(800) 525-3467 info@rafischer.com 5400 Atlantis Ct. Moorpark, CA 93021
Getting started

Your first two weeks with The Fischer

Settings for your first session, how often to treat, and how to keep the device in good order. Most people are set up and treating within fifteen minutes of opening the box.

Your first session

Settings to start with

Turn the device on using the main power switch on the back panel. The display shows four settings, matching the symbols down the left side.

1
Timer
20 minutes
The standard session length. There is no benefit to running longer, and no more than one session a day.
2
Intensity
Start at level 6
This varies a lot between people. Start at 6 and adjust to what is comfortable. A mild tingling is normal; pain is not.
3
Current type
Direct current
Shown as a solid line. Direct current is the more effective of the two, and it is what we recommend unless your skin is particularly sensitive.
4
Current direction (E1/E2)
Auto
Leave this on Auto. The polarity switches halfway through, so both treated areas get an equal share of the positive side, which has the stronger effect.

Then press SET to confirm. Place your hands or feet in the water trays, or position the dampened underarm electrodes. A short beep tells you the circuit is complete and treatment has started, and the display flashes as the timer counts down.

Step-by-step guides with photographs: hands and feet, underarms. Video walkthroughs are on our YouTube channel (opens in a new tab).

Watch it done

Four short walkthroughs. Pick the one that matches where you are treating.

Hands and feet
Both areas in one session
Hands
Palmar hyperhidrosis
Feet
Plantar hyperhidrosis
Underarms
Using the axillary electrodes
How often to treat

The schedule, week by week

Treatment is intensive at first and then tapers off. Most people are on the maintenance phase within six weeks.

Weeks 1 to 3
Every other day
20-minute sessions. This is the phase that does the work, and consistency matters more than intensity. Most patients notice a change within the first two weeks.
Weeks 4 and 5
Every three days
Once you have reached a level of dryness you are happy with, stretch the interval. If dryness holds through this period, you are ready to taper further.
Maintenance
Every 3 to 6 weeks
Treat as needed to stay dry. Most patients settle here. If sweating starts to return, go back to a shorter interval for a week or two.
Not seeing results yet? Some patients need five to ten sessions before an effect shows, so give it time before changing anything. If your tap water is low in minerals the current has less to carry: a teaspoon of baking soda dissolved in each tray usually fixes it. Still stuck after three weeks? Call us on (800) 525-3467 and we will look at your protocol.
Direct or pulsed

Why we recommend direct current

The Fischer offers both. They feel different and they are not equally effective.

Recommended

Direct current

A continuous, one-directional flow that holds steady through the session. It delivers the full treatment value for the whole 20 minutes, which is why it works better.

For sensitive skin

Pulsed current

Also one-directional, but the intensity rises and falls through the session. It feels gentler and people tolerate higher peak values, so it is a reasonable starting point if direct current is uncomfortable.

Think of it like driving. Direct current holds a steady 65mph the whole way: smooth and efficient. Pulsed current accelerates to 100, drops back to zero, and repeats. You only spend part of the journey at full value, which is why pulsed current is less effective overall.
Practical questions

Comfort, cuts and cleaning

Making it more comfortable

Use lukewarm water rather than cold. It is more pleasant and helps keep the pores open.

If you have a cut or broken skin

Cover small cuts or skin breaks with petroleum jelly or a lanolin cream before treating. That insulates them from the current. For anything larger, wait until it has healed.

Pregnancy and breastfeeding

The Fischer is not intended for use during pregnancy. It is safe to use while breastfeeding.

Cleaning the device

Switch off and unplug first. Wipe the control unit, trays and electrodes with a damp cloth. Rinse the foam inserts, sponge pad sleeves and electrodes under running water after every session, no hotter than 30°C (86°F), then wring out and air dry. Sleeves, foam inserts and the bag can be machine washed at the same temperature, but never spun or tumble dried.

Safety information, contraindications and technical specifications are on the technical support page.

Everything included with The Fischer: control unit, water trays, silicone-graphite electrodes, pH-balancing foam, electrode cords, power cord, underarm electrodes and sleeves, mesh carrying bag and user manual
What arrives

In the box

  • Main control unit
  • Two water bath trays
  • Silicone-graphite electrodes
  • pH-balancing foam inserts
  • Electrode cords and power cord
  • Underarm electrodes and sleeves
  • Mesh carrying bag
  • User manual
Documents

Manual and guides

The Fischer manual

The full instruction manual, including setup diagrams and the technical data.

Open the manual (PDF, opens in a new tab)

Treatment journal

A printable log for settings, session length and how your sweating changes. Useful in the first weeks and if you ever need to appeal an insurance decision.

Open the journal (PDF, opens in a new tab)

Insurance reimbursement guide

For patients who paid out of pocket and want to claim reimbursement from their insurer.

Open the guide (PDF, opens in a new tab)

More paperwork, including the physician packet and letter of medical necessity, is on the patient forms page.

Something not working as expected?

Call us. Our Treatment Specialists set these up with patients every day, and most first-week questions take a couple of minutes to resolve on the phone.

Monday to Friday, 8:30am to 4:30pm Pacific