Good article but there seems to be no reflection of NHS funding restrictions, availability of treatments or the ability of normal GPs to manage this without referral. In our area iontophoresis ceased being available on the nhs, having previously been provided by physiotherapists, and some patients seem to be happy to buy the kits after referral to the hyperhidrosis website. Why do GPs need to refer before prescribing oxybutinin? Botox is not available on the nhs for treatment as deemed to be a low priority procedure. Glycopyrrrolate is, I think, only available as a 'special' and is very expensive to the nhs.
Rapid Response:
Re: Diagnosis and management of hyperhidrosis
Good article but there seems to be no reflection of NHS funding restrictions, availability of treatments or the ability of normal GPs to manage this without referral. In our area iontophoresis ceased being available on the nhs, having previously been provided by physiotherapists, and some patients seem to be happy to buy the kits after referral to the hyperhidrosis website. Why do GPs need to refer before prescribing oxybutinin? Botox is not available on the nhs for treatment as deemed to be a low priority procedure. Glycopyrrrolate is, I think, only available as a 'special' and is very expensive to the nhs.
Competing interests: No competing interests