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Frequently Asked Questions

sandra eriksson mirkovic hyperhidrosis
Hidroxa's co-founder Sandra Eriksson Mirkovic is responsible for providing you with answers about iontophoresis and hyperhidrosis. Sandra is a licensed physician with many years of experience in hyperhidrosis. Sandra gained her rich experience through research as well as practicing clinical work.

Questions about the Treatment

No, but many people experience an itching/tingling feeling, like putting their tongue on a battery. Most people describe this as a slight discomfort, but the experience is of course subjective. Start with low current and then increase slowly.

Make sure you do not have any wounds or cuts on your skin. If you do, smaller wounds can be covered with a thick layer of for example Vaseline. Otherwise, the wounds/cuts may hurt. Using the pulsed current function can reduce possible discomfort.

Many users say that they notice results already in the first week. For most people, several weeks of daily treatment may be needed to achieve the full effect.

No. There is generally no known cure for hyperhidrosis (excessive sweating). Surgeries, so-called sympathectomies (ETS) to treat hyperhidrosis of palms and armpits are still performed but should be avoided, due to troublesome or serious side effects. For underarm sweat, there are a couple of methods that are considered to lead to permanent results. You can read more about these on the hyperhidrosis page.

No, studies have shown that this is not the case. On the other hand, it is common for people to leave the routine when the problems decrease and then the sweat problems reappear.

We recommend that you start your treatment with 20 minutes daily for the first few weeks or until you achieve the desired result. However, there are different thoughts regarding how often you need to treat yourself and this probably varies a lot from person to person.

When you have achieved a good treatment effect, you can try to decrease the number of treatments per week gradually. You can aim for 1 treatment per week. Some individuals report that they only treat themselves every three or four weeks, but this is less common.

You can also try another schedule where you perform sessions of 20 minutes for the palms and 40 minutes for the feet day 1, 2, 4, 7, 10, 15, 22, etc. for 4 weeks. Then once a week. It is usually required 12 times until the so-called steady-state, best effect, is achieved. Thus, 3 treatments/week for 4 weeks and then once a week.

Yes. Then you should have both hands in one container of water and both feet in the other. A higher current may be required. How good results are achieved is individual. Generally, the result is better if the hands and feet are treated separately.

The short answer is yes. The slightly longer answer is that the device comes with electrodes for the treatment of hands, feet, and armpits and you need to buy a separate electrode to treat the face.

However, the scientific evidence and clinical experience for the treatment of the face with iontophoresis is not as good as for palms, feet, and armpits.

If you live in a place where the tap water is so-called "soft" water, you may experience poor or no effect of iontophoresis treatment. Then you can try adding 1 teaspoon of salt to each water container before treatment. We recommend everyone to add 1 teaspoon of salt to each water container to ensure that it contains enough ions.

It is important to be systematic when using an iontophoresis machine. All people are different and must find what works for them in terms of water, current, and treatment intervals. In many cases, it works well without any support from us, but other times it takes some patience before finding the right settings. Do not give up and please contact us if you get stuck!

Questions about Ordering

The machine is used in some clinics, mainly in the Nordic countries, but as of today, it can only be purchased online. You can easily order Hidroxa SE 20 iontophoresis machine here

For the Hidroxa SE 20 device, there is 50 days right to withdraw from the purchase. Unfortunately, for accessories purchased separately, we cannot offer open purchase. Read the Terms and conditions for further information.

The warranty is valid for 24 months and covers only original manufacturing defects.

Delivery time for standard delivery is 1-2 workdays within Sweden and 3-7 working days abroad, calculated from the day after you placed your order. You will then receive an SMS or email notification when the package is ready to be picked up. In some countries, the package will be delivered directly to your home address.

If you did not receive your order confirmation shortly after you placed your order, it could mean that something went wrong with your purchase. Contact Hidroxa's customer support for help.

Yes, it is.

