Treatment Of Hyperhidrosis

Hyperhidrosis, more commonly known as excessive sweating, can cause discomfort and embarrassment, but there are numerous ways to manage and treat this condition. This article will provide a comprehensive rundown of treatments available and the effectiveness of each method.

What are the treatments for excessive sweating? The answer is multi-faceted, as there isn’t a one-size-fits-all solution. The appropriate treatment largely depends on the severity of the hyperhidrosis, the part of the body affected and overall health condition of the patient.

Topical Antiperspirants

Antiperspirants that contain aluminium salts, particularly aluminium chloride, are the first line of treatment for underarm, hand, and foot hyperhidrosis. These antiperspirants work by creating superficial plugