Hyperhidrosis, or excessive sweating, is not only a medical problem but a social one. Many of my patients tell me, “I can’t wear a sleeveless dress,” or “I’m a salesman and I can’t shake hands.”
So, here’s a checklist for treating your problem:
- Antiperspirants-These are available with or without a prescription and generally contain aluminum chloride in various concentrations.
- Iontophoresis- a low voltage medical device mainly used on hands. Requires multiple treatments and maintenance therapy.
- Oral medicines- Anticholinergic pills like glycopyrrolate or beta blockers. These may have potential side effects but are easy and cheap.
- Surgical treatments-Removal of sweat glands or interrupting nerve fibers. May be scarring and result in sweating elsewhere.
- Botox– The real breakthrough! Administered to localized areas (underarms, palms) every 6 months, this can be an excellent treatment. In some cases, this can be covered by your insurance.