Questions about Hyperhidrosis

You can say that there are two main forms of hyperhidrosis: the one that affects young people, and the one that comes later in life. Men and women are affected to about the same extent. When children are affected, it is usually on hands and feet, then armpits and possibly groins/buttocks in their teens, and facial sweating, or more general sweating when you get older. But there are also mixed forms of this condition.

Yes, hyperhidrosis can decrease or disappear over time. Hyperhidrosis can also deteriorate or change over time, for example, by affecting a new area of ​​the body.

There are no blood tests or objective methods that can tell who is suffering from hyperhidrosis. The patient's story is an important part, and sometimes, you can even see the sweating which strengthens the diagnosis, but it is not mandatory to get the diagnosis of hyperhidrosis. Different types of forms, such as HDSS (Hyperhidrosis severity scale) and DLQI (Dermatology life quality index) are often used to estimate the symptoms and the impact on life quality.

Severe sweating, can in some cases, be caused by diseases other than hyperhidrosis. It is therefore important that if you suffer from excessive sweating, especially if this is new to you, you seek medical advice.

Hyperhidrosis is a physical condition, like a lot of other diseases. Actually, there is not much that you can do about how you act or how your life to cure your hyperhidrosis. Although stress can aggravate the symptoms, it is not the cause of hyperhidrosis. The same goes for obesity. In some cases, you sweat more if you have to put a lot of effort into moving because you are heavy, but being overweight is not the cause.

Many overweight people do not sweat a lot, and many slim people are affected by hyperhidrosis. Being happy with life, in general, makes it easier to deal with hyperhidrosis, but never blame yourself or anyone else who suffers from excessive sweating - hyperhidrosis is an illness.

It is a medical condition that needs to be diagnosed by a doctor. You can read a lot on the internet in various forums, but it is important to remember that there may also be other causes of excessive sweating that may need medical treatment. Therefore, you should consult a physician to undergo necessary examinations and tests to exclude other causes of excessive sweating.

No, that's not true. It is regrettable, but the ignorance of hyperhidrosis is great, both among the general public and unfortunately also among healthcare personnel. Hyperhidrosis is an almost forgotten condition and as a physician, I often meet medical colleagues who have not heard of the diagnosis or who do not know that there are treatments available.

The fact that excessive sweating is so stigmatized does not make it better. But, brighter times are ahead. I notice that younger medical colleagues more often have heard of the condition. Still, a great deal of work remains.

Most treatments available today are symptom-relieving treatments. Thus, they focus on relieving the symptoms and not on curing the condition. miraDry is a relatively new treatment that consists of microwaves. This method is primarily tested for the treatment of hyperhidrosis of the armpits and it is believed that it is a method that can give a permanent result. However longer follow-ups are required to be certain.

In the past, so-called sympathectomies were done when cutting nerve fibers to reduce sweating or redness. It produced a permanent result, but many people got a lot of trouble later on with compensatory sweating on large parts of the body. In some countries, sympathectomies are still widely performed. We strongly advise against this type of treatment in most cases.

Injection treatment is a tested and safe method of treating hyperhidrosis. The method has been around for many years. It has been found that treatment with injection can produce few, short-term side effects but no long-term or serious side effects.

In the doses, very diluted, that injection treatment is used, it is a pretty mild drug when it comes to adverse effects. There is also no indication that injection treatment would be carcinogenic, which many might be afraid of. The substance produced by a particular type of bacterium. The body, therefore, has a natural way of breaking down the substance. I, therefore, somewhat jokingly, say that injection treatment can be classified as a herbal remedy that many do not equate to ordinary drugs.

You should not be afraid to be treated with, or let your children be treated with injection, as long as the assessment is done in consultation with a doctor and on the correct indication. For those who still doubt I usually say, inform yourself. Read the facts. But watch what you read. Do not read on alarmist forums online but check the source and who is behind the text.

Yes, it works. Studies show that iontophoresis is very effective in treating hyperhidrosis, especially in the palms, feet, and in the axillae. Up to 90-95% of patients can get a good effect from the treatment, but it is necessary to set aside some time for the treatments in the beginning so that you can find the settings that suit you. The mechanisms behind iontophoresis are not yet fully known.

