How To Use The Fischer: Underarms

The Fischer: Underarms is a modern, metal-free iontophoresis device. Silicone-graphite electrodes with soft sponge pad inserts deliver a better, faster, and safer experience for axillary hyperhidrosis patients. Soft-touch and designed to contour to your underarms, these state-of-the-art underarm attachments ensure treatment is delivered consistently across your skin’s surface area. This how to article reviews setup and treatment:


  1. First, clean your underarms by removing ointments, creams, and/or cosmetics.
  2. Soak the sponge pad sleeves in tap water, but don’t wring them out! The wetter the better as this helps ensure current flow.
  3. Take each of the axillary electrodes and insert them into the sponge pad sleeves. Make sure they are completely pushed in.
  4. Plug The Fischer control unit into the wall and power it on.
  5. Plug the axillary electrode cables into the connectors E1 and E2 located at the back of the control unit.
  6. Set treatment timer to 15-20 minutes
  7. Set power level. It’s important to treat at a level that’s comfortable for you. Most patients begin low at 1-3 mA and gradually increase over time.
  8. You’re now ready to begin treatment. Insert an attachment (sponge pad sleeve + electrode) under each arm, with the connector cables pointing to the front. Keep them in place by applying slight pressure with your arms.
  9. After your treatment timer reaches zero and you hear the beep, remove the attachments from under your arms.
  10. Power The Fischer off, because you’re finished!


Please refer to The Fischer instruction manual for full details on setup and treatment. Questions? Contact our Treatment Specialists today!


How To Use The Fischer: Hands & Feet

The Fischer is a modern, metal-free iontophoresis device for treating palmar and plantar hyperhidrosis, aka excessively sweaty hands and feet. This how to article reviews setup and treatment:


  1. Plug the main control unit into the wall and turn it on.
  2. Place the water bath trays on a level surface.
  3. Connect an electrode cable to each electrode.
  4. Plug electrode cords into connectors E1 and E2 at the back panel of the main control unit.
  5. Place an electrode into each water bath tray. Although it doesn’t matter which electrode goes where, for ease of use, place the electrode plugged into E1 in the left water bath tray and the electrode plugged into E2 in the right water bath tray.
  6. Cover each electrode with a blue foam insert.
  7. Fill both water bath trays with tap water (approx. 2-5 cups) so that the foam mats are damp. A good sign that you’ve added the right amount of water: the palms of your hands and/or soles of your feet are completely wet and the outsides of your fingers and/or toes are partially covered. Unless you suffer from sweating on the tops of your hands and/or feet, refrain from submerging your entire hand/foot in water.
  8. Set the treatment timer.
  9. Set your power level.
  10. Set the current to Direct Current
  11. Set the polarity switch to Auto
  12. Place both hands/feet into the water bath trays
  13. On the main control unit, you’ll notice the Active Treatment Display (ATD) light up with two bars. These display in real-time that the treatment is working and when you’ve reached the preset power level.
  14. Treat for 15-20 minutes per session. Once the timer reaches zero, wait for the beep.
  15. Remove your hands and feet.
  16. Turn off The Fischer, because your treatment is finished!

Please refer to The Fischer instruction manual for full details on setup and treatment. Questions? Contact our Treatment Specialists today!

At-Home Hyperhidrosis Solutions During Coronavirus Social Distancing

The coronavirus has hyperhidrosis patients looking for sustainable, at-home solutions. Botox treatment offices are closing. Supply chains for medications are being disrupted. Where can patients turn?

Iontophoresis is the ideal at-home solution for patients struggling with sweaty hands, feet, and/or underarms during social distancing.


Medical Office Closures

Some hyperhidrosis patients rely on regular Botox injections to manage their sweat symptoms. With doctor’s offices across the United States closing due to the coronavirus, patients are now scrambling for alternative options.

Botox is most commonly used to treat severe underarm sweating. But did you know that iontophoresis devices come with special attachments that can be used to treat the underarms? Even better: the treatment is all-natural, compared to the possible side-effects associated with getting Botox injections.


City & County-Wide Quarantines

What happens if you’re asked not to leave your home except for necessities? Relying on prescription wipes and medications adds stress to an already stressful situation. Whether it’s supply chain disruptions resulting in delayed deliveries, or impossibly-long lines at the pharmacy, hyperhidrosis patients may soon be forced to rely on at-home alternatives.

