CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.
Hyperhidrosis - How up-to-date is this topic?
Changes
Version 1.1, revision planned in 2013.
Last revised in March 2009
October 2010 — minor update. Text has been updated to reflect that aluminium chloride 20% spray is prescribable, but not a licensed medicinal product. Issued in October 2010.
November 2008 to March 2009 — converted from PRODIGY guidance to CKS topic structure. The evidence-base has been reviewed in detail, and recommendations are more clearly justified and transparently linked to the supporting evidence.
Four important new documents have been published since the previous PRODIGY guidance was released:
- An evidence-based review, Treatments for excessive armpit sweating [DTB, 2005].
- A Canadian expert consensus statement, A comprehensive approach to the recognition, diagnosis and severity-based treatment of focal hyperhidrosis: recommendations of the Canadian Hyperhidrosis Advisory Committee [Solish et al, 2007].
- Web-based guidelines from the International Hyperhidrosis Society on the diagnosis and management of primary focal, and generalized, hyperhidrosis [International Hyperhidrosis Society, 2008a; International Hyperhidrosis Society, 2008b; International Hyperhidrosis Society, 2008c].
- A large, randomized, placebo-controlled trial of botulinum toxin type A in the treatment of primary axillary hyperhidrosis [Lowe et al, 2007].
However, there are no major changes to the recommendations.
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