hyperhidrosis

What Are the Treatments for Hyperhidrosis?

Shad Douglas

06 Aug 2025 — 1 min read

Summary

Hyperhidrosis, characterized by excessive sweating, can be treated through various interventions ranging from lifestyle changes to advanced medical treatments. These include topical treatments, medications, botox injections, iontophoresis, microwave therapy, and in severe cases, surgery. Here's a detailed explanation of these treatments.

Topical Treatments

Antiperspirants

Over-the-counter or prescription antiperspirants containing aluminum chloride are often the first line of treatment. They work by blocking sweat glands, thereby reducing sweating [Mayo Clinic, 2023].

Medications

Oral Medications

Anticholinergic drugs such as glycopyrrolate can be prescribed to reduce sweating by blocking the neurotransmitter responsible for sweat gland stimulation [American Academy of Dermatology, 2023].

Botulinum Toxin Injections

Botox

Botox injections are FDA-approved for treating excessive underarm sweating and can be used off-label for other areas like hands and feet. The treatment temporarily blocks the nerves that cause sweating [WebMD, 2023].

Iontophoresis

This procedure involves using a device that passes mild electrical currents through water and into the skin's surface. It is particularly effective for hands and feet [NHS, 2023].

Microwave Therapy

Microwave therapy, such as miraDry, uses microwave energy to destroy sweat glands. This is a non-invasive procedure with lasting results for underarm sweating [miraDry, 2023].

Surgical Options

Endoscopic Thoracic Sympathectomy (ETS)

In severe cases, ETS surgery involves cutting, clipping, or removing the nerves that trigger sweating in certain areas. This treatment is typically considered when other treatments have failed and comes with potential side effects [Cleveland Clinic, 2023].

Lifestyle Modifications

Wearing loose, breathable clothing, using absorbent pads, and avoiding sweat-inducing foods can help manage symptoms. Lifestyle changes are often recommended in conjunction with medical treatments [Healthline, 2023].

Conclusion

Effective management of hyperhidrosis involves a combination of treatments tailored to the individual's needs and severity of symptoms. It is advisable to consult with a healthcare provider to determine the best treatment plan.

References

[Mayo Clinic, 2023] Mayo Clinic. (2023). "Hyperhidrosis - Diagnosis & Treatment."
[American Academy of Dermatology, 2023] American Academy of Dermatology. (2023). "Hyperhidrosis: Treatment."
[WebMD, 2023] WebMD. (2023). "Hyperhidrosis: Causes, Symptoms, and Treatments."
[NHS, 2023] NHS. (2023). "Excessive sweating (hyperhidrosis) - Treatment."
[miraDry, 2023] miraDry. (2023). "Sweat Less. Live More."
[Cleveland Clinic, 2023] Cleveland Clinic. (2023). "Endoscopic Thoracic Sympathectomy."
[Healthline, 2023] Healthline. (2023). "Hyperhidrosis: Symptoms, Diagnosis, and Treatment."

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