**removed**
Banned
The secretion of sweat is controlled by the sympathetic nervous system, specifically, 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, far higher than needed to keep a constant temperature. This condition is referred to as hyperhidrosis - excessive sweating.
There are two types of hyperhidrosis: primary/idiopathic (unknown cause) and secondary (known cause). Secondary hyperhidrosis 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.
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 (Raynaud's), 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).
Topical Applications - Antiperspirants
These usually contain aluminium chloride and are often successful when used for underarm sweating.
Driclor Roll on applicator.
www.driclor.org.uk
Certain Dri Roll on applicator.
www.certaindri.com
Drysol Roll on applicator.
www.buydrysol.com
Maxim Roll on applicator.
www.maximteam.com
Anhydrol Forte Roll on applicator.
www.netdoctor.co.uk/medicines/100000141.html
30% Aluminium chloride solution (or stronger)
A prescription made by a dermatologist or pharmacist.
Odaban
A spray - noted to be less irritation than roll on applicators.
www.odaban.com
MegaDry Roll on applicator.
www.megadry.com
The dermatolgist who developed Megadry: http://etsandreversals.yuku.com/reply/1061/t/New-MegaDry-antiperspirant.html#.UVI7QDfciyM
Alternative Topical Remedies
Products containing some chemicals other than aluminium chloride.
Secure Wipes (topical glycopyrrolate)
These are a tissue which is wiped across the area. The active ingredient is glycopyrrolate.
www.pharmacy.ca
'Sweat-Stop' (bodyspray and lotion)
A spray and a facial lotion used for excessive perspiration.
www.sweat-stop.com
PerspireX Underarm roll On / Hand and foot Lotion
www.perspirex.co.uk
Lazerformalyde (10% formaldehyde)
A product used for excessive sweating of the feet.
Topical Creams and Gels
Glycopyrrolate Cream
Glycopyrrolate is an anticholinergic compound. This topical version is available in the UK from Nova Laboratories in strengths ranging from 0.01% to 10%.
Dehydral Cream
Used on the feet.
www.brandmeds.com/dehydral.html
Hydrosal Gel
A gel containing salicylic acid which is meant to enhance the penetration of aluminum chloride. The absence of ethanol may reduce irritation.
www.hydrosalgel.com
Oral Medications
Oral medications: www.excessive-sweating.net/sweat_oralmed.html
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.nhs.uk/medicine-guides/p...ition=Sweating&medicine=Propantheline bromide
Robinul - 1 mg Glycopyrrolate
www.askapatient.com/viewrating.asp?drug=12827&name=ROBINUL
Robinul Forte - 2 mg Glycopyrrolate
Avert (Glycopyrrolate) - ranging from 0.5 mg - 2.0 mg
www.pharmacy.ca/
Beta Blockers (Propranolol)
Beta-blockers may be helpful when history indicates that symptoms are precipitated or exacerbated by stress.
Iontophoresis
This involves placing the hands and/or feet into shallow trays filled with water, whilst a small electrical current is passed into metal plates and the water. After initial treatments dryness can last for up to 3 weeks in applied areas. Maintenance treatments should be carried out as required to maintain dryness.
www.sweathelp.org/en/hyperhidrosis-treatments/iontophoresis
www.nhs.uk/Conditions/Hyperhidrosis/Pages/Treatment.aspx
The water in your area can affect the effectiveness of the treatment. Hard water contains more minerals which are an important factor. To increase effectiveness with soft water, baking soda or sea salt can be added.
Studies show Iontophoresis with 0.05% glycopyrronium bromide solution (Glycopyrrolate) (or a stronger concentration) to be significantly superior to tap water in suppression of palmoplantar hyperhidrosis.
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15527429&dopt=Abstract
This solution can be used when tap water iontophoresis is unsuccessful. The solution can be re-used a few times. It can be ordered on prescription in the UK from Nova Laborotories.
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 most others in that it does not cross the blood brain barrier and is therefore less likely to produce certain side effects.
www.sweathelp.org/English/HCP_Treatment_Topical_Anticholinergics.asp
Possible Future Treatment Administering botox by iontophoresis
This treatment is still in it's early stages. The case study reports it "can be effective up to 3 months with only one treatment".
