scott
Joined: 28 Jan 2010
Posts: 8
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 Posted: Wed Jul 04, 2012 2:13 pm Post subject: Truncal Hyperhidrosis and Glycopyrrolate use |
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Hi, we have a patient who has been prescribed Glyco for their multiple-location Hyperhidrosis. Using the PSP1000 for hands, and feet is simple enough but there is a question on how to use iontophoresis with Glyco when treating sweating of the back.
Would a person soak the Hidrex large area treatment pads in the standard 0.5% solution and then apply to the skin on the back and perform treatments?
Also, any advice on the best way to apply electrodes to this area? |
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support
Site Admin
Joined: 20 Mar 2008
Posts: 3748
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| Posted: Wed Jul 04, 2012 2:43 pm Post subject: |
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Dear scott, for the strength of the dissolved Glycopyrrolate the doctor is responsible in the first place, however it goes - As always with Iontophoresis - the guideline is: no success: too less / too low frequency or time.
The appliance for the large area treatment pad is easy as there is a hook-and-pile fastener that should normally fix all kind of problems (as the area is not much larger than both the pads 20*18 cm are) up to a waist size of 120 cm, if this is too little we can prolong this to "never-end".
If you do it this way you can place on one pad the Glycopyrrolate solution and on the other pad normal tap-water. The side with the tap water is then placed in the abdominal region, the other pad with the Glycopyrrolate is on the back where the excessive sweating appears. If it is only a small area (to avoid systemic side effects) you should ensure that the Glycopyrrolate is placed only in this area, you can also do a cutout for areas you don't want to treat, as long as the whole surface is a minimum of 200 cm2 big.
You can also place both applicators on the back, then in standard you should not have a waist above 95 cm, if so the user can cut the hook-and-pile fastener that is not needed and enhance with them the possible waist size to appr. 115 cm. If both pads were placed on the back, you should put the Glyco where the sweat appears, so that you don't treat areas that do not sweat, so here a cutout like described above can be performed, here again: 200 cm2 must be left in minimum.
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Last edited by support on Thu Mar 07, 2013 5:47 pm; edited 3 times in total |
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