Primary hyperhidrosis – is a pathological condition characterized by excessive sweating of a localized or generalized nature.
To date, the etiology of primary hyperhidrosis has not been established, but dysfunction of the autonomic nervous system probably plays a role in the development of this pathology.
Excessive sweating brings a lot of discomfort to patients and their environment, causing serious socio-psychological problems. According to statistics, about 3% of the population suffers from excessive sweating, and hyperhidrosis is observed in men about 1.5 times more often than in women.
In this article on estet-portal.com, together with the head physician of the clinic – Beauty Clinic by Dr. Nemirovskaya, as well as a member of the Ukrainian Academy of Dermatovenerologists Anna Nemirovskaya will consider modern aspects of the treatment of patients with hyperhidrosis and, in particular, one of the most effective therapeutic methods – botulinum therapy.
Modern aspects of the treatment of primary hyperhidrosis
The first line treatment for primary hyperhidrosis is the use of aluminum chloride antiperspirants.
These remedies are convenient and safe, but unfortunately they are not always effective and may cause unpleasant local reactions.
Botulinum Therapy – it is a modern, safe and effective treatment for primary axillary hyperhidrosis, which can be used as an alternative to the use of aluminum chloride antiperspirants.
Botox® is used for the botulinum therapy procedure; from Allergan Company
BOTOX® – is a botulinum toxin preparation that has FDA registration and can be used to treat patients with primary axillary hyperhidrosis.
Efficacy and safety of BOTOX® in the treatment of primary axillary hyperhidrosis have been proven in double-blind clinical multicentric studies.
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How to determine the zone of maximum sweating: Minor's test
Before the botulinum therapy procedure, it is necessary to determine the zone of maximum sweating. In this regard, the simplest, but quite informative, is the Minor test, or the iodine-starch test.
To conduct the Minor test on the dry skin of the armpits, the doctor applies Lugol's solution and waits for it to dry completely. After that, starch must be sprayed onto the painted area.
The essence of this test is that the sweat that appears on the surface of the skin produces starch staining in a blue tint, thereby indicating the zone of maximum sweating.
The test can be evaluated as early as 5 minutes after the Minor test. It is important to warn the patient that the use of an antiperspirant on the day of botulinum therapy may distort the results of the Minor test.
Botulinum toxin: why poison has no analogues among drugs
Botulinum therapy for hyperhidrosis: practical aspects of the procedure
The procedure of botulinum therapy for primary axillary hyperhidrosis consists in the subcutaneous even injection of 50 units of the reconstituted preparation BOTOX® into the areas of maximum sweating. Injection points should be 1-2 cm apart.
Already a week after the botulinum therapy, patients notice a visible improvement in well-being and a decrease in excessive sweating.
On average, the effect of the use of BOTOX® in the treatment of hyperhidrosis lasts 7.5 months. The minimum interval between botulinum treatments is 16 weeks.
Thus, botulinum toxin therapy is an effective and safe treatment for primary hyperhidrosis, which can significantly improve the quality of life of patients with excessive sweating.
Original drugs of the company "Allergan" You can only purchase from an authorized distributor.
World-wide research: higher doses of BOTOX®
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