Iontophoresis devices plug right into your wall. The science uses a mild electric current to deliver the natural minerals found in tap water into your sweat pores, “plugging them up” to create a long-lasting dryness barrier. Most patients treat once every 3-4 weeks for only 20-minutes as part of an ongoing maintenance schedule.

At the end of the day, iontophoresis gives hyperhidrosis patients peace of mind that everything they need to fight sweat is already in their possession.


Utilizing Downtime

Now that you’re staying safe by social distancing, you have more free time on your hands! Well, that is unless you have kids to home-school for the foreseeable future. Luckily, our Treatment Specialists can look into your insurance benefits and eligibility on your behalf. Ask yourself:

  • Have you switched insurance providers?
  • Have you met your deductible this year?
  • Are you seeing a new Primary Care Physician?

Now’s the time to re-evaluate your hyperhidrosis coverage options.

Last Things To Remember

While some hyperhidrosis patients may be relishing in the fact that no one’s shaking hands these days, others are still living with the stigma of heavy sweating. Hyperhidrosis is a common and treatable medical condition and nothing to be embarrassed about.

If you or someone you know is still struggling with sweat, remember:

  • It’s common. Excessive sweating is something millions of people struggle with, so just know you’re not alone.
  • It’s misunderstood. It’s not anxiety or “just clammy hands.” Hyperhidrosis can seriously affect one’s confidence and even career.
  • It’s treatable. Iontophoresis is 91% effective for treating overly-sweaty hands, feet, and underarms.

RA Fischer’s iontophoresis device is FDA-Cleared and covered by select insurance plans. We even file prior-authorization requests. Our Treatment Specialists are working remotely during the coronavirus pandemic and are still available to answer your questions. Contact us or give us a call at (800) 525-3467.

Should You Add Anything To The Water During Iontophoresis?

Iontophoresis devices like The Fischer use an electric current to deliver the minerals naturally found in tap water into your sweat pores, plugging them up to create a long-lasting dryness barrier. However, tap water in certain areas may lack the mineral concentration for the treatment to have an effect. These are referred to as “soft” water geographic locations.

Under the direction of a physician or dermatologist, some patients have added prescription medications or baking soda to the bath trays to see better results. This article answers the question: should you add anything to the water during iontophoresis?

Adding Prescription Medications

Today, there are a number of prescription medications available to hyperhidrosis patients. While these medications often come with their own challenges and side-effects, using them in combination with iontophoresis has yielded results.

We went to the U.S. National Library of Medicine National Institutes of Health and found this study they published online:


“To determine the comparative efficacy of tap water iontophoresis to iontophoresis with the anticholinergic glycopyrrolate, we undertook a single-blinded right-left comparison study in 20 patients with palmoplantar hyperhidrosis. Most patients had their palms treated and one patient had the soles treated. We compared the duration of symptom relief following iontophoresis with glycopyrrolate unilaterally to iontophoresis with glycopyrrolate bilaterally.”


“Following treatment with unilateral tap water iontophoresis, unilateral glycopyrrolate and bilateral glycopyrrolate, patients reported hand dryness for a median of 3, 5 and 11 days, respectively. We conclude that glycopyrrolate iontophoresis is more effective than tap water iontophoresis in the treatment of palmoplantar hyperhidrosis and that glycopyrrolate iontophoresis has both local and systemic effects on perspiration.”


Adding Baking Soda

Adding a teaspoon of baking soda to each water bath tray during iontophoresis can also help compensate for “soft” tap water. Baking soda not only helps increase capillary flow, but it also regulates the pH level of the water to ensure that the proper milliamperes are achieved.

“If the mineral content of tap water is low, insufficient current flow may occur. This situation can be corrected by adding 5 g (1 teaspoon) of baking soda to each tray,” writes Dr. David M. Pariser in Hyperhidrosis: An Issue of Dermatologic Clinics.


So Should You Add Anything To Your Water?

Unless you live in a “soft” water area, the naturally-occurring minerals in tap water should be sufficient for hyperhidrosis patients to see a noticeable reduction in sweating after 2-weeks of treatment. Most patients start iontophoresis every-other-day for 20-minutes until dryness is achieved, and then slowly reduce the frequency, settling into what we call a “maintenance schedule.” Everyone’s body reacts differently to the treatment, but on average patients use our devices once every 3-4 weeks to maintain dryness.

