A medical alternative to the treatment of compensatory sweating.
Compensatory sweating after sympathectomy does not have a satisfactory, free-of-secondary-effects treatment. Glycopyrrolate has been successfully used to treat other types of hyperhidrosis. Compensatory sweating after sympathectomy could respond to the topical application of glycopyrrolate. Ten patients were selected with compensatory sweating after sympathectomy. One milliliter of a 2% water solution of topical glycopyrrolate was applied once a day over the affected area and massaged for 30 seconds. Treatment was maintained for 6 weeks. The results were rated using a scale from 1 to 10 of satisfaction at the end of the study. Eight of the 10 treated patients dramatically improved with the topical application of glycopyrrolate. Two patients quit the treatment due to secondary effects (accommodative failure and dry mouth). The results of the study demonstrated that local application of glycopyrrolate might be the treatment of choice for compensatory hyperhidrosis.
Department of Thoracic Surgery, University of Barcelona, Barcelona, Spain.
Esther
E
Cladellas
Marco A
MA
Callejas
Ramon
R
Grimalt
D000287:Administration, Topical; D000328:Adult; D005260:Female; D006024:Glycopyrrolate / Q000008:administration & dosage*; D006801:Humans; D006945:Hyperhidrosis / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D018727:Muscarinic Antagonists / Q000008:administration & dosage*; D013546:Sweating / Q000187:drug effects; D013562:Sympathectomy / Q000009:adverse effects*; D016896:Treatment Outcome
D018727:Muscarinic Antagonists; D006024:Glycopyrrolate