The case study: http://sweathelp.org/pdf/BTX_ionto_Br_J-Derm_2004_.pdf
Iontophoresis Machines:
Drionic
www.drionic.com/
Drionic instruction manual: www.flickr.com/photos/dryconfidence/6134275872/
Customising the Drionic: www.oocities.org/drionicmods/index.html
(Includes an order form to buy the machine at a reduced price of $100)
i2m laboratories
www.iontophoresis.info/
www.stdpharm.co.uk/iontophoresis-machines
Idrostar instruction manual: http://www.iontophoresis.info/wp-content/uploads/2012/04/IdrostarManual.Jan10.pdf
R.A. Fischer, MD-1a
R.A. Fischer company: www.rafischer.com/
Unit instructions: www.rafischer.com/share/md1a-manual.pdf
Usage manual: www.rafischer.com/share/md1a-usage.pdf
Safety: www.rafischer.com/share/md1a-infopage.pdf
A prescription is needed to purchase the Fischer.
Idromed 4 / 5
www.iontophoresis-device.com
http://www.hybec.com/hospital/Idromed5Paypal.htm
http://www.beathyperhidrosis.com/idromed4.htm
Idromed 4 operating instructions: http://beatpsoriasis.com/forms/idromedGS.pdf
Review of the Idromed: www.no-ets.com/idromed-hyperhidrosis.html
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
Botulinum toxin injections. This is mainly for underarm sweating. The anhidrosis effect usually begins to weaken in 4-6 months.
www.sweathelp.org/en/hyperhidrosis-treatments/botox
www.hyperhidrosisuk.org/treatment-options/botox.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.
Clothing
Clothing and dress shields are available which prevent sweat soaking through into clothes.
www.kleinertsshields.com
www.sweatguard.co.uk/dress_shields
www.newlifeshirts.co.uk/
www.comfywear.com
Alternative Methods
Diet
Try experimenting by cutting out certain foods (consult a doctor first).
Dried Sage leaves
http://www.drweil.com/drw/u/QAA400958/Sage-for-Excess-Sweating.html
Herbal
Herbal medicines may help. It is best to consult a professional.
www.sweatyhands.proboards.com/thread/203
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
This could help if a patient has a history of anxiety which triggers sweating.
Antihidrosin R32
Homeopathic Formula for Symptoms of Excessive Perspiration
www.my-ayurvedic.com/index.php?route=product/product&product_id=143
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.
www.avacore.com
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/do...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.
www.eurekalert.org/pub_releases/2002-02/uoc--usf022802.php
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. This is generally considered the last resort due to a wide range of possible, sometimes severe 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. Side effects may be much more serve than this (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 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.
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
Possible side-effects with surgery:www.no-ets.com/sideeffects.html
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/top...o-Frequency-Sympathectomy-instead-of-ETS.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. As with ETS this procedure should be used as a last resort.
Discussion - http://etsandreversals.yuku.com/forum/viewtopic/id/1915
Excision (Skoog Procedure), Curettage, Axillary Liposuction
"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 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
Useful Forums and websites
www.etsandreversals.yuku.com ETS & Reversals Discussion Forum
www.esfbchannel.invisionzone.com ESFB Channel Discussion Forum
www.esfbchannel.com ESFB channel
www.sweathelp.org/English/Index.asp International Hyperhidrosis Society
www.ncbi.nlm.nih.gov/pubmed/ pubmed medical articles
www.youtube.com/results?search_query=hyperhidrosis&search=Search Hyperhidrosis on YouTube
www.hyperhidrosisuk.org Hyperhidrosis support group
www.no-ets.com/forums/ Very good Forum
www.verysweatybetty.com/forum - 'Sweaty Betty' Forum
www.sweatyhands.proboards.com - Teen Hyperhidrosis Forum
www.wethandsclub.com/forum Wet Hands Club Forum
www.wethandsclub.com Wet Hands Club
http://pub16.bravenet.com/forum/show.php?usernum=1288879570&cpv=1 HH support Forum
http://editthis.info/corposcindosis/Main_Page The Effects of Thoracic Sympathectomy
www.truthaboutets.com/Pages/ETSheadlines.html Truth about ETS
http://groups.msn.com/ExcessiveSweatHH/etstestimonials.msnw ETS TESTIMONIALS
www.hyperhidrosis.ca Includes videos of botox
www.overmatigzweten.nl Dutch Forum
There are two types of hyperhidrosis: primary/idiopathic (unknown cause) and secondary (known cause). Secondary hyperhidrosis 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.