If you’re still not satisfied with your progress or results after 2-weeks of iontophoresis treatments, that’s when you want to talk to your doctor about adding a prescription medication or baking soda to the water.

TIP: Not sure if you live in a “soft” water area? Check out this map courtesy of Hyrdo-Flow USA.

If you or someone you know is struggling with excessive sweating from hyperhidrosis, give our Treatment Specialists a call at (800) 525-3467. Or, fill out this form and we can look into your insurance benefits and eligibility.

Direct vs. Pulsed Current Iontophoresis: Comparison Breakdown

What’s the better choice for iontophoresis: Direct or Pulsed Current? We get this question a lot from hyperhidrosis patients.

Direct Current

Direct current (DC) is an electric current that is one-directional, meaning the flow of the charge is always in the same direction. Positive to positive, negative to negative.

  • A continuous flow of charged particles lasting at least 1 second
  • One electrode is always the anode (positive) and one is always the cathode (negative)
  • With the current moving in one direction, there is a build-up of charge causing a stronger chemical effect on your skin tissue

For these reasons, direct current iontophoresis is considered to be more effective and its application results in quicker therapeutic results.

Pulsed Current

Pulsed current is also one-directional, but the intensity changes in value over the course of treatment. It’s perceived as being more comfortable because users can tolerate higher current values.

  • The flow of charged particles stops for less than 1 second in between cycles
  • Pulses can occur individually or in a series

Pulsed current iontophoresis is not as effective because the patient is only receiving a small portion of the treatment at the maximum value.


Put it this way: what’s the more effective way of driving down the highway? Slowly accelerating to 65 mph and keeping a steady speed until you reach your destination? Or accelerating to 100 mph, then decelerating down to 0, then re-accelerating back up to 65, all the way down the highway?

The Fischer

The Fischer iontophoresis device features both DC and PC options. This allows patients to treat according to their preference – whether they’re looking for faster results or a more comfortable experience.

  • PC is great for younger patients or patients with extreme skin sensitivities 
  • Start with DC to see results faster, then switch to PC for your maintenance schedule
  • Traditional iontophoresis companies offer either DC or PC machines. The Fischer is the only two-in-one DC & PC machine.

Completing The Iontophoresis Circuit

Iontophoresis requires an electric current and regular tap water. Two extremities (your hands, for instance) come into contact simultaneously with the electrodes (metal plates) so that ions can flow into your tissue. The positively charged ions which are naturally found in tap water migrate to the negative electrode, while the negatively charged ions migrate to the positive electrode.


Put it this way: if your skin was a sponge, the electric current pushes the minerals found in tap water into your sweat pores, “plugging them up” to create an all-natural dryness barrier.

Are you or someone you know struggling with hyperhidrosis? Give our Treatment Specialists a call at (800) 525-3467, or fill out this form to discuss your symptoms and insurance eligibility.


Traveling With Your Iontophoresis Machine (Do You Need An Adapter?)

When you live with hyperhidrosis, just about everything becomes more stressful – including traveling. Not only do you have to worry about currency exchange rates and foreign languages, but you also have to worry about different plug shapes, voltages, and frequencies if you plan on using your iontophoresis machine.

If you didn’t read this article ahead of time, you’d be unable to use your MD-1 or MD-2 on your next vacation or work excursion. Even worse, you’d risk damaging your iontophoresis machine by plugging it into an improper outlet.

Here’s everything you need to know before traveling with your iontophoresis machine:


Outlets & Plug Shapes

The most obvious issue is that different countries have different electrical socket shape. To start, you’ll need the appropriate plug shape (or an adapter you can purchase off Amazon) for the country you’ll be visiting.

Voltages & Frequencies

Different countries also use different electrical voltages and frequencies. Even if you’ve purchased an adapter, you must also take into account the voltage. Plugging your iontophoresis machine into an improper outlet may damage it.

TIP: Over 30 countries (including the U.S.) use 110V~130V, while 120 other countries (including most of the UK) use 220V~230V.

Converting Volts

If your iontophoresis device isn’t rated to work with the voltages in the country you’re visiting, you’ll need a “voltage converter.” You can find single-outlet converters relatively cheap online.

TIP: Not all surge protectors are voltage converters, so read closely before buying the wrong one.

Travel Chart

The below chart details the varying plug and voltage combinations by country. North American power outlets provide 120 volts at 60 Hz. Outlets in Europe provide 230 volts at 50 Hz. Be sure to consult your Treatment Specialist if you have any questions!

