Hyperhidrosis - iontophoresis; Excessive sweating - iontophoresis
Iontophoresis is the process of passing a weak electrical current through the skin. Iontophoresis has a variety of uses in medicine. This article discusses the use of iontophoresis to decrease sweating by blocking sweat glands.
The area to be treated is placed into water. A gentle current of electricity passes through the water. A technician carefully and gradually increases the electrical current until you feel a light tingling sensation.
The therapy lasts about 30 minutes and requires several sessions each week.
How iontophoresis works is not exactly known. It is thought that the process somehow plugs the sweat glands and temporarily prevents you from sweating.
Iontophoresis units are also available for home use. If you use a unit at home, be sure to follow the instructions that come with the machine.
Iontophoresis may be used to treat excessive sweating (hyperhidrosis) of the hands, underarms, and feet.
Side effects are rare but may include skin irritation, dryness, and blistering. Tingling may continue even after the treatment has ended.
Farrugia ME, Kavanagh GM. Hyperhidrosis. In: Lebwohl MG, Heymann WR, Coulson IH, Murrell DF, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 6th ed. Philadelphia, PA: Elsevier; 2022:chap 109.
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Diseases of the skin appendages. In: James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 33.
Pollack SV. Electrosurgery. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 140.
BACK TO TOPReview Date: 6/7/2023
Reviewed By: Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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