Hypercare – Usage , drawbacka, precaution, ICD and CPT CODE

HYPERCARE EXTERNAL SOLUTION 20


NDC Drug – Hypercare
Generic Name: aluminum chloride hexahydrate and alcohol

Dosage Form: topical solution

Drysol Dab-O-Matic™ (DOM), Drysol 37.5cc (aluminum chloride hexahydrate 20% w/v topical solution;
Person and Covey Inc.) and Hypercare™ (aluminum chloride hexahydrate 20% w/v topical solution; Stratus
Pharmaceuticals) are approved by the U.S. Food and Drug Administration (FDA) as astringents to assist in
the management of severe hyperhidrosis (axillar, palmar, plantar and craniofacial) and are available by
prescription. Xerac AC (aluminum chloride hexahydrate 20% w/v topical solution; Person and Covey Inc.)
has been approved for milder cases of hyperhidrosis. 

Hypercare
Topical, What of them?

Hypercare or Aluminum Chloride Hexahydate
topical is use as an antiperspirant. It works by affecting the sweat-producing
cells in out body. It treats hyperhidrosis. It is a condition where our body is
producing excessive sweat.

How
to use Hypercare Topical?

It is a medication that should be used in
the skin only. The areas affected of hyperhidrosis should be dried first before
applying the medication. You can dry those areas using a hair dryer if it is
necessary. Follow the instruction given in the package on how the preparation
and then the usage should go. If there is unclear information, you should
consult a pharmacist or a doctor right away.

Make sure that you will not get hypercare medication
in the eyes. This should also not be applied to irritated or broken skin.  Even to the skin that is recently shaved,
this medication should also be avoided. If by any chance, the medication was
applied to these areas, flush it immediately using plenty of water.  

Apply this medication daily during your
bedtime maybe 2 or 3 days. When the sweating is already controlled, would be
once or twice a week depending on what your doctor will advise. Let the
medication dry after application. The medication should be leaved on from 6 to
8 hours. In the morning, you can remove it through soap and water or when you
are treating your scalp, shampoo would be more applicable.  After that, towel it dry. It is also important
to note that while you are using this medication, you are not allowed to use deodorants
or any antiperspirants.


WARNING:

For external use only. Avoid contact with eyes. If irritation or sensitization occurs, discontinue use or consult with a physician. Keep out of the reach of children. Hypercare may be harmful to certain metals or fabrics. Keep away from open flame.

INSTRUCTIONS FOR THE USE OF Hypercare OR MAXIMUM EFFECT:

Your doctor may instruct you to cover the treated area with a saran wrap held in place by a snug fitting “T” or body shirt, mitten or sock (never hold saran in place with tape).
Wash the treated area the following morning.
Excessive sweating may be stopped after two or more treatments. Thereafter, apply Hypercare once or twice a week or as needed.

Hypercare
Drawbacks

This medication was invented to treat an
illness. But like almost everything in the world, this also has its own
setbacks. There are some side effects brought by this medication.

On the first application of this
medication, there may be irritation, mild itching and tingling that will occur.
If there is a persistence of any of these side effects or when it worsens, you
should promptly tell your pharmacist or doctor to seek an advice.

But despite these side effects, according
to statistics, many of the users of this medication do not suffer from any
serious side effect.

There is a rarity in allergic reaction that
is serious with using this hypercare medication. However, when you notice
symptoms, it is advisable to seek some help. Rashes, itching, swelling, trouble
in breathing and severe dizziness is few of those symptoms.

Precautions
on Using Hypercare

In using any medication, you need to have
some precautions to do. It is important so as you will reap benefit from the
medication instead of worsening your condition. This is true in everything even
with aluminium chloride. Here are some of the precautions you should do:

Interactions

How your medication works is affected by
your drug interaction. It can also increase the possibility of facing risk for
some serious side effects.

Deodorants, Tinidazole, Metronidazole,
Disulfiram and any other antiperspirant are some of the products that can interact
with this hypercare drug.

