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Palmer hyperhidrosis


 

Although the correct term is "palmar hyperhidrosis", many people browsing the Internet type in words like palmer hyperhidrosis . However, no matter if you are looking for palmar or palmer hyperhidrosis, you will find plenty of informational resources such as this website. Hidrosiscure.com offers, besides free information, a variety of links to doctors and medications - feel free to explore the rest our site.

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+ Of 850 patients that experienced sympathectomy endoscopic of transthoracic, 55% to sweat compensatory had (in their greater part in the palmer hyperhidrosis trunk), and 36% to sweat taste had (Drott, 1995). In a similar study of 72 patients that experienced transthoracic sympathectomy endoscopic (T2 or T2 and T3) for the hyperhidrosis of palm grove, the rate of success was 93%; to sweat compensatory occurred in a to burden 99% of patients inside 1 month after the surgery, and after sweating taste occurred in 17% (Lai, 1997).

 

+ The interruption of ganglion T4 for the hyperhidrosis of palm grove is an effective focus that can reduce simultaneously the rate of hyperhidrosis compensatory (Chou, 2005). Thus, sympathectomy T4 can be an effective healing. Its rate of hyperhidrosis compensatory appears notably to be compared low with T2 the nice interruption of ganglionic. An effective processing for such to sweat compensatory is the injection of intradermal of toxin of toxin botulínica (Heckmann, 1998).

 

* The Surgical eradication of the area affected (identified with testing of starch of iodine) removes the glands hyperhidrosis treatments appropriate, with which eliminating to sweat. This technique is especially useful in the hyperhidrosis of axillary.

 

* Subcutaneous Liposuction is other media to remove the glands hyperhidrosis treatments of eccrine responsible palmer hyperhidrosis for hyperhidrosis of axillary. It compared with the classical surgical eradication, this modality has as a result less interruption to the skin that covered, having as a result the smallest surgical scars and an area diminished of the loss of hair (Lillis, 1990).

 

The consultations: Consult a neurosurgeon if sympathectomy is necessary in severe cases of hyperhidrosis that are stubborn to all the other processing.

The Secciónde the MEDICINA7 of 10 Click for here go to the prior section in this Click of the theme for here go to the top of this Click of page for here go to the next section in this theme

Write Clinical Differential Monitoring Information Introduction of Medicine of Processing of Workup Various Bibliography

 

The goals of pharmacotherapy are to reduce the morbosidad and to prevent the complications.

 

Drug the Category: Aldehydes -- These agents reduce sweat denaturing queratina and with which blocking the pores of the glands hyperhidrosis treatments. They have a short-last effect. The sensitizing of the contact is enlarged, especially with formalin. Aldehydes is utilized to treat the palms and the soles; they are not like the troops in the axillae.

Drug the Name

The solution of Glutaraldehyde -- 2% as Cidex. Not as cash but staining less. 20-50% of solution can be diluted to 10% (more effective, especially for feet, but still to stain occurs).

The adult Dose Applies to areas affected 3 times by sem. for 2 sem., then each sem. or prn

The pediatric Dose Administers as in adults

The counter-indications They documented the ultrasensibilidad

The interactions that None reported

The embarrassment C - the Security for the use during the embarrassment has not been established.

The precautions They avoid the contact with eyes or mucous; produces a decoloración brown temporary; can cause local irritation; the thermal disorder can free damaging vapors according to MSDS

Drug the Category: The aluminum composes -- These agents are excessive sweat antiperspirants that are utilized in the administration of hyperhidrosis.

Drug the Name

The chloride of the aluminum (20% of Drysol) -- Certin-Dri palmer hyperhidrosis and Xerac are the products without prescription in low concentrations. Work better if applied to a covered and dry area with plastic at night. It should be washed in the morning. The effect should be noted inside 1 mo.

The adult Dose Applies to the qhs affected of the area for 2-7 prn consecutive during the day; to prevent irritation, drought completely area before the application

The pediatric Dose Administers as in adults

The counter-indications They documented the ultrasensibilidad

The interactions that None reported

The embarrassment C - the Security for the use during the embarrassment has not been established.

