Aluminium Chloride + Melaleuca Alternifolia Oil + Geothermal water

Allopathic
Indications
  • Primary Indication:
    • Treatment of primary hyperhidrosis (excessive sweating), especially of the axillae, palms, and soles.
  • Additional Indications:
    • Adjunctive therapy for mild to moderate skin infections and inflammatory skin conditions, benefiting from the antimicrobial and anti-inflammatory properties of Melaleuca alternifolia (tea tree) oil.
    • Skin soothing and conditioning for dry, irritated, or sensitive skin due to the mineral content of geothermal water.
  • Off-label Uses:
    • Management of minor skin irritations and prevention of body odor related to microbial overgrowth.
Dosage & Administration
  • Formulation: Topical application as solution, lotion, or spray.
  • Adults:
    • Apply a thin layer to clean, dry affected areas once daily, preferably at night for better antiperspirant efficacy.
    • Avoid applying immediately after shaving or to broken skin to minimize irritation risk.
  • Pediatrics: Use cautiously; consult a healthcare provider before use.
  • Elderly: Same as adults; monitor for skin sensitivity.
  • Special Populations: No dose adjustment necessary; avoid use on open wounds.
  • Duration: Continued use until symptom control; maintenance as needed.
  • Administration Notes: Wash hands thoroughly after application; avoid contact with eyes and mucous membranes.
Mechanism of Action (MOA)
  • Aluminium Chloride acts by precipitating proteins in the sweat gland ducts, forming plugs that block sweat secretion and reduce perspiration.
  • Melaleuca Alternifolia Oil exhibits broad-spectrum antimicrobial effects by disrupting microbial membranes and inhibits inflammatory mediators, helping reduce skin inflammation and infection.
  • Geothermal Water contains minerals and trace elements that support skin barrier repair, hydration, and exert soothing, anti-inflammatory effects.

Together, these components reduce excessive sweating, control microbial growth, and improve skin condition.

Pharmacokinetics
  • Absorption: Minimal systemic absorption due to topical use.
  • Distribution: Localized action in the skin and sweat glands; negligible systemic distribution.
  • Metabolism and Excretion: Any absorbed components undergo normal hepatic metabolism and renal elimination; systemic exposure is minimal.
  • Onset of Action: Reduction in sweating may begin within days; antimicrobial and soothing effects develop with regular use.
Pregnancy Category & Lactation
  • Pregnancy: Limited data available; topical use is generally considered low risk but should be used only if clearly needed.
  • Lactation: No sufficient data; caution advised, especially if applied to breast area.
Therapeutic Class
  • Primary Classes:
    • Antiperspirant (Aluminium Chloride)
    • Topical antimicrobial and anti-inflammatory (Melaleuca alternifolia oil)
    • Skin conditioning agent (Geothermal water)
Contraindications
  • Known hypersensitivity to aluminium salts, tea tree oil, or formulation excipients.
  • Application on broken, irritated, or infected skin.
  • Severe dermatologic conditions aggravated by topical agents.
Warnings & Precautions
  • Potential for local skin irritation, contact dermatitis, or allergic reactions.
  • Avoid contact with eyes and mucous membranes.
  • Discontinue if severe irritation or hypersensitivity develops.
  • Use cautiously in patients with sensitive or atopic skin.
  • Patch testing recommended before first use.
Side Effects
  • Common: Mild skin irritation, dryness, itching, burning sensation.
  • Less Common: Contact dermatitis or allergic rash.
  • Rare: Severe hypersensitivity reactions.
Drug Interactions
  • No significant systemic interactions expected due to minimal absorption.
  • Concurrent topical irritants may increase skin irritation risk.
Recent Updates or Guidelines
  • Current dermatology guidelines recommend aluminium chloride as first-line topical therapy for hyperhidrosis.
  • Incorporation of Melaleuca alternifolia oil for antimicrobial support is increasingly accepted with emphasis on low concentrations to minimize irritation.
  • Patient education on proper application technique is critical to reduce adverse effects.
Storage Conditions
  • Store at 20°C to 25°C (68°F to 77°F).
  • Protect from direct sunlight, heat, and freezing.
  • Keep container tightly closed.
  • Avoid contamination and sharing applicators.