Previously, it was believed that the ions in the water formed a mechanical block that prevented the sweat from coming out of the sweat glands. Recent studies suggest that iontophoresis increases the threshold value in the nerve cells so that more stimuli is required for an action potential, a signal to the sweat gland, to arise.

We spread as much knowledge as we can here on our website. We are also trying to become more active on social media such as Instagram and Facebook. I, Sandra Eriksson Mirkovic, together with Emmili Yoshiguchi, who suffers from hyperhidrosis, run a podcast in Swedish, “Svettpodden” (The sweat podcast) where we talk about hyperhidrosis and issues connected to the condition. In the future, we hope to do an English version of this concept.

Patient association for hyperhidrosis

If you are affected by hyperhidrosis, you can join the Hyperhidrosis Patient Association in your country/region. More members strengthen the possibility of pushing the issue of hyperhidrosis patients' situations where you live. If you feel comfortable speaking about your pains and problems with hyperhidrosis with your surroundings, it can help you normalize the condition and make others with hyperhidrosis open up.

If you have a person close to you that is affected by hyperhidrosis, it's important to learn how to communicate with your loved ones about their condition. It's critical not to accuse your loved ones of being responsible for their situation because they're stressed or overweight, etc. To discover more about how to deal with these situations, visit SweatHelp.org

Together we can make a difference and make sure that everyone who's affected by hyperhidrosis gets the right diagnosis, the right information, and good help.

Questions about Iontophoresis

Iontophoresis is a method of treating excessive sweating using a machine that uses a very weak electrical current. You sit with your hands or feet in a water bath through which the current passes. Alternatively, in the case of other body parts, such as armpits, damp electrodes are put in the affected area through which the current passes. It is a machine intended primarily for domestic use.

Scientists are not quite sure why it works, but one hypothesis is that the ions in the water form a mechanical blockage that prevents sweat from coming out of the sweat glands, resulting in less sweating. Another theory is that the treatment affects the nerve impulses in the sweat glands which leads to reduced activity in the glands.

Recent studies suggest that iontophoresis increases the threshold value in the nerve cells so that more stimuli is required for an action potential, a signal to the sweat gland, to arise.

Iontophoresis can have a good effect on excessive sweating in up to 90-95% of the patients when used correctly.

Most commonly, people who suffer from excessive sweating, hyperhidrosis, use the method. However, our iontophoresis machine is also used by people in sports, who have milder symptoms of sweating, where sweat reduction gives positive results on performance, such as improved grip function.

Iontophoresis requires time and dedication, at least in the beginning, to get the right settings and thus the best effect. If you know that you do not have the patience or time but instead you are looking for a quick fix, iontophoresis is not the method for you. Over time, once you get into the treatment and achieve what is called the "steady state", the desired effect, you can perform the treatments more seldom and the treatment becomes less time and energy-consuming.

The scientific studies made are mainly focused on hands, armpits, and sometimes feet. There are indications that some individuals have had a good effect when treating other areas, such as the face, but it has not been studied to the same extent.

If you perform the treatments correctly, you can expect (on average) about 12 treatments before noticing a large reduction of sweating in the treated area. Many feel that they now sweat normally and experience an improved quality of life.

Our iontophoresis machine is powered by batteries and is not connected to the wall socket when performing a treatment, as a precautionary measure. If you follow the regulations, not to perform treatments with metal implants your body (in the way of the current, ask us if you are unsure), have a pacemaker or if you are pregnant, you do not have to worry about iontophoresis being dangerous in any way.

Sure, it takes patience in the beginning, but really it's pretty simple. Watch our instructional video to find out more or contact us if you have more questions.

Do not use the machine if you are pregnant (as there are no studies on whether this is safe), have a pacemaker or metal implant in your body (in the way of the current, ask us if you are unsure).