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Oxybutynin in primary hyperhidrosis: A long-term real-life study
Ada Regina Trindade Almeida1, Fernanda Ferrari1, Maria Victoria Suarez Restrepo1
1Department of Dermatology, Hospital do Servidor Público Municipal de São Paulo, São Paulo, São Paulo, Brazil.
Oral oxybutynin effectively treats hyperhidrosis (excessive sweating) in adults and children. This long-term study shows significant improvements in quality of life with mild, tolerable side effects.
Area of Science:
- Dermatology
- Pharmacology
Background:
- Hyperhidrosis is excessive sweating impacting quality of life.
- Current treatments may have limitations or side effects.
Purpose of the Study:
- To evaluate the effectiveness, tolerance, and safety of oral oxybutynin for hyperhidrosis.
- To assess long-term outcomes in a real-life setting.
Main Methods:
- A long-term study involving 30 patients with primary hyperhidrosis (HDSS score ≥ 2).
- Patients completed questionnaires on demographics, HDSS scores, and oxybutynin side effects.
- Treatment duration ranged from 1 to 6 years.
Main Results:
- Significant improvement in Hyperhidrosis Disease Severity Scale (HDSS) scores (P < .001).
- Most common forms of hyperhidrosis included axillary, palmoplantar, and cranio-facial.
- Treatment was generally well-tolerated with mild side effects.
Conclusions:
- Oral oxybutynin is an effective and safe treatment option for hyperhidrosis in both pediatric and adult populations.
- Long-term use of oxybutynin demonstrates sustained efficacy and acceptable safety profile.
- Oxybutynin offers a viable therapeutic strategy for improving patient quality of life affected by hyperhidrosis.
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