Recommendations for tap water iontophoresis

Hölzle, Erhard; Hund, Martina; Lommel, Kerstin; Melnik, Bodo C.

doi:10.1111/j.1610-0387.2009.07250.x

Cited by 10 publications

(5 citation statements)

References 11 publications

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“…Although no standard protocol of iontophoresis is currently available, 10 to 30 minutes of treatment time and 3 to 5 times of treatment per week are commonly used 7 . Its therapeutic effect generally appears after 6~15 treatments 4 21 . In this study, after completion of 10 times of active treatment, 92.9% (13/14) of patients showed clinical improvement of hyperhidrosis based on colorimetric method ( Table 2 ) 8 .…”

Section: Discussionmentioning

confidence: 99%

Treatment of Palmar Hyperhidrosis with Tap Water Iontophoresis: A Randomized, Sham-Controlled, Single-Blind, and Parallel-Designed Clinical Trial

Kim

Lee

et al. 2017

Ann Dermatol

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BackgroundPalmar hyperhidrosis is a common disorder of excessive sweating. A number of studies have demonstrated the effectiveness of iontophoresis in the treatment of palmar hyperhidrosis. However, controlled clinical studies on iontophoresis for palmar hyperhidrosis have been limited.ObjectiveTo determine the efficacy and safety of iontophoresis in the treatment of palmar hyperhidrosis with a randomized, sham-controlled, single-blind, and parallel-designed study.MethodsTwenty nine patients with significant palmar hyperhidrosis were enrolled in this study. They received active iontophoresis treatment (group A) or sham treatment (group B). Iontophoresis was performed 20 minutes each time, five times per week, for 2 weeks. Its efficacy was assessed with starch-iodine test, mean sweat secretion rate, and hyperhidrosis disease severity scale.ResultsTwenty-seven of the 29 patients completed the 2-week treatment. After completion of 10 times of treatment, results of the starch-iodine test showed clinical improvement in 92.9% of patients in group A and 38.5% of patients in group B (p=0.001). The mean sweat secretion rate was reduced by 91.8% of patients in group A and by 39.1% of patients in group B (p<0.001). Improvement in quality of life was reported by 78.6% of patients in group A and by 30.8% of patients in group B (p=0.028). In group A, one case of localized adverse event was noted, although no adverse event was encountered in group B.ConclusionTap water iontophoresis could be used as an effective and safe treatment modality for palmar hyperhidrosis.

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Section: Discussionmentioning

confidence: 99%

Treatment of Palmar Hyperhidrosis with Tap Water Iontophoresis: A Randomized, Sham-Controlled, Single-Blind, and Parallel-Designed Clinical Trial

Kim

Lee

et al. 2017

Ann Dermatol

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“…One potential downside is the amount of time initially required (20–30 minutes per session several times per week). Once efficacy has been established, the number of sessions may be decreased to one or two per week . Clinical trials have demonstrated the efficacy and safety of iontophoresis for the treatment of palmar hyperhidrosis.…”

Section: Treatment Of Primary Hyperhidrosismentioning

confidence: 99%

Update of the S1 guidelines on the definition and treatment of primary hyperhidrosis

Rzany

Bechara

Feise³

et al. 2018

J Deutsche Derma Gesell

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Focal hyperhidrosis can have a considerable impact on social and occupational activities and be associated with significant impairment in quality of life. Primary (idiopathic) hyperhidrosis is neither caused by systemic disorders nor by external factors. It usually occurs in areas characterized by a high density of sweat glands such as the axillae and hands. The diagnosis of focal hyperhidrosis is based on history and clinical findings. Supplementary diagnostic tests include gravimetry (measurement of the amount of sweat) and the iodine starch test (which shows the area of sweating). Treatment options consist of topical agents, botulinum toxin A injections, iontophoresis, treatment with radiofrequency, microwaves, or ultrasound as well as surgical procedures (axillary suction curettage, sympathectomy). Systemic agents such as anticholinergics may also be used. Selection of the most appropriate therapeutic approach depends on the site affected, prior treatment as well as the patient's requests.

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“…Abzuwägen ist der Zeitaufwand von 20–30 Minuten pro Anwendung mehrmals pro Woche am Anfang der Behandlung. Bei Eintritt der Wirksamkeit kann die Anwendung auf ein bis zweimal die Woche reduziert werden . Die Wirksamkeit und Sicherheit der Iontophorese ist durch klinische Studien bei der palmaren Hyperhidrose belegt.…”

Section: Therapie Der Primären Hyperhidroseunclassified

Aktualisierung der S1‐Leitlinie zur Definition und Therapie der primären Hyperhidrose

Rzany

Bechara

Feise³

et al. 2018

J Deutsche Derma Gesell

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Zusammenfassung Die fokale Hyperhidrose kann zu erheblichen sozialen und beruflichen Einschränkungen und damit zu einer ausgeprägten Verminderung der Lebensqualität führen. Der primären Hyperhidrose liegen keine internistischen Erkrankungen oder externen Ursachen zugrunde. Sie tritt vor allem im Bereich von Arealen mit einer großen Schweißdrüsendichte wie den Achseln und den Händen auf. Die Diagnose der Hyperhidrose basiert auf der Anamnese und der Klinik. Unterstützt wird die Diagnostik durch Gravimetrie (die Schweißmengenmessung) und den Iod‐Stärke‐Test (der das vom Schwitzen betroffene Areal definiert). Zur Behandlung der primären Hyperhidrose stehen eine Reihe von Verfahren wie die topische Therapie, die Injektionstherapie mit Botulinumtoxin A, die Leitungswasser‐Iontophorese, die Therapie mit Radiofrequenz, Mikrowellen oder Ultraschall bis hin zu den operativen Interventionen wie der axillären Saugkürettage oder der Sympathektomie zur Verfügung. Auch systemische Therapeutika (vor allem Anticholinergika) kommen zur Anwendung. Die Auswahl der geeigneten Behandlungsmaßnahmen sollte individuell auf die Lokalisation, die vorangegangen Behandlungen und die Wünsche des Patienten abgestimmt werden.

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Recommendations for tap water iontophoresis

Cited by 10 publications

References 11 publications

Treatment of Palmar Hyperhidrosis with Tap Water Iontophoresis: A Randomized, Sham-Controlled, Single-Blind, and Parallel-Designed Clinical Trial

Treatment of Palmar Hyperhidrosis with Tap Water Iontophoresis: A Randomized, Sham-Controlled, Single-Blind, and Parallel-Designed Clinical Trial

Update of the S1 guidelines on the definition and treatment of primary hyperhidrosis

Aktualisierung der S1‐Leitlinie zur Definition und Therapie der primären Hyperhidrose

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