The precautions not for application in the broken neither recently shaved skin irritated

Drug the Category: The agents of Anticholinergic -- The use of these agents is avoided generally because they are tolerated badly in the dose required when given sistémicamente. Acetylcholine is the neurotransmitter of preglandular for the secreción of the sweat. These drugs inhibit the binding of acetylcholine to the receiver of the cholinergic. The clinical effects occur generally inside days.

Drug the Name

Propantheline (Professional-Banthine) -- Blocks the action of acetylcholine in postganglionic the parasympathetic places of receiver.

The adult Dose15 offering/tid of PAIR of mg 30 min AC initially; values gradually to carry out

The pediatric Dose did not establish

The counter-indications They documented the ultrasensibilidad to the product or products related; colitis of ulcerative; glaucoma of narrow-angle; the tract obstruction illness of GI or urinary tract; atony intestinal of older people or patients weakened; gravis of miastenia; megacolon toxic; the unstable cardiovascular adjustment in the sharp hemorrhage

The interactions Concurrent antacids diminish the effects; disopyramide concurrent, TCAs, phenothiazides, the corticosteroids, atenolol, digoxin, bretylium, or other drugs with the toxicity of the increase of the activity of anticholinergic; can diminish the efficacy of phenothiazides

The embarrassment C - the Security for the use during the embarrassment has not been established.

The precautions They notify in renal, CNS, or the liver illness; the care in patients and geriatric patients with the syndrome of Down; can cause the urinary retention, the arrhythmia, dysfunction of CNS, the visual changes, xerostomia, the constipation, or intolerance of heat

The confusion can occur in palmer hyperhidrosis geriatric patients; diarrhea can be the early symptom of incomplete intestinal obstruction (in this case, the processing with propantheline would be outside of place and possibly damaging); autonomous neuropathy can occur; the care in the concomitant administration of alkaloids of nightshade, of agents of anticholinergic of synthetic/semisynthetic, of analgesic narcotics, of the type 1 antiarrhythmics, of the antihistamínicos, of phenothiazines, of TCAs, or of other drugs additional adverse effects include heart failure congestiva, heart illness of coronary, the liver or renal illness, rupture of hiatal associate esophagitis of reflux, the hypertension, and the hipertiroidismo

Drug the Name

Glycopyrrolate (Robinul) -- the Acts in the smooth muscle, in CNS, and in secretory glands to the action of blocks of acetylcholine in parasympathetic places.

The adult Dose1-2 offering/tid of PAIR of mg initially, then values to the effective dose; not to exceed 8 mg/D

The trite formulation of lotion impromptu formulated of cream or roll-in; 0,1% of solution applied utilizing iontophoresis

Pediatric dose<12 years: Done not it recommend

>12 years: Administer as in adults

The counter-indications They documented the ultrasensibilidad to the product or products related; colitis of ulcerative; glaucoma of narrow-angle; the tract obstruction illness of GI or urinary tract; atony intestinal of older people or patients weakened; gravis of miastenia; megacolon toxic; the unstable cardiovascular palmer hyperhidrosis adjustment in the sharp hemorrhage

The interactions decreases effects Levodopa; concurrent antacids diminish the effects; disopyramide concurrent, TCAs, phenothiazides, the corticosteroids, atenolol, digoxin, bretylium, or other drugs with the activity of the increase of the activity of anticholinergic; can diminish the efficacy of phenothiazides; Loosens-K the enteric toxicity

The embarrassment B - Generally sure but the benefits should they weigh more than the risks.

The precautions They notify in renal, CNS, or the liver illness; the care in patients and geriatric patients with the syndrome of Down; can cause the urinary retention, the arrhythmia, dysfunction of CNS, the visual changes, xerostomia, the constipation, or intolerance of heat

The confusion can occur in geriatric patients; diarrhea can be the early symptom of incomplete intestinal obstruction (in this case, the processing with propantheline would be outside of place and possibly damaging); autonomous neuropathy can occur; the care in the concomitant administration of alkaloids of nightshade, of agents of anticholinergic of synthetic/semisynthetic, of analgesic narcotics, of the type 1 antiarrhythmics, of the antihistamínicos, of phenothiazines, of TCAs, or of other drugs additional adverse effects include heart failure congestiva, heart illness of coronary, the liver or renal illness, rupture of hiatal associate palmer hyperhidrosis esophagitis of reflux, the hypertension, and the hipertiroidismo

 

   
   
   
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