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Molecule

Sofpironium

Also known as sofpironium bromide
Available on request
Presentations
1
Brands
1
Manufacturers
1
Available from stock
0

Sofpironium is a prescription medicine indicated for the treatment of primary axillary hyperhidrosis in adults and pediatric patients 9 years of age and older. It is available as gel for topical use. MedsAcross supplies Sofpironium for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

US FDA first approval
18 June 2024
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Topical
Dosage forms
Gel
Identifiers
UNII 00Y6A5AJU6CAS 1628251-49-9DrugBank DB19325Q27231384

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

SOFDRA is indicated for the treatment of primary axillary hyperhidrosis in adults and pediatric patients 9 years of age and older. SOFDRA is an anticholinergic indicated for the treatment of primary axillary hyperhidrosis in adults and pediatric patients 9 years of age and older.

Source: US FDA prescribing information

How it works

Sofpironium bromide is a competitive inhibitor of acetylcholine receptors that are located on certain peripheral tissues, including sweat glands. Sofpironium bromide indirectly reduces the rate of sweating by preventing the stimulation of these receptors.

Source: US FDA prescribing information

Dosing overview

Do not shave armpits at least 8 hours before applying SOFDRA. Do not shower at least 30 minutes before applying SOFDRA. Apply SOFDRA to clean, dry skin once a day at bedtime. Apply a single pump actuation to the top of the supplied applicator. Spread the entire amount to cover 1 underarm. Apply a separate, single pump actuation to the top of the supplied applicator. Apply the entire amount to the second underarm. Allow to dry completely (5 minutes) before putting on clothing. Wash hands immediately with soap. For topical use only. Avoid fire, flame, and smoking during and immediately following application. Do not shower or wash underarms for at least 8 hours after application. Do not touch underarms after applying SOFDRA. Do not use more than once daily. Avoid transfer of SOFDRA to the periocular area. Do not apply SOFDRA to broken skin. Avoid using SOFDRA with occlusive dressings.

Source: US FDA prescribing information

Contraindications

SOFDRA is contraindicated in patients with medical conditions that can be exacerbated by the anticholinergic effect of sofpironium bromide (e.g., glaucoma, paralytic ileus, unstable cardiovascular status in acute hemorrhage, severe ulcerative colitis, toxic megacolon complicating ulcerative colitis, myasthenia gravis, Sjögren's syndrome). Medical conditions that can be exacerbated by the anticholinergic effect of SOFDRA (e.g., glaucoma, paralytic ileus, unstable cardiovascular status in acute hemorrhage, severe ulcerative colitis, toxic megacolon complicating ulcerative colitis, myasthenia gravis, Sjögren's syndrome).

Source: US FDA prescribing information

Warnings and precautions

Urinary Retention: Use with caution in patients with a history or presence of documented urinary retention. Discontinue use immediately and consult a healthcare provider should any signs or symptoms of urinary retention develop. Control of Body Temperature: Watch for generalized lack of sweating when in hot or very warm environmental temperatures and avoid using SOFDRA if not sweating under these conditions. Operating Machinery or an Automobile: Transient blurred vision may occur with use of SOFDRA. If blurred vision occurs, discontinue use and avoid operating a motor vehicle or other machinery until symptoms resolve.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are described elsewhere in the labeling: Urinary Retention. Most common adverse reactions (incidence ≥2%) are dry mouth, vision blurred, application site pain, application site erythema, mydriasis, application site dermatitis, application site pruritus, urinary retention, and application site irritation.

Source: US FDA prescribing information

Interactions

Anticholinergics: Coadministration of SOFDRA with anticholinergic medications may result in additive interaction leading to an increase in anticholinergic adverse effects. Avoid coadministration of SOFDRA with other anticholinergic-containing drugs. Strong Inhibitors of CYP2D6: Avoid co-administration of SOFDRA with drugs that are strong inhibitors of CYP2D6.

Source: US FDA prescribing information

Storage

Store upright at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F).

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

1 presentations of Sofpironium, sorted by availability.

MedicineManufacturerRegisterAvailability
Sofdra 87 mg/0.67 mL gelTopicalBotanix SBUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 18 June 2024Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Sofpironium available for export from India?

Yes, on request. MedsAcross lists 1 presentations of Sofpironium and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Sofpironium have?

The catalogue lists 1 brand names for Sofpironium, including Sofdra.

Is Sofpironium approved by the US FDA?

Yes. The US FDA first approved Sofpironium on 18 June 2024, according to Drugs@FDA.

Does Sofpironium need cold chain shipping?

No listed presentation of Sofpironium is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

References

  1. Sofdra prescribing information (Botanix SB). U.S. National Library of Medicine, DailyMed. Retrieved 22 September 2025

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