Country / state / territorySingle-phase voltage (volts)Frequency (hertz)Plug type
Abu Dhabi (not a country, but capital of the United Arab Emirates)230 V50 HzG
Afghanistan220 V50 HzC / F
Albania230 V50 HzC / F
Algeria230 V50 HzC / F
American Samoa120 V60 HzA / B / F / I
Andorra230 V50 HzC / F
Angola220 V50 HzC
Anguilla110 V60 HzA / B
Antigua and Barbuda230 V60 HzA / B
Argentina220 V50 HzC / I
Armenia230 V50 HzC / F
Aruba120 V60 HzA / B / F
Australia230 V50 HzI
Austria230 V50 HzC / F
Azerbaijan220 V50 HzC / F
Azores230 V50 HzB / C / F
Bahamas120 V60 HzA / B
Bahrain230 V50 HzG
Balearic Islands230 V50 HzC / F
Bangladesh220 V50 HzA / C / D / G / K
Barbados115 V50 HzA / B
Belarus220 V50 HzC / F
Belgium230 V50 HzC / E
Belize110 V / 220 V60 HzA / B / G
Benin220 V50 HzC / E
Bermuda120 V60 HzA / B
Bhutan230 V50 HzC / D / G
Bolivia230 V50 HzA / C
Bonaire127 V50 HzA / C
Bosnia & Herzegovina230 V50 HzC / F
Botswana230 V50 HzD / G
Brazil127 V / 220 V60 HzC / N
British Virgin Islands110 V60 HzA / B
Brunei240 V50 HzG
Bulgaria230 V50 HzC / F
Burkina Faso220 V50 HzC / E
Burma (officially Myanmar)230 V50 HzA / C / D / G / I
Burundi220 V50 HzC / E
Cambodia230 V50 HzA / C / G
Cameroon220 V50 HzC / E
Canada120 V60 HzA / B
Canary Islands230 V50 HzC / E / F
Cape VerdeÊ(in Portuguese: Cabo Verde)230 V50 HzC / F
Cayman Islands120 V60 HzA / B
Central African Republic220 V50 HzC / E
Chad220 V50 HzC / D / E / F
Channel Islands (Guernsey & Jersey)230 V50 HzC / G
Chile220 V50 HzC / L
China, PeopleÕs Republic of220 V50 HzA / C / I
Christmas Island230 V50 HzI
Cocos (Keeling) Islands230 V50 HzI
Colombia110 V60 HzA / B
Comoros220 V50 HzC / E
Congo, Democratic Republic of the (Congo-Kinshasa)220 V50 HzC / D / E
Congo, Republic of the (Congo-Brazzaville)230 V50 HzC / E
Cook Islands240 V50 HzI
Costa Rica120 V60 HzA / B
C™te dÕIvoire (Ivory Coast)220 V50 HzC / E
Croatia230 V50 HzC / F
Cuba110 V / 220 V60 HzA / B / C / L
Curaao127 V50 HzA / B
Cyprus230 V50 HzG
Cyprus, North (unrecognised, self-declared state)230 V50 HzG
Czechia (Czech Republic)230 V50 HzC / E
Denmark230 V50 HzC / E / F / K
Djibouti220 V50 HzC / E
Dominica230 V50 HzD / G
Dominican Republic120 V60 HzA / B / C
Dubai (not a country, but the largest city in the United Arab Emirates)230 V50 HzG
East Timor (Timor-Leste)220 V50 HzC / E / F / I
Ecuador120 V60 HzA / B
Egypt220 V50 HzC / F
El Salvador120 V60 HzA / B
England230 V50 HzG
Equatorial Guinea220 V50 HzC / E
Eritrea230 V50 HzC / L
Estonia230 V50 HzC / F
Ethiopia220 V50 HzC / F / G
Faeroe Islands230 V50 HzC / E / F / K
Falkland Islands240 V50 HzG
Fiji240 V50 HzI
Finland230 V50 HzC / F
France230 V50 HzC / E
French Guiana220 V50 HzC / D / E
Gabon (Gabonese Republic)220 V50 HzC
Gambia230 V50 HzG
Gaza Strip (Gaza)230 V50 HzC / H
Georgia220 V50 HzC / F
Germany230 V50 HzC / F
Ghana230 V50 HzD / G
Gibraltar230 V50 HzG
Great Britain (GB)230 V50 HzG
Greece230 V50 HzC / F
Greenland230 V50 HzC / E / F / K
Grenada230 V50 HzG
Guadeloupe230 V50 HzC / E
Guam110 V60 HzA / B
Guatemala120 V60 HzA / B
Guinea220 V50 HzC / F / K
Guinea-Bissau220 V50 HzC
Guyana120 V / 240 V60 HzA / B / D / G
Haiti110 V60 HzA / B
Holland (officially the Netherlands)230 V50 HzC / F
Honduras120 V60 HzA / B
Hong Kong220 V50 HzG
Hungary230 V50 HzC / F
Iceland230 V50 HzC / F
India230 V50 HzC / D / M
Indonesia230 V50 HzC / F
Iran230 V50 HzC / F
Iraq230 V50 HzC / D / G
Ireland (Eire)230 V50 HzG
Ireland, Northern230 V50 HzG
Isle of Man230 V50 HzC / G
Israel230 V50 HzC / H
Italy230 V50 HzC / F / L
Jamaica110 V50 HzA / B
Japan100 V50 Hz / 60 HzA / B
Jordan230 V50 HzC / D / F / G / J
Kazakhstan220 V50 HzC / F
Kenya240 V50 HzG
Kiribati240 V50 HzI
Korea, North220 V50 HzC
Korea, South220 V60 HzF
Kosovo230 V50 HzC / F
Kuwait240 V50 HzG
Kyrgyzstan220 V50 HzC / F
Laos230 V50 HzA / B / C / E / F
