Propantheline Bromide for Hyperhidrosis?

I would recommend the Miradry system for axillary hyperhidrosis. I offer this in my Los Angeles office and have seen very positive results. Raffy Karamanoukian, Los Angeles

    The problem with these anticholinergic side effects, which are frequently worse than the hyperhidrosis.  Botox reduces the hyperhidrosis in a very specific fashion, but the cost is much greater.

Propantheline and glycopyrrolate are used to treat hyperhidrosis and their effect is variable but most insurance companies want atients to try to take one of these anticholinergic medications - their effectiveness is less than 1 in 2 patients and they can have side effects of dry eyes/mouth, palpitations of the heart, abdominal cramps, sexual dysfunction in men (rare), among others and you should get the full list from the pharmacist.

Yes, we use propantheline bromide quite a bit in our sweat clinic (see sweatfree.com.au for dosing). It works well for a short acting drug, especially for hands and feet (feet especially). You should consider BOTOX or even miraDry for your underarms, as they are more reproducible in the outcomes. Is summary-1. P. bromide is great, works in some, not in others2. Use under a Specialist3. Take 15 mg at night, increase to 3 times a day4. Side effects are common- dry mouth, constipation, rare side effects include glaucoma5. Use for short periods, say 2-4 weeks, then give a break. 6. Cheap drug for HH, especially useful for feet. 7. Consider BOTOX for under arms, especially if you live in Australia as this is subsidised if performed by a Specialist Dermatologist RegardsDr Davin Lim Laser, skin and aesthetic dermatologistBRISBANE, Australia