Excessive sweating of the underarms, palms, and soles is a widespread problem that significantly affects a person’s ability to function in personal and business settings.
Fortunately, there are several treatments available to reduce sweating when simple antiperspirants are not enough. The simplest method is to try a strong over-the-counter antiperspirant such as Certain Dri. These differ from other antiperspirants in that they are applied at night and reduces sweating by plugging the sweat glands with salt crystals. Stronger prescription versions are also available. One common side effect is local skin irritation.
Another approach is iontophoresis. Iontophoresis uses a specialized machine that uses tap water to produce a mild current in the skin that ultimately reduces the flow of sweat. For more information on iontophoresis, visit dermadry.com, rafischer.com, or drionic.com.
Surgery and oral medications are other approaches to reduce sweat. Surgery is generally considered an option of last resort because it has certain risks associated with it.
Prescription oral medications can be particularly effective for generalized hyperhidrosis. The most common one is called glycopyrrolate. Another is called propanolol.
Botox for hyperhidrosis is very effective. Botox was FDA approved for underarm sweating several years ago. It can also be used to treat excessive sweating of the palms and soles. Treatment is performed in the office and takes about 20 minutes. Results are often dramatic, especially in the axillae, and usually last 6 – 8 months. Effects start to appear in 3 – 4 days and peak in about 2 weeks.