Latvia230 V50 HzC / F
Lebanon230 V50 HzC / D / G
Lesotho220 V50 HzM
Liberia120 V / 220 V60 HzA / B / C / F
Libya230 V50 HzC / L
Liechtenstein230 V50 HzC / J
Lithuania230 V50 HzC / F
Luxembourg230 V50 HzC / F
Macau220 V50 HzG
Macedonia, North230 V50 HzC / F
Madagascar220 V50 HzC / E
Madeira230 V50 HzC / F
Malawi230 V50 HzG
Malaysia240 V50 HzG
Maldives230 V50 HzC / D / G / J / K / L
Mali220 V50 HzC / E
Malta230 V50 HzG
Marshall Islands120 V60 HzA / B
Martinique220 V50 HzC / D / E
Mauritania220 V50 HzC
Mauritius230 V50 HzC / G
Mayotte230 V50 HzC / E
Mexico120 V60 HzA / B
Micronesia, Federated States of120 V60 HzA / B
Moldova230 V50 HzC / F
Monaco230 V50 HzC / E / F
Mongolia230 V50 HzC / E
Montenegro230 V50 HzC / F
Montserrat230 V60 HzA / B
Morocco220 V50 HzC / E
Mozambique220 V50 HzC / F / M
Myanmar (formerly Burma)230 V50 HzA / C / D / G / I
Namibia220 V50 HzD / M
Nauru240 V50 HzI
Nepal230 V50 HzC / D / M
Netherlands230 V50 HzC / F
New Caledonia220 V50 HzC / F
New Zealand230 V50 HzI
Nicaragua120 V60 HzA / B
Niger220 V50 HzC / D / E / F
Nigeria230 V50 HzD / G
Niue230 V50 HzI
Norfolk Island230 V50 HzI
North Cyprus (unrecognised, self-declared state)230 V50 HzG
Northern Ireland230 V50 HzG
North Korea220 V50 HzC
North Macedonia230 V50 HzC / F
Norway230 V50 HzC / F
Oman240 V50 HzG
Pakistan230 V50 HzC / D
Palau120 V60 HzA / B
Palestine230 V50 HzC / H
Panama120 V60 HzA / B
Papua New Guinea240 V50 HzI
Paraguay220 V50 HzC
Peru220 V60 HzA / B / C
Philippines220 V60 HzA / B / C
Pitcairn Islands230 V50 HzI
Poland230 V50 HzC / E
Portugal230 V50 HzC / F
Puerto Rico120 V60 HzA / B
Qatar240 V50 HzG
RŽunion230 V50 HzC / E
Romania230 V50 HzC / F
Russia (officially the Russian Federation)220 V50 HzC / F
Rwanda230 V50 HzC / E / F / G
Saba110 V60 HzA / B
Saint BarthŽlemy (informally also referred to as Saint BarthÕs or Saint Barts)230 V60 HzC / E
Saint Kitts and Nevis (officially the Federation of Saint Christopher and Nevis)230 V60 HzD / G
Saint Lucia230 V50 HzG
Saint Martin220 V60 HzC / E
Saint Helena230 V50 HzG
Sint Eustatius110 V / 220 V60 HzA / B / C / F
Sint Maarten110 V60 HzA / B
Saint Vincent and the Grenadines110 V / 230 V50 HzA / B / G
Samoa230 V50 HzI
San Marino230 V50 HzC / F / L
S‹o TomŽ and Pr’ncipe230 V50 HzC / F
Saudi Arabia220 V60 HzG
Scotland230 V50 HzG
Senegal230 V50 HzC / D / E / K
Serbia230 V50 HzC / F
Seychelles240 V50 HzG
Sierra Leone230 V50 HzD / G
Singapore230 V50 HzG
Slovakia230 V50 HzC / E
Slovenia230 V50 HzC / F
Solomon Islands230 V50 HzG / I
Somalia220 V50 HzG
Somaliland (unrecognised, self-declared state)220 V50 HzG
South Africa230 V50 HzC / M / N (still rare)
South Korea220 V60 HzF
South Sudan230 V50 HzC / D
Spain230 V50 HzC / F
Sri Lanka230 V50 HzD / G
Sudan230 V50 HzC / D
Suriname127 V / 220 V60 HzA / B / C / F
Swaziland230 V50 HzM
Sweden230 V50 HzC / F
Switzerland230 V50 HzC / J
Syria220 V50 HzC / E / L
Tahiti220 V50 Hz / 60 HzC / E
Taiwan110 V60 HzA / B
Tajikistan220 V50 HzC / F
Tanzania230 V50 HzD / G
Thailand230 V50 HzA / B / C / O
Togo220 V50 HzC
Tokelau230 V50 HzI
Tonga240 V50 HzI
Trinidad & Tobago115 V60 HzA / B
Tunisia230 V50 HzC / E
Turkey230 V50 HzC / F
Turkmenistan220 V50 HzC / F
Turks and Caicos Islands120 V60 HzA / B
Tuvalu230 V50 HzI
Uganda240 V50 HzG
Ukraine230 V50 HzC / F
United Arab Emirates (UAE)230 V50 HzG
United Kingdom (UK)230 V50 HzG
United States of America (USA)120 V60 HzA / B
United States Virgin Islands110 V60 HzA / B
Uruguay220 V50 HzC / F / L
Uzbekistan220 V50 HzC / F
Vanuatu230 V50 HzI
Vatican City230 V50 HzC / F / L
Venezuela120 V60 HzA / B
Vietnam220 V50 HzA / B / C
Virgin Islands (British)110 V60 HzA / B
Virgin Islands (USA)110 V60 HzA / B
Wales230 V50 HzG
Western Sahara220 V50 HzC / E
Yemen230 V50 HzA / D / G
Zambia230 V50 HzC / D / G
Zimbabwe240 V50 HzD / G


