Responses regarding antiperspirants in silicone liners 1

Responses regarding antiperspirants in silicone liners 1

karl W entenmann

7/11/2004

To my esteemed colleagues:

Many thanks for the responses to my query about the name of the
anti-perspirant for use on the limbs of clients wearing silicone liners.
Most people recommended Certain Dry and Drysol. Some had home remedies.
Hope this helps. I've sent another separate response regarding skin and
perspiration courtesy OWW.

Karl Entenmann, CPO
Preferred O & P
Federal Way, WA

There are some perfume free anti-perspirents like mitchum, that have been
suggested for some patients due to the high humidity and hot summers in
some regions. For those patients, it was suggested to use a small test
area in the proximal section of the liner contact, before full
application.

For those who could not use the normal anti-perspirents, due to reaction
or rashing, some have been referred to their physicians for a doctor
prescribed anti-perspirent. These doctor prescribed substances are
applied once a week before bedtime, and then washed off the following
morning. There are reports of them being very effective and often times
lasting more than three weeks per application.

 ** Dry-Sol: needs Rx
 **Alum: recommended by OWW for Alphas, found in Pharmacies and Health
Food stores
 **Xerac AC: needs Rx
 **Stay Dry: needs Rx
 **Arid XX Dry

 EMAILS (courtesy of OWW):

        Thanks all, for the good info regarding certain dry and drysol.
If I remember correctly drysol needs a doctors prescription? With the
warmer months coming up I know this will come in handy. It can be
bruttal on an amputee in the summertime, even if your not active but
especially if you are. Any other thoughts about dealing with
perspiration - please pass on.

          I can vouch for Drysol. I am a hemi-pelvectomy and my socket
is a bucket-type that covers a large percentage of my torso. I perspire
LOTS. (Or should I say, glisten?) I used the drysol while I was in
Florida and it kept me dry. Be sure to read the directions because it's
used differently from most products. You put it on at night before bed
and wash it off in the morning. I would recommend it because it's the
only product that worked for me.

          I don't think you should use Certain Dry all the time, just
when you know you will be especially sweaty. I only use it for races and
long runs, never on a daily basis. I have periodically had slight
reactions to it. I will use Mitchum sparingly under the sleeve about
every other day so the sleeve stays put during my training.

          Try this address to find Certain Dri
<URL Redacted> I was
looking around last night and found it. Also I asked my doctor about
perspiration and he prescribed a product called Drysol. I understand
some precaution is needed to use this product please consult your doctor
on this product. I don't know how well it works yet as it hasn't been
warm enough here to need it yet.

         I got a prescription for Xerac AC from a dermatologist for
excessive perspiration. Haven't used it, so not sure how/if it works.
BTW, the anti-perpirant thing was a hoax.

          Have you tried Xerac AC, it is a prescription, helps to reduce
the sweating, like a very strong anti-perspirant. Or, like you say,
changing your socks works good too. For the stump rash i have used
Nizoral and Aclovate creams, they are prescription too. These creams
worked well for me, so you may want to ask your dr. about these. Hope
this helps.

        The anti-perspirants I reference are Drysol (by prescription),
Alma, Zerac, and Secret Platinum brand unscented. These are always in a
roll-on form and should be applied at night, two coats preferred to
ensure proper coverage and drying.

        Use whatever anti-perspirant client uses on underarms
        (I understand that this is not recommended, as they usually have
perfumes and/or dyes-KE)

        Certain-Dri. It is available over the counter, but you may need
to ask the pharmacist for this product.

         In Australia we advise the use of Prantal powder - a strong
antipersperant which MUST be used as per the directions. This has local
effects and must not be used liberally.

        Alum could be used in conjunction with some tea-tree oil in a
liquid alum spray

        Spray with 10% Clorox & 90% water

        Derma from Ottobock.....453H10 Derma Clean spray

         Generally it seems that Alum was the product of choice

        Crystal stick ( www.thecrystal.com < <URL Redacted>>
 ), which is one of several tradenames for Alum. Though marketed as a
natural deodorant ( it is mined in Thailand ), it works very well at
combating excessive perspiration. It can usually only be found in
natural food or natural product stores.

        Odoban (available at chemists in the UK) and Mitchum
(supermarkets etc.). Both are quite powerful and users with delicate
skin need to be careful. People should expect to try a few before
finding the one that suits them best as individuals.

        The products I provide my clients with originate from Deodorant
Stones of America, they're located in Scottsdale, Arizona.
<URL Redacted> We've had some clients using this
product now for 4 years and have made it a routine using it on a regular
basis. Some prefer the crystal and others like the spray or powder. The
product is relatively inexpensive, lasts a long time, and has no negative
side effects.

         Has anyone else tried Xerac-AC to control perspiration on the
stump while in a silicone liner or under the neoprene sleeve?I was told
to try this product by my dermatologist, I guess it almost eliminates
perspiration while in a neoprene sleeve or silicone liner. Anyone else
tried this. One tiny, little bottle is 14.95, ouch.

          When you're in the states, you should be able to purchase
Certain Dri at any chain pharmacy like CVS or Rite-Aid. If that fails,
here is the address and phone number or the manufacturer: NUMARK
LABRATORIES, P.O. Box 6321, Edison, NJ 08818, 1-800-331-0221

         Certain Dri is availble at CVS, Brooks or other similar store.
It is in the anti-persperant section and costs about $5.00 It REALLY
WORKS if applied according to directions! As far as skin rashes or break
down is concerned; I do not have a problem with that. I suppose you'll
have to try it to find out. Cheers! Steve

        Yes, I used the Certain Dry the night before.........EXCELLANT
results. On another idea; I'm going to try the new CINCH suspension
sleeve made by Daw Industries. It is claimed to instantly convert any BK
prosthesis to a suction suspension prosthesis. Anyone on the list with
any feedback on this product?

         Thanks for the tip about Certain Dry and use of an
anti-perspirant. I completed a half marathon yesterday. I followed your
advice with EXCELLANT results.! The suspension sleeve actually stayed on
my thigh! Next 10k or longer run I'll apply the treatment on the residual
end of the limb also Hopefully it will keep my liner from becoming
saturated with perspiration. My prothesist is looking into that valve you
mention.