Monday, August 22, 2016

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


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.


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.


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:
·         Tell your pharmacist or doctor if you are allergic to the medication. If you have any other allergies, inform him as well. Inactive ingredients may be in the product. This can lead to allergic reaction and other problems.

·         Tell your doctor about your medical history.

·         Be cautious in using this medication. This can stain your clothing and an even harm metals. Make sure that when applying it, it will not make any contact to those things. Allow it to dry before you put your clothes back on.

·         If you are pregnant, application of hypercare should be done when it is really needed. Benefits as well as the risks should be discussed with your doctor for guidance.

·         There is no guarantee that this medication can be passed to the breast milk. But it is advisable to consult your doctor about it before you go on to breast-feeding.


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.


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-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


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

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