Enjoy your trip!

How to Write an Iontophoresis Appeal Letter to Your Insurance Carrier

Just because your iontophoresis insurance claim was denied doesn’t mean it’s the end of the road. By personally writing and submitting an appeal letter to your insurance carrier, you may be able to get that decision overturned.

This article will help you craft a clear and concise counter-argument for your appeal letter.

Basic Info You’ll Need

Before we get into the “why” of your appeal, let’s look at the basic info you’ll need to include at the start of your letter.

  • Patient name, policy number, and policyholder name
  • Accurate contact information for patient and policyholder
  • Date of denial letter, specifics on what was denied, and cited reason for denial
  • Doctor or medical provider’s name and contact information

Daily Life

Insurance carriers often look for specific verbiage when it comes to claims and doctors clinicals. In the opening paragraph of your appeal letter, outline the ways in which hyperhidrosis has affected your daily life.

For example, do you have difficulty:

  • Getting dressed
  • Preparing food
  • Showering or grooming
  • Driving due to a slippery steering wheel

Career & Employment

Is your excessive sweating impeding your career growth? Having difficulty finding a job? In the next paragraph of your appeal letter, list ways in which hyperhidrosis has affected your career or employment status.

For example, does your job require you to:

  • Handle materials and/or products on a line
  • Shake hands with prospects and customers
  • Fill out a lot of paperwork

Other Treatment Options

When iontophoresis isn’t covered by your insurance plan, carriers often look to see if you’ve attempted other treatment options in the past. Use the third paragraph of your appeal letter to detail products/solutions you’ve tried and failed to see results with.