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 (Raynaud's), 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).
Topical Applications - Antiperspirants
These usually contain aluminium chloride and are often successful when used for underarm sweating.
Driclor Roll on applicator.
www.driclor.org.uk
Certain Dri Roll on applicator.
www.certaindri.com
Drysol Roll on applicator.
www.buydrysol.com
Maxim Roll on applicator.
www.maximteam.com
Anhydrol Forte Roll on applicator.
www.netdoctor.co.uk/medicines/100000141.html
30% Aluminium chloride solution (or stronger)
A prescription made by a dermatologist or pharmacist.
Odaban
A spray - noted to be less irritation than roll on applicators.
www.odaban.com
MegaDry Roll on applicator.
www.megadry.com
The dermatolgist who developed Megadry: http://etsandreversals.yuku.com/reply/1061/t/New-MegaDry-antiperspirant.html#.UVI7QDfciyM
Alternative Topical Remedies
Products containing some chemicals other than aluminium chloride.
Secure Wipes (topical glycopyrrolate)
These are a tissue which is wiped across the area. The active ingredient is glycopyrrolate.
www.pharmacy.ca
'Sweat-Stop' (bodyspray and lotion)
A spray and a facial lotion used for excessive perspiration.
www.sweat-stop.com
PerspireX Underarm roll On / Hand and foot Lotion
www.perspirex.co.uk
Lazerformalyde (10% formaldehyde)
A product used for excessive sweating of the feet.
Topical Creams and Gels
Glycopyrrolate Cream
Glycopyrrolate is an anticholinergic compound. This topical version is available in the UK from Nova Laboratories in strengths ranging from 0.01% to 10%.
Dehydral Cream
Used on the feet.
www.brandmeds.com/dehydral.html
Hydrosal Gel
A gel containing salicylic acid which is meant to enhance the penetration of aluminum chloride. The absence of ethanol may reduce irritation.
www.hydrosalgel.com
Oral Medications
Oral medications: www.excessive-sweating.net/sweat_oralmed.html
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.nhs.uk/medicine-guides/p...ition=Sweating&medicine=Propantheline bromide
Robinul - 1 mg Glycopyrrolate
www.askapatient.com/viewrating.asp?drug=12827&name=ROBINUL
Robinul Forte - 2 mg Glycopyrrolate
Avert (Glycopyrrolate) - ranging from 0.5 mg - 2.0 mg
www.pharmacy.ca/
Beta Blockers (Propranolol)
Beta-blockers may be helpful when history indicates that symptoms are precipitated or exacerbated by stress.
Iontophoresis
This involves placing the hands and/or feet into shallow trays filled with water, whilst a small electrical current is passed into metal plates and the water. After initial treatments dryness can last for up to 3 weeks in applied areas. Maintenance treatments should be carried out as required to maintain dryness.
www.sweathelp.org/en/hyperhidrosis-treatments/iontophoresis
www.nhs.uk/Conditions/Hyperhidrosis/Pages/Treatment.aspx
The water in your area can affect the effectiveness of the treatment. Hard water contains more minerals which are an important factor. To increase effectiveness with soft water, baking soda or sea salt can be added.
Studies show Iontophoresis with 0.05% glycopyrronium bromide solution (Glycopyrrolate) (or a stronger concentration) to be significantly superior to tap water in suppression of palmoplantar hyperhidrosis.
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15527429&dopt=Abstract
This solution can be used when tap water iontophoresis is unsuccessful. The solution can be re-used a few times. It can be ordered on prescription in the UK from Nova Laborotories.
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 most others in that it does not cross the blood brain barrier and is therefore less likely to produce certain side effects.
www.sweathelp.org/English/HCP_Treatment_Topical_Anticholinergics.asp
Possible Future Treatment Administering botox by iontophoresis
This treatment is still in it's early stages. The case study reports it "can be effective up to 3 months with only one treatment".
