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Hyperhidrosis 101: An Essential Guide to the Causes, Symptoms, and Treatment for Excessive Sweating
What Are Treatment and Surgery Options for Hyperhidrosis?
Treating hyperhidrosis ultimately depends on the severity of the condition.
Try Extra-Strength Deodorant to Help Calm Excessive Sweating
A good first line of defense is over-the-counter antiperspirant designed to control excessive sweating. Hyperhidrosis deodorant options include Certain Dri and Secret Clinical Strength. (4)
Depending on the severity of your condition, over-the-counter products may have little effect on sweating. In this case, your doctor may prescribe a stronger antiperspirant.
More on How to Stop Sweating
Keep in mind that antiperspirants for excessive sweating should be applied before bed and washed off in the morning. For excessive sweating on your face, your doctor may prescribe a topical cream containing glycopyrrolate or anticholinergic cloths. Both have an antiperspirant effect. (3,4,)
Qbrexza (glycopyrronium) is an anticholinergic medicated cloth approved for excessive underarm sweating in people age 9 and older. Use the same cloth for both underarms daily.
Possible side effects of the cloth include headache, sore throat, skin dryness, and stinging or burning. It’s important to wash your hands with soap and water after using the cloth. Temporary pupil dilation or blurry vision can occur if the medicine comes in contact with your eyes. (8)
Opt for Oral Medication to Control Your Symptoms
Another option is oral glycopyrrolate, which can be taken daily for primary hyperhidrosis. Unfortunately, this medication can cause side effects like heart palpitations, oral dryness, and headaches, so speak with your doctor to determine if it’s right for you. (9)
Other medications used to treat hyperhidrosis include nerve blocking medications, which stop overactive sweat glands, as well as antidepressants.
See if Botox Might Be a Good Option for You
You can also talk to your doctor to see if you’re a candidate for Botox (onabotulinumtoxinA) injections. (4)
“Botox is FDA approved for hyperhidrosis of the underarms and the results can last for six months to a year,” says Katerina Gallus, MD, a plastic surgeon based in San Diego. “It prevents the release of a chemical that signals your sweat glands to activate, and it’s sometimes covered by insurance.”
Although helpful, Botox has potential side effects. These include pain at the injection site and short-term muscle weakness. (4)
When over-the-counter and prescription hyperhidrosis medications don’t work, your doctor may recommend other procedures, such as MiraDry, which can be performed in your doctor’s office and provides a permanent solution to underarm sweating, says Dr. Gallus. “It uses electromagnetic energy to target and destroy the sweat and odor glands in your underarm area,” she continues.
You may also be a candidate for a procedure that cuts or destroys the nerves that signal sweating in your hands, feet, or underarms.
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