For example, have you been prescribed:

Cost & Inconvenience

When you’re forced to try alternative hyperhidrosis treatment options, those costs add up – and quickly. From monthly co-pays to trips to the pharmacy, use the next paragraph of your appeal letter to cite any recurring costs or time commitments.

For example, if you have to:

  • Buy new clothes or electronics because you ruin them
  • Cover a monthly co-pay
  • Drop-off your RX at the pharmacy
  • See a psychiatric professional

Emotional Toll

Perhaps the greatest toll hyperhidrosis takes on a person’s life is emotional. Closeout your appeal letter by speaking from the heart. Talk openly about your emotional struggles or the mental duress associated with hyperhidrosis.

For example, if you have trouble:

  • Making friends
  • Forming intimate relationships
  • Playing sports that once made you happy

Submitting Your Appeal Letter

If you submit your appeal letter to your insurance carrier by fax, keep a copy of the transmission confirmation. If you submit by mail, send the letter via certified mail with a request of a return receipt.

Finally, organize all submitted materials, your appeal letter, receipts, and records of correspondence in a safe place should you need to reference them again. On average, most patients who appeal directly to their insurance carrier receive an official notice within 7-10 days that the appeal has been received. If you do not receive confirmation, contact your carrier to make sure your appeal is showing up in their system.

Need additional help navigating the insurance process? Contact our Treatment Specialists to review your symptoms, benefits, and eligibility today.




Finding The Best Hyperhidrosis Treatment

Since it was discovered that men and women sweat, scientists have been looking for an answer. Luckily this means that there are a range of treatments available.

The first and most important thing you need to realize if you are a sufferer of Hyperhidrosis is that you are not alone. Conservative guesses put the figure at something in the range of between 2 and 3 percent of the American Population. That might not sound like much, but that translates to roughly 7 million people.

Like you, there are 6,999,999 other people out there seeking the best solution for this condition!

In this article, we will attempt to find the best solutions for Hyperhidrosis by examining the range of treatments available and finding out what customers are saying about them. Ultimately, you don’t need to live with excess sweating – you need to find a way to manage it.


These have been around for a long time now and need to be applied daily or every few hours for some. When you have Hyperhidrosis, the regular supermarket brands just won’t do, but a GP can prescribe a super strength one that can be used on all the main sites associated with the condition. Go away anywhere without it and you are in trouble. It also tends to wear off during the night and leave you waking up soaked.



Botox has been increasingly used to varying degrees of success to block up the sweat producing cells in the underarms. This is successful but needs reapplication every few months, which means more painful injections. Then once you see the bill – you’ll really start sweating!

Glycopyrrolate or Clonidine

These Systemic Medications can be taken orally to treat the condition. It often works but Doctors are very reluctant to prolonged chemical use for treatment of this condition. It is more likely that they will prescribe it to be taken in extenuating circumstances only. Rumor has it that medications also leads to extreme drying of the eyes and mouth, as well as painful urination.



A surgeon will be able to perform an operation on the sites you sweat in. Needless to say this might well solve your problem, but it is also invasive, costly if not covered by insurance, and considered to be the very last treatment option.


By far the best option, Iontophoresis is an all natural way to manage this condition at home without frequent costs. This treatment uses an Iontophoresis device to pass a mild electrical current through water while you bathe the affected areas. Use it a few times a week at first and then a few times a month thereafter. The mild current blocks the cells from releasing the sweat, affording you long-lasting coverage and confidence you’ve been looking for.

Try Iontophoresis At home

Iontophoresis devices are now available for home purchase, meaning you can undergo treatment while watching a half-hour episode of our favorite TV show on Netflix!

We found Iontophoresis to be the best way to treat Hyperhidrosis. Try it for yourself risk-free for 60-days and let us know how it works out for you!


School Nurses, Sweaty Students, and Spreading Hyperhidrosis Awareness!

If you happen to be a school nurse, then you may already be aware that Hyperhidrosis is most likely to strike during puberty. This fact puts you right on the front lines, in the first position to do something about it – but what? Fighting back against Hyperhidrosis is only possible if we can keep spreading awareness among students and teachers. Can you spot the signs?