The case study: http://sweathelp.org/pdf/BTX_ionto_Br_J-Derm_2004_.pdf
Iontophoresis Machines:
Drionic
www.drionic.com/
Drionic instruction manual: www.flickr.com/photos/dryconfidence/6134275872/
Customising the Drionic: www.oocities.org/drionicmods/index.html
(Includes an order form to buy the machine at a reduced price of $100)
i2m laboratories
www.iontophoresis.info/
www.stdpharm.co.uk/iontophoresis-machines
Idrostar instruction manual: http://www.iontophoresis.info/wp-content/uploads/2012/04/IdrostarManual.Jan10.pdf
R.A. Fischer, MD-1a
R.A. Fischer company: www.rafischer.com/
Unit instructions: www.rafischer.com/share/md1a-manual.pdf
Usage manual: www.rafischer.com/share/md1a-usage.pdf
Safety: www.rafischer.com/share/md1a-infopage.pdf
A prescription is needed to purchase the Fischer.
Idromed 4 / 5
www.iontophoresis-device.com
http://www.hybec.com/hospital/Idromed5Paypal.htm
http://www.beathyperhidrosis.com/idromed4.htm
Idromed 4 operating instructions: http://beatpsoriasis.com/forms/idromedGS.pdf
Review of the Idromed: www.no-ets.com/idromed-hyperhidrosis.html
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
Botulinum toxin injections. This is mainly for underarm sweating. The anhidrosis effect usually begins to weaken in 4-6 months.
www.sweathelp.org/en/hyperhidrosis-treatments/botox
www.hyperhidrosisuk.org/treatment-options/botox.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.
Clothing
Clothing and dress shields are available which prevent sweat soaking through into clothes.
www.kleinertsshields.com
www.sweatguard.co.uk/dress_shields
www.newlifeshirts.co.uk/
www.comfywear.com
Alternative Methods
Diet
Try experimenting by cutting out certain foods (consult a doctor first).
Dried Sage leaves
http://www.drweil.com/drw/u/QAA400958/Sage-for-Excess-Sweating.html
Herbal
Herbal medicines may help. It is best to consult a professional.
www.sweatyhands.proboards.com/thread/203
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
This could help if a patient has a history of anxiety which triggers sweating.
Antihidrosin R32
Homeopathic Formula for Symptoms of Excessive Perspiration
www.my-ayurvedic.com/index.php?route=product/product&product_id=143
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.
www.avacore.com
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/do...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.
www.eurekalert.org/pub_releases/2002-02/uoc--usf022802.php
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. This is generally considered the last resort due to a wide range of possible, sometimes severe 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. Side effects may be much more serve than this (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 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.
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
Possible side-effects with surgery:www.no-ets.com/sideeffects.html
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/top...o-Frequency-Sympathectomy-instead-of-ETS.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. As with ETS this procedure should be used as a last resort.
Discussion - http://etsandreversals.yuku.com/forum/viewtopic/id/1915
Excision (Skoog Procedure), Curettage, Axillary Liposuction
"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 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
Useful Forums and websites
www.etsandreversals.yuku.com ETS & Reversals Discussion Forum
www.esfbchannel.invisionzone.com ESFB Channel Discussion Forum
www.esfbchannel.com ESFB channel
www.sweathelp.org/English/Index.asp International Hyperhidrosis Society
www.ncbi.nlm.nih.gov/pubmed/ pubmed medical articles
www.youtube.com/results?search_query=hyperhidrosis&search=Search Hyperhidrosis on YouTube
www.hyperhidrosisuk.org Hyperhidrosis support group
www.no-ets.com/forums/ Very good Forum
www.verysweatybetty.com/forum - 'Sweaty Betty' Forum
www.sweatyhands.proboards.com - Teen Hyperhidrosis Forum
www.wethandsclub.com/forum Wet Hands Club Forum
www.wethandsclub.com Wet Hands Club
http://pub16.bravenet.com/forum/show.php?usernum=1288879570&cpv=1 HH support Forum
http://editthis.info/corposcindosis/Main_Page The Effects of Thoracic Sympathectomy
www.truthaboutets.com/Pages/ETSheadlines.html Truth about ETS
http://groups.msn.com/ExcessiveSweatHH/etstestimonials.msnw ETS TESTIMONIALS
www.hyperhidrosis.ca Includes videos of botox
www.overmatigzweten.nl Dutch Forum
Last edited: