Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic review

Background Primary axillary hyperhidrosis has limited noninvasive and effective treatment, and we present the use of sofpironium bromide as a promising treatment option. We aimed to assess the efficacy and safety of sofpironium in patients with primary hyperhidrosis.Methods We systematically searche...

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Main Authors: Ramez M. Odat, Abdullah Yousef Aldalati, Bara M. Hammadeh, Ayham Mohammad Hussein, Muhammad Idrees, Hamza Marzouk, Sakhr Alshwayyat, Hamdah Hanifa
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Dermatological Treatment
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Online Access:https://www.tandfonline.com/doi/10.1080/09546634.2024.2441258
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author Ramez M. Odat
Abdullah Yousef Aldalati
Bara M. Hammadeh
Ayham Mohammad Hussein
Muhammad Idrees
Hamza Marzouk
Sakhr Alshwayyat
Hamdah Hanifa
author_facet Ramez M. Odat
Abdullah Yousef Aldalati
Bara M. Hammadeh
Ayham Mohammad Hussein
Muhammad Idrees
Hamza Marzouk
Sakhr Alshwayyat
Hamdah Hanifa
author_sort Ramez M. Odat
collection DOAJ
description Background Primary axillary hyperhidrosis has limited noninvasive and effective treatment, and we present the use of sofpironium bromide as a promising treatment option. We aimed to assess the efficacy and safety of sofpironium in patients with primary hyperhidrosis.Methods We systematically searched the databases for Studies that assessed sofpironium bromide in patients with primary axillary hyperhidrosis. Methodological quality was determined using the Cochrane Risk of Bias Assessment tool and Newcastle-Ottowa scale.Results Five studies were included (752 patients). They used 5% sofpironium, except for one study that used 5%, 10%, and 15% sofpironium. Studies have shown a significant difference in the incidence of patients with an HDSS score of 1 or 2 ranging from 53.9% to 86.7% and reported a greater reduction in the mean change in the DLQI score in the sofpironium group. They also noted a more significant reduction in the total gravimetric weight of sweat in the sofpironium group. A 1.5 point or greater improvement in HDSM-Ax score ranged from 48.2% to 69.1%. Serious adverse events were not observed in the intervention group.Conclusion Sofpironium gel provides notable improvements in symptom severity, sweat reduction, and quality of life, with mostly mild localized adverse events.Hyperhidrosis is relatively common, affecting 4.8% of the US population and negatively affects physical, social, and psychological well-being.Sofpironium bromide is recently approved by the FDA for the treatment of primary axillary hyperhidrosisSofpironium bromide showed promising results in terms of safety and efficacy for treating hyperhidrosisWe systematically assessed the use of sofpironium gel reported in five studies (752 patients)Sofpironium gel provides notable improvements in symptom severity, sweat reduction and quality of life, with mostly mild localized adverse events.
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spelling doaj-art-6d18cb4a00d6425c928190cc7d871a832024-12-13T09:15:32ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532025-12-0136110.1080/09546634.2024.2441258Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic reviewRamez M. Odat0Abdullah Yousef Aldalati1Bara M. Hammadeh2Ayham Mohammad Hussein3Muhammad Idrees4Hamza Marzouk5Sakhr Alshwayyat6Hamdah Hanifa7Faculty of Medicine, Jordan University of Science and Technology, Irbid, JordanFaculty of Medicine, Jordan University of Science and Technology, Irbid, JordanFaculty of Medicine, Al-Balqa’ Applied University, Salt, JordanFaculty of Medicine, Al-Balqa’ Applied University, Salt, JordanFaculty of Medicine, Lahore General hospital Lahore, Punjab, PakistanFaculty of Medicine, Jordan University of Science and Technology, Irbid, JordanResearch Center, King Hussein Cancer Center, Amman, JordanFaculty of Medicine, University of Kalamoon, Al_Nabk, SyriaBackground Primary axillary hyperhidrosis has limited noninvasive and effective treatment, and we present the use of sofpironium bromide as a promising treatment option. We aimed to assess the efficacy and safety of sofpironium in patients with primary hyperhidrosis.Methods We systematically searched the databases for Studies that assessed sofpironium bromide in patients with primary axillary hyperhidrosis. Methodological quality was determined using the Cochrane Risk of Bias Assessment tool and Newcastle-Ottowa scale.Results Five studies were included (752 patients). They used 5% sofpironium, except for one study that used 5%, 10%, and 15% sofpironium. Studies have shown a significant difference in the incidence of patients with an HDSS score of 1 or 2 ranging from 53.9% to 86.7% and reported a greater reduction in the mean change in the DLQI score in the sofpironium group. They also noted a more significant reduction in the total gravimetric weight of sweat in the sofpironium group. A 1.5 point or greater improvement in HDSM-Ax score ranged from 48.2% to 69.1%. Serious adverse events were not observed in the intervention group.Conclusion Sofpironium gel provides notable improvements in symptom severity, sweat reduction, and quality of life, with mostly mild localized adverse events.Hyperhidrosis is relatively common, affecting 4.8% of the US population and negatively affects physical, social, and psychological well-being.Sofpironium bromide is recently approved by the FDA for the treatment of primary axillary hyperhidrosisSofpironium bromide showed promising results in terms of safety and efficacy for treating hyperhidrosisWe systematically assessed the use of sofpironium gel reported in five studies (752 patients)Sofpironium gel provides notable improvements in symptom severity, sweat reduction and quality of life, with mostly mild localized adverse events.https://www.tandfonline.com/doi/10.1080/09546634.2024.2441258Sofpironiumprimary hyperhidrosissystematic review
spellingShingle Ramez M. Odat
Abdullah Yousef Aldalati
Bara M. Hammadeh
Ayham Mohammad Hussein
Muhammad Idrees
Hamza Marzouk
Sakhr Alshwayyat
Hamdah Hanifa
Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic review
Journal of Dermatological Treatment
Sofpironium
primary hyperhidrosis
systematic review
title Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic review
title_full Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic review
title_fullStr Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic review
title_full_unstemmed Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic review
title_short Efficacy and safety of sofpironium in treatment of primary hyperhidrosis: a systematic review
title_sort efficacy and safety of sofpironium in treatment of primary hyperhidrosis a systematic review
topic Sofpironium
primary hyperhidrosis
systematic review
url https://www.tandfonline.com/doi/10.1080/09546634.2024.2441258
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