Hyperhidrosis: Bad for Self Image (And Then Some)

Hyperhidrosis is the common term given to the disorder that contributes to excessive sweating, which can be around the hands, feet, underarms, or even across the whole body. It might not seem harmful, but students who suffer from this terrible condition have low self-esteem, don’t involve themselves in group activities, and are susceptible to mental health problems. If you want to refresh your medical knowledge of this disorder you can have a read about it on WebMD, otherwise, read on to find out what signs you should look out for as a school nurse.

Signs of Hyperhidrosis in Students

Some signs of Hyperhidrosis among your students might include:

  • Students drop their pens or pencils more than is usual or have sports equipment or canteen trays fall from their grip
  • Students’ socks are wet when they take off their shoes on a dry day
  • Students who bring one or more changes of clothes to school may be worried about being damp and having to change
  • Students being bullied or made fun of for excessive sweating


Since Hyperhidrosis can also be a secondary condition, talking to the student to ascertain if there is an underlying issue might be advisable. It may be that the student is suffering from another condition which the teachers – or even their parents – have not recognized. Spotting Hyperhidrosis and treating it when understood, can halt the damage it is doing to your patients and reverse any issues it has caused before they have a chance to take root.

Hyperhidrosis Affects Student’s Mental Health

It is a known fact that excessive sweating can undermine a student’s confidence and make it almost impossible for them to interact socially on a healthy level. This study, in the NCBI library, can summarize what impact the disorder has on a patient’s quality of life if it is left unchecked. Early intervention becomes one of the many vital duties carried by the school nurse.

Treatment for Hyperhidrosis

There is an effective, FDA-approved treatment that students can purchase for in-home use with a prescription from their doctor. This treatment is known as Iontophoresis. Contact our Treatment Specialists to learn more.

RA Fischer Co. is an industry-leader in dermatological treatment for Hyperhidrosis, so we know what your students are going through. Get to the heart of the matter, devise a treatment plan, and help keep your students in good health. Together, we can maintain high school sweat to a minimum!


Bullying and Hyperhidrosis: The Silent Confidence Killer

Students who have Hyperhidrosis – that’s a condition that makes you sweat excessively – are at severe risk of bullying. Unfortunate though it may be, students who sweat more than usual are likely to be picked on because of their condition. It is up to us, as the adults, parents, and teachers, to spot the signs of bullying and act to intervene.

Hyperhidrosis is a silent confidence killer, and kids in school are made fun of because of it. How do we go about spotting incidences of bullying and helping to rectify the situation? Read on to find out how you can become an active participant in the fightback against Hyperhidrosis based bullying!

Zits, Bodily Changes – and Now Hyperhidrosis, Too?

Those poor students! They have so much to deal with, and that’s without including exam stress! If a student has Hyperhidrosis, they will sweat four or five times more than other children, and it will become noticeable. The first thing you can do as an educator, parent, or other adult is to notice the symptoms of Hyperhidrosis.

The Symptoms of Hyperhidrosis Are:

  • Excessive sweating of the hands, feet, and armpits occurs
  • Noticeable sweat soaks through clothing
  • Sweat is localized to specific areas over and over again
  • Students sweat all over their body

If you notice any of these symptoms in one of your students, then they may be suffering Hyperhidrosis alone, or as a result of an underlying health condition. You can read all about the condition, the symptoms, and the different strains of this condition courtesy of Medical News Today.


Stop Hyperhidrosis Bullying!

Now that you know how to recognize the signs of this embarrassing condition, you will be able to identify and monitor which students may be at risk. What teachers can do about bullying has long been an issue of discussion across the board – but Tolerance has useful guidelines on how to deal with bullying in general.

Some useful ideas might be to allow the student who suffers the condition to sit out of any activities that trigger the onset of sweat. You can even separate the bullies instead. Be wary of administering punishment because retaliation might fall on the victim. In the end, possibly the most effective thing you can do to help a student who has Hyperhidrosis might be to take the student aside and ask them if there is anything you should know.

Hyperhidrosis Can Be Treated!

Hyperhidrosis is a permanent condition, but it can be treated using a technique known as Iontophoresis. This treatment is a safe, FDA-approved method of manipulating the permeability of the skin to allow for less sweat to seep through. 91% of sufferers report an improvement in the severity of their condition after treatment.

Iontophoresis could be just the answer your students need to get their confidence back. Contact one of RA Fischer’s Treatment Specialist’s today and be the change that child needs!