Premium
Individualized Dosing of Oral Oxybutynin for the Treatment of Primary Focal Hyperhidrosis in Children and Teenagers
Author(s) -
Boz Javier,
MillánCayetano José Francisco,
BlázquezSánchez Nuria,
Troya Magdalena
Publication year - 2016
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12857
Subject(s) - oxybutynin , medicine , hyperhidrosis , dosing , adverse effect , anticholinergic , anesthesia , dermatology , alternative medicine , pathology , overactive bladder
Background/Objectives Oral anticholinergic drugs, such as oxybutynin, are often used in the treatment of hyperhidrosis, but few studies have focused on dosing strategies for children. The objective was to assess the effectiveness and safety of individualized dosing regimens of oral oxybutynin for treating primary focal hyperhidrosis ( PFH ) in children and teenagers. Methods A prospective study was performed including patients who initiated treatment for hyperhidrosis between November 2011 and November 2014. Response to treatment and adverse effects were evaluated using the Hyperhidrosis Disease Severity Scale at baseline and at 3 and 12 months. Results Of 16 patients included in the study, 15 (93.8%) had responded to treatment at the 3‐month follow‐up (62.5% with excellent response). At the 12‐month follow‐up, the 11 patients who continued the treatment were still responding (63.6% with excellent response). Adverse effects were reported for 68.8% of the patients at 3 months and 54.5% at 12 months, with a predominance of oropharyngeal xerosis. No serious adverse effects were observed. Conclusion Dose individualization of oral oxybutynin according to clinical response and tolerance observed in each patient is a useful management strategy in children and teenagers.