Before starting treatment, remove any jewelry from the target areas to avoid risk of electrical burns, redness or irritation.
Step 1: Place one electrode into each tray
Step 2: Cover each electrode with a towel
Step 3: Connect the banana plug to each electrode while plugging the other cable end into the controller
Step 4: Carefully fill both treatment trays with enough tap water. Normally 500 ml (17 fl. oz.) per tray. Ensure that the sweaty skin surface intended for treatment is in contact with water. Use water between room temperature and warm (20-40 °C / 70-105 °F) according to user comfort
Step 5: Power on the controller, Select a current (Normally 4 to 6 mA) to begin your treatment
Step 6: Take your hands Or feet out of water after 10 minutes treatment. And put your hands or feet into the water again for another 10 minutes treatment. The device is designed to automatically alternate the current’s polarity once your hands or feet is out of water. There is no need to manually reverse the cables.
Note：Using a higher (but still comfortable) current will help you attain results faster. Treatment effectiveness can also vary from one individual to another.
Iontophoresis device is only intended for single-patient use in home therapy. The cleaning procedure as per this section is sufficient.
The device should be cleaned after each use as per the following procedure:
- 1. Clean hands or wear gloves before installing and uninstalling the device.
- 2. Always use a soft cloth for cleaning.
- 3. Before cleaning, ensure the device is turned off and all the cables are disconnected from the controller.
- 4. Wipe the case and controller with a clean, moist cloth. For best results, use a mild regular dish soap. For difficult to reach areas, gently rub with a soft brush or toothbrush.
- 5. Air dry the case and controller.
- 6. Wash electrodes under running water. Use a soft cloth and a mild dish detergent. Remove soap with a cloth.
- 7. Air dry the electrodes.
- 8. For towels: hand or machine wash with common detergent. Squeeze out water and air dry.
Do not use any other cleaning method to clean your device. The provided cleaning procedure was designed to maximize the lifespan of the device.
The normal time frame is 1-2 weeks of treatment before the user start to see a reduction in sweating.
To understand the treatment timelines, have a look at the graph below.
If, after 6 weeks, there is no noticeable improvement, there is a chance the treatment is not working for you. In this case, please contact us for further information.
You can use the machine daily for a quick result, adjusting it to the highest intensity that you find comfortable, until your excessive sweating lessens. Once your hands and feet are consistently dry, you should use the machine less often, setting your own pace until you start to sweat again. After a continued use, you’ll be able to gauge when it’s time for a maintenance treatment.
Note: Using a highest intensity will help you attain results faster. But you should reduce intensity if you experience following side effects
You should reduce the number of sessions once your hands or feet are dry. We recommend that you cease doing sessions once sweating has decreased by about 90%.
Usually, after a week or two, you will begin sweating again. When you do, you should do a session again. If your condition is severe, you may have to do sessions twice a week. After a continued use, you’ll be able to gauge when it’s time for a maintenance session.
When done properly this treatment should not be painful. If you are experiencing pain during treatment you may have the intensity level set too high or increased sensitivity to the treatment.
Be sure to cover irritated or cracked skin with a thin layer of petroleum jelly. Open cuts may be especially sensitive to the treatment so we recommend waiting until they heal before resuming treatments.
That’s actually a good sign! It means that your body is reacting to the treatment. You should feel the positive effects in a few treatments.
Everyone reacts differently. Often your strong hand will have thicker skin than your weaker one. This is because you favor it to do tasks that may build up the skin.
Make sure the top of your fingers and toes are submerged under water. You can also wear cotton gloves or socks to help.
Put in just enough tap water to cover the skin on the palms of your hands and the soles of your feet. Ensuring that the sweating area is wet. The quantity should be around 500ml (17oz) in each half of the briefcase. Putting in too much water can be counter-productive.
No. There must be minerals in the water for the iontophoresis treatment to work. If you are using any kind of filtered or distilled water, you should add add 1/4 teaspoon of baking soda to one liter of your distilled or filtered water.
Normally, you don’t need to add anything to the water to make the treatment work. Although, some people have reported that adding a 1/4 teaspoon of salt or baking soda to the water has helped. If the highest setting still not stronger enough for you, you can try it.
Water temperature didn’t affecting the success of the treatments. Use any temperature water you prefer.
The problem should be caused by the controller was interfered. Please use an Ejection Pin click the reset button inside the controller to get the device reset.
In some cases, you may not have completed enough treatments yet to notice results. Learn more about treatment sessions for hyperhidrosis.
Tap water iontophoresis treatment may not be fully effective if the treated skin is affected by a fungal infection. The most prevalent form of fungal infection is Tinea Pedis, commonly known as Athlete’s Foot.
