Synergy of Techniques


Botulinum, iontophoresis, and aluminium formulations may act synergistically and be used in combination for palmar and plantar hyperhidrosis. In some patients, a combination of iontophoresis, aluminium preparations and botulinum injection may therefore lead to a greater effect than any individually.  This may then allow less frequent injections to be given with a consequent reduction in side effects and cost.