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What is the treatment for hyperhidrosis?

Living with hyperhidrosis can be difficult, and finding the right treatment for your specific case may take time. One of the first options your doctor may suggest for you is the use of a strong antiperspirant such as Drysol. Antiperspirants, containing 10 percent to 19 percent aluminum chloride hexahydrate, can help you control your sweating. If this is not sufficient, your doctor may prescribe an antiperspirant containing up to 25 percent of aluminum chloride, which is applied nightly onto the affected areas.

Your doctor may also recommend deodorants, which do not prevent sweating, but are helpful in reducing body odor.

Our approach

If you experience hyperhidrosis, you know that it can cause you a great deal of irritation and embarrassment. We can work with you to find an approach for treating your specific symptoms.

Types of treatment

If antiperspirants aren’t helpful, your doctor may suggest that you try medication. Anticholinergic medications are drugs that block neurotransmitters. Glycopyrrolate, which is also called Robinul®, and oxybutynin, known as Ditropan®, help reduce the production of sweat.

While these drugs are effective for some patients, they haven't been well studied, even though they've been used for years. They may also cause unpleasant side effects such as dry mouth, blurry vision, bloated feeling, constipation, decreased milk production, dizziness, drowsiness, enlarged pupils, headache, loss of taste, nausea, nervousness, sleeplessness and weakness.

There are some other systemic agents (medicines that affect your entire body) that have been used for hyperhidrosis treatment, including:

  • Amitriptyline, clonazepam and beta blockers — which are antidepressants — and anti-anxiety treatments that can help with the physical manifestations of anxiety that cause you to perspire.
  • Calcium channel blockers which are typically used in the treatment of blood pressure, can be helpful to patients with hyperhidrosis.
  • Indomethacin and clonidine are sometimes used for the treatment of craniofacial and generalized hyperhidrosis.

If basic treatments such as antiperspirants aren’t helping with your hyperhidrosis, or excessive sweating, your doctor may want you to consider Botox injections as a temporary treatment.

Botox®, or botulinum toxin type A, is used as a treatment for severe underarm sweating. Small doses of purified botulinum toxin are injected into your underarm to temporarily block the nerves that stimulate sweating. It as also possible to treat your palms and feet with Botox.

This treatment can be effective, but the injections can be painful and expensive, and the effect is temporary.

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