Medication Summary
The goals of pharmacotherapy for chromhidrosis are to reduce morbidity and to prevent complications.
Counterirritants
Class Summary
Counterirritants may be used to treat chromhidrosis.
Capsaicin (Dolorac, Zostrix)
Derived from plants of Solanaceae family. May render skin and joints insensitive to pain by depleting substance P in peripheral sensory neurons. Use 0.025% cream.
Neuromuscular blocking agents
Class Summary
These agents inhibit the transmission of nerve impulses at the neuromuscular junction of skeletal muscle and/or autonomic ganglia.
OnabotulinumtoxinA (BOTOX®)
Prevents calcium-dependent release of acetylcholine and produces a state of denervation at the neuromuscular junction and postganglionic sympathetic cholinergic nerves in the sweat glands.
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