Red Whale Primary Care Pod It's getting hot in here... hyperhidrosis. And hepatitis C: curable in more than 95% of affected individuals
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Aug 15, 2025 Dive into the world of hyperhidrosis, a condition that affects quality of life and is often shrouded in stigma. Discover the latest advancements in Hepatitis C treatments, boasting a cure rate over 95%, and learn how to normalize testing to combat transmission. The discussion also emphasizes the importance of patient education and the role of healthcare professionals in addressing these issues. With light-hearted anecdotes and insights, this conversation is both informative and relatable for anyone in primary care.
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Types And Causes Of Hyperhidrosis
- Hyperhidrosis can be localised or generalised and may be primary or secondary.
- Generalised sweating is usually secondary and needs broader investigation.
Assess Thoroughly And Investigate Appropriately
- Take a focused history including distribution, triggers, psychosocial impact and drug history.
- Order targeted tests and consider FBC, U&Es, LFTs, TFTs, HbA1c and a chest X‑ray when nonspecific.
Stepwise Management First In Primary Care
- Start with lifestyle measures and a six‑week trial of topical aluminium chloride antiperspirant at night.
- If that fails, consider oral oxybutynin (start 2.5mg then increase) or refer to dermatology.