Overdose

There is a harmful effect that can occur
when this medicine is swallowed. If there is an overdose that you are
suspecting, what you need to do is to call to the center for poison control or
the emergency. Do it right away.

It is important to note, that this
medication is not allowed to be shared to anyone.

Missed
Dose

If you happened to miss your dose, take it
as soon as you remembered it. If the time you remember it is just close to the
next dose, skip it and just continue your usual routine. Never double your dose
to catch up. It will not work at all. It will only bring you some risk you are
not ready to face.

Catching up when not necessary should not
be done especially when you are under a medication. There are rules you need to
follow. Do not just jump to conclusion. This may only harm you in more ways
than one.

Hypercare all in all is a good medication.
It was created to treat your excessive sweating. It has been proven that this
medication is really helpful. With excess sweat, you do not feel that confident
with yourself. In times like this treating it is the best way to do.

Aluminum Chloride is the solution and there
is no harm in trying it. The important thing is that you know how to use it and
you have some guidance.   Tell your
doctor about it and ask if he could recommend it you.

Hypercare is a good solution that can help you
in your excessive sweating when you use it wisely and properly. Good results
will fall upon you. It would always boil down to you in the end. Using it
properly and consulting your doctor before applying it can be the solution you
have been looking for your hyperhidrosis. There may be side effects but they
are not that serious. When you take care taking the medication, it will all end
well.

Hypercare is a good and useful drug. We as
the user need to use it wisely for it to really work its magic.  

Primary Focal Hyperhidrosis 

Primary focal hyperhidrosis is defined as excessive sweating induced by sympathetic
hyperactivity in selected areas that is not associated with an underlying disease process. The
most common locations are underarms (axillary hyperhidrosis), palms (palmar hyperhidrosis),
soles (plantar hyperhidrosis), or face (craniofacial hyperhidrosis). 

Teatment of hyperhidrosis is considered not medically necessary in the absence of functional
impairment or medical conditions. 

Treatment (see table) of primary hyperhidrosis may be considered medically necessary with
any of the following medical conditions: 

 acrocyanosis of the hands; or 

 history of recurrent skin maceration with bacterial or fungal infections; or
 history of recurrent secondary infections; or 

 history of persistent eczematous dermatitis in spite of medical treatments with topical
dermatological or systemic anticholinergic agents. 

Treatments Considered Medically
Necessary

 Aluminum chloride 20% solution; 

 Botulinum toxin for severe primary
axillary hyperhidrosis that is
inadequately managed with topical
agents, in patients 18 years and older; 

 Endoscopic transthoracic
sympathectomy (ETS) and surgical
excision of axillary sweat glands, if
conservative treatment (i.e., aluminum
chloride or botulinum toxin individually
and in combination) has failed.

Secondary Hyperhidrosis 

Secondary hyperhidrosis is excessive sweating that can be generalized or craniofacial
sweating, and may occur as a result of olfactory or gustatory stimuli, neurologic lesions,
intrathoracic neoplasms, Raynaud’s disease, and Frey’s syndrome.

ICD CODE

ICD-9
Diagnosis
codes: Code Description 

705.21 Primary focal hyperhidrosis 

705.22 Secondary focal hyperhidrosis 

 ICD-10
Diagnosis
codes: Code Description 

L74510 Primary Focal Hyperhidrosis, Axilla

L74511 Primary Focal Hyperhidrosis, Face 

L74512 Primary Focal Hyperhidrosis, Palms 

L74513 Primary Focal Hyperhidrosis, Soles 

L7452 Secondary Focal Hyperhidrosis

CPT CODE 

Billing/Coding section updated to include CPT code 64999; Unlisted procedure, nervous system




NDC Drug – Hypercare
Generic Name: aluminum chloride hexahydrate and alcohol
Dosage Form: topical solution




NDC Trade Name Labeler Name
54868-0123 Hypercare Physicians Total Care, Inc.
58980-0150 Hypercare Stratus Pharamceuticals, Inc

58980-0155 Hypercare Stratus Pharmaceuticals