These types of infections affect a significant amount of hyperhidrosis sufferers. Fungal infections can occur on both the hands and feet. Symptoms might be apparent, but that is not always the case. Known symptoms are blisters, acute sensitivity to heat, itching, stinging, and burning sensations on the affected skin.
The easiest way to detect Athlete’s Foot is by looking for small craters in the skin of the palms, soles, and particularly between the toes.
What to do? Treat the fungal infection first.
Please consult your pharmacist or physician to find a treatment that works for you. Once the fungal infection is completely healed, resume the treatments starting from the Initial Phase.
Iontophoresis machine is a tap-water iontophoresis device. This solution works by directing a small current through the skin, neutralizing the connections between the sweat nerves and sweat glands. For the vast majority of cases, this treatment drastically reduces excessive sweating.
Studies have shown that tap-water iontophoresis devices are extremely effective in the treatment excessive sweating. These studies report that the success rates of the devices can reach 93%, 98,5% and even 100% of people treated for hyperhidrosis.
iontophoresis is “One of the simplest, safest, and most cost-effective treatments of hyperhidrosis.”
The treatment parameters were similar in regards to the current strength, the treatment duration and the treatment frequency. The clinical studies evaluated the efficiency of the treatment both in clinical conditions (at the hospital and the treatment performed by healthcare professionals) and at home (the patients were provided with devices and they performed the treatments by their own).
Here’s what they say:
- Tap-water iontophoresis treatments improves the quality of life significantly during treatment.1
- 92.9% of patients had seen results after two weeks of iontophoresis treatments.2
- 88.9% of patient had positive results, and a majority of the patients found the maintenance programme compatible with their lifestyle.3
- The quality of life of patients was improved in 78.6% of patients after 2 weeks. 4
- Tap-water iontophoresis is a simple, safe and effective therapeutic option for palmoplantar hyperhidrosis.5
- Tap-water iontophoresis is a safe and effective treatment for both palmo-plantar (hands and feet) hyperhidrosis and axillary (underarms) hyperhidrosis in the pediatric population, with minimal side effects.6
- Tap water iontophoresis is an effective method of treatment for primary palmoplantar (hands and feet) and axillary (underarms) hyperhidrosis in paediatric patients.7
- The study demonstrates that tap water iontophoresis controls palmar (hands) hyperhidrosis after a total of eight treatments.8
- Iontophoresis treatment is safe, effective, and easy to use for the treatment of palmar and plantar hyperhidrosis. This technique should be offered to patients with palmoplantar hyperhidrosis prior to surgical intervention or botulinum toxin injection.9
- In summary, this study demonstrates that tap-water iontophoresis suppresses palmar hyperhidrosis. With instructions, tap-water iontophoresis is safe for unsupervised treatment of hyperhidrosis. Iontophoresis is a simple, economic and effective therapy that should be offered to patient for control of palmar hyperhidrosis prior to surgical intervention. Iontophoresis is also a suitable alternative to long-term drug therapy. 83.3% success rate. 10
- At the present, tap-water iontophoresis represents the most effective therapy in hyperhidrosis of palms or soles. Patients with extremely high sweat rates respond to the treatment, no adverse effects were noticed during long-term maintenance treatment, and tap water iontophoresis not only curbs sweating but also abates other discomfortable symptoms, such as lividity, edema and clamminess of palms and soles.11
- We found the treatment to be so effective in axillary (underarms) hyperhidrosis that we would recommend iontophoresisin preference to surgical excision of the sweat-glands.12
- In our view, tap-water iontophoresis is by far more successful in treating hyperhidrosis of palms and soles. In a group of 7 patients, complete relief from excessive sweating was obtained and no treatment failure was observed.13
- Since 1968, tap water iontophoresis has been employed as the method of choice for treating palmoplantar hyperhidrosis.14
- A FDA in 2014 reviewing scientific data on the matter concludes that “all 8 studies reported that tap water iontophoresis effectively reduced sweating in the majority of subjects treated with TWI”.15
2 Kim, Do Hun, Tae Han Kim, Seung Ho Lee, and Ai Young Lee. “Treatment of Palmar Hyperhidrosis with Tap Water Iontophoresis: A Randomized, Sham-Controlled, Single-Blind, and Parallel-Designed Clinical Trial.” Annals of dermatology29, no. 6 (2017): 728-734.
3 Maj, NS WALIA, BS RATHORE Lt Col, and AK JAISWAL Col. “TREATMENT OF PALMOPLANTER HYPERHIDROSIS BY IONTOPHORESIS.” Medical Journal Armed Forces India 56, no. 1 (2000): 27-28.
4 Kim, Do Hun, Tae Han Kim, Seung Ho Lee, and Ai Young Lee. “Treatment of Palmar Hyperhidrosis with Tap Water Iontophoresis: A Randomized, Sham-Controlled, Single-Blind, and Parallel-Designed Clinical Trial.” Annals of dermatology 29, no. 6 (2017): 728-734.
5 Yardi, S. S., U. S. Khopkar, V. A. Phadke, and S. S. Idgunji. “Tap water iontophoresis for palmoplantar hyperhidrosis.” Indian Journal of Dermatology 42, no. 3 (1997): 164-167.
6 Dagash, Haitham, Sinead McCaffrey, Katie Mellor, Agnes Roycroft, and Ingrid Helbling. “Tap water iontophoresis in the treatment of pediatric hyperhidrosis.” Journal of pediatric surgery 52, no. 2 (2017): 309-312.
7 Dogruk Kacar, Seval, Pinar Ozuguz, Selma Eroglu, Serap Polat, and Semsettin Karaca. “Treatment of primary hyperhidrosis with tap water iontophoresis in paediatric patients: a retrospective analysis.” Cutaneous and ocular toxicology 33, no. 4 (2014): 313-316.
8 Karakoç, Yunus, Ertuğrul H. Aydemir, M. Tunaya Kalkan, and Gaye Ünal. “Safe control of palmoplantar hyperhidrosis with direct electrical current.” International journal of dermatology41, no. 9 (2002): 602-605.
9 Safe control of palmoplantar hyperhidrosis with direct electrical current. Karakoç Y, Aydemir EH, Kalkan MT, Unal G. Int J Dermatol. 2002 Sep
10 Stolman, Lewis P. “Treatment of excess sweating of the palms by iontophoresis.” Archives of dermatology 123, no. 7 (1987): 893-896.
11 Hölzle, E., and N. Alberti. “Long-term efficacy and side effects of tap water iontophoresis of palmoplantar hyperhidrosis–the usefulness of home therapy.” Dermatology 175, no. 3 (1987): 126-135.
12 Midtgaard, K. “A new device for the treatment of hyperhidrosis by iontophoresis.” British Journal of Dermatology 114, no. 4 (1986): 485-488.
13 Hölzle, E., and T. Ruzicka. “Treatment of hyperhidrosis by a battery-operated iontophoretic device.” Dermatology 172, no. 1 (1986): 41-47.
14 Hölzle, E. “Leitungswasseriontophorese.” Der Hautarzt 63, no. 6 (2012): 462-468.
15 National Archives and Records Administration. “Reclassification of Iontophoresis Devices Intended for Any Other Purposes.” Office of the Federal Register (accessed September 1, 2018).
DO NOT use this device if you have any of the following conditions:
- Cardiac pacemake
- ICD (implantable cardioverter defibrillator)
- Suspected or diagnosed heart problems (e.g. cardiac arrhythmia)
- Seizure disorders (epilepsy)
- Pregnant or suspected pregnancy
- Metal-containing intrauterine device (IUD)
- Metallic implants
- Large skin lesions and lesions that cannot be covered with petroleum jelly
- Numbness in the treated areas
- Infections or irritated skin
- Impaired sensation in hands, underarms or feet (e.g. polyneuropathy)
- Malignant disorders in the area of application
- Severe vascular disorders (e.g. local inflammation or thrombosis)
NOTE: If in doubt, please contact your health professional.
Hyperhidrosis iontophoresis treatment is a safe and painless procedure. Some people may experience the following temporary side effects:
- 1. Irritation, skin reddening (erythema), burning sensation, small blisters (vesiculation), and itching (pruritus). Wait until symptoms disappear completely before starting your next treatment.
- 2. Tingling and stinging sensations.
- 3. Muscle numbness (paresthesia) may occur.
- 4. Slight pain could be felt at the beginning of the treatment or after the polarity alternating sequence.
If you feel any of the above side effects, reduce intensity during next treatment.
- 5. Increased sweating: After the first few treatments, you may experience an increase in sweating. This symptom will subside after a few treatments.
- 6. Skin dryness: Skin may become dry, small lesions or scaling may occur. To reduce these symptoms, use a moisturizing cream after treatments.
If you experience other side effects, please stop using the device and contact iontocure customer service immediately.
Tap water iontophoresis treatment may not be effective if the treated skin is affected by a fungal infection. The most prevalent form of fungal infection is Tinea Pedis, commonly called Athlete’s Foot.
These types of infections affect a significant amount of hyperhidrosis sufferers. Fungal infections can occur both on hands and feet. Symptoms might be apparent, but that is not always the case. Known symptoms are blisters, acute sensitivity to heat, itching, stinging, and burning sensations on the affected skin.
The easiest way to detect Athlete’s Foot is by looking for small craters in the skin of the palms, soles, and particularly between the toes.
What to do?
Treat the fungal infection first.
Please consult your pharmacist or physician to find a treatment that works for you.
Once the fungal infection is completely healed, resume the treatments starting from the Initial Phase.
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