Friday, May 3, 2024

Responses regarding antiperspirants in silicone liners 1

karl W entenmann

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 http://www.shopinprivate.com/buyinprivate/cerdripresst.html 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 ), 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.
http://www.deodorantstones.com/ 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.

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