontophoresis device Useful Forums (message boards)/Sites http://etsandreversals.yuku.com ETS & Reversals Discussion Forum http://www.esfbchannel.com/forum/index.html ESFB Channel Discussion Forum http://www.esfbchannel.com/index.php ESFB channel http://www.esfbchannel.com/forum/v01.html Old ESFB channel Forum (read only) http://www.sweathelp.org/English/Index.asp International Hyperhirosis Society http://www.youtube.com/results?search_query=hyperhidrosis&search=Search Hyperhidrosis on YouTube http://groups.msn.com/hyperhidrosis/siteentrance.msnw "Hyperhidrosis" Very informative website http://groups.msn.com/hyperhidrosis/yourwebpage4.msnw 'Hyperhidrosis' Forum http://client4.addonchat.com/sc.php?id=222661 "Hyperhidrosis Chat" http://www.hyperhidrosisuk.org/ Hyperhidrosis support group http://groups.msn.com/ExcessiveSweatHH/messageboard.msnw Excessive Sweat-HH, MSN Board http://groups.msn.com/ExcessiveSweatHH/ Excessive Sweat HH site http://no-ets.com/forums/ A good Forum, lots of information http://no-ets.com/ VERY informative site http://www.esfbchannel.com/phpBB2/viewtopic.php?t=2595 Iontophoresis pictures and information http://www.wethandsclub.com/forum/ wet hands club forum http://www.wethandsclub.com Wet habds club http://editthis.info/corposcindosis/Main_Page Treatise; The Effects of Thoracic Sympathectomy in Humans http://www.truthaboutets.com/Pages/ETSheadlines.html Truth about ETS http://groups.msn.com/ExcessiveSweatHH/etstestimonials.msnw ETS TESTIMONIALS http://pub16.bravenet.com/forum/show.php?usernum=1288879570&cpv=1 HH support Forum http://www.hhsupport.150m.com/index.html HH support http://www.sweatyhands.proboards79.com/ - teen hyperhidrosis Forum http://groups.msn.com/BodyOdorSupport Bromhidrosis (body odor) site http://groups.msn.com/BodyOdorSupport/messageboard.msnw Bromhidrosis Message board http://www.sweaty-palms.com/forum/ Q&A Forum of Dr. Reisfeld http://www.hyperhidrosis.ca/ Information packed site & videos of botox http://www.sweathelp.org/PDF/Mayo_Clinic_Proceedings_Hyperhidrosis.pdf Diagnosis and Treatment of Hyperhidrosis http://www.overmatigzweten.nl/ Dutch Forum http://www.geocities.com/columbian1029/meds101.html HH Medications http://www.neurotoxininstitute.org/chapter_hyperhidrosis.asp About HH and treatments http://cancer.caring4health.com/Knowledgebase/Default.aspx?Category=alltopics&Display=topic&Hwid=nord216 Lots of information and remedies http://www.mf.uni-lj.si/acta-apa/acta-apa-02-1/altman.html Treatment of palmoplantar hyperhidrosis http://www.sweatsolutions.org/PDF/AAFParticle.pdf#search=%22palmoplantar%20hyperhidrosis%20%22 Palmoplantar Hyperhidrosis: A Therapeutic Challenge (pdf file) Please post about any remedies not listed above and links to sites/forums[/i][/url]
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missiwitt		#3	[url]	[-]
Member Posts: 2 10/24/09 06:20 AM	HI! I suffer from Hyperhirosis of the hands and feet and have done since I was a child. After years of embarassment and one incident where a Doctor just laughed at me and said I was just a 'very sweaty' person, I was referred to a specialist. I was delighted to discover that they may be able to help me and they booked me in to receive a series of Botox injections in both my hands and feet. The immediate side effect was a temporary weakness to the muscles of my hands and a loss of dexterity (Difficult when you are an art teacher- but no worse than trying to draw in front of 25 kids whilst the paper soaks up a sea of sweat!) After 2 weeks the results were great - I had increased dexterity and minimal sweating, to the point where my hands were dry and I had to use hand cream. This wore off after around 10 weeks and i went back for a post op where they booked me in again. I returned this week and had my third session booked and the specialist suggested that this method may not be a good long term solution as it is not recommended to go under general anaesthetic with such frequency. It was then he put to me the idea of ETS as a more durable solution. Up until now my knowledge of ETS was limited as I had heard of a procedure which sounds like ETS but thought it had been stopped because of the dangers. The specialist did not mention the potential risks but did talk about collapsing my lungs to peform the procedure and at this alarm bells began to ring. I was hoping somebody may be able to respond with some advice. thanks
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csmess		#4	[url]	[-]
Member Posts: 1195 10/24/09 08:59 AM Administrator	Hi missiwitt, I would encourage you to stick with Botox or other non-surgeical treatments. While many hospitals, clinics and surgeons routinely assert that ETS surgery is associated with only a few, typically mild side effects, decades worth of published medical literature paint a different picture. ETS has been shown to cause many adverse side effects and these side effects are often severe. Be wary of claims of high satisfaction rates for ETS. Those data are collected only a few months after surgery. Long-term studies show very high regret rates over the long term. You can read about the many side effect here on our website. Keep in mind that even for those who don't experience all of these side effects, the surgery doesn't actually cure hyperhidrosis, it just moves it to other places on the body. The most common outcome of this surgery is that a large area of body becomes incapable of perspiring at all and hyperhidrosis problem is displaced to the remainder of the body where it often soaks through clothing. "Compensatory sweating" is the euphemism that surgeons use to describe this displaced hyperhidrosis. The surgery also sympathetically denerves the heart, lungs, airways and vascular smooth muscle leading to a whole host of other adverse side effects. Anyway, that's my advice. Don't take the risk. There are those who escape the surgery without bad side effects and the doctors collect their telephone numbers and use those patients to convince others to take the risk. I urge you not to fall for that ploy. While there is a chance you might escape the bad side effects as well, the chance you'll regret your decision over the long term is quite high. I wish you luck on coping with your condition.
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ugyan		#5	[url]	[-]
Member Posts: 627 10/24/09 01:46 PM	"Depending on which part of the chain becomes overactive, different parts of the body become affected." Is there ANY evidence for this? Was the chain and ganglion of any of the patients ever 'tested'? Where there any measurements taken? I am just curious, because there are several websites that make similar statements - and I often think that they just copy this information from each other. If we have some research on overactive bits within the sympathetic chain, please post it here, we should know about it. If there is none, then it should be stated that this is nothing more than fictionalized medical 'science'. Fake science.
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ugyan		#6	[url]	[-]
Member Posts: 627 10/24/09 02:11 PM	"Depending on which part of the chain becomes overactive, different parts of the body become affected." Is there ANY evidence for this? Was the chain and ganglion of any of the patients ever 'tested'? Where there any measurements taken? I am just curious, because there are several websites that make similar statements - and I often think that they just copy this information from each other. If we have some research on overactive bits within the sympathetic chain, please post it here, we should know about it. If there is none, then it should be stated that this is nothing more than fictionalized medical 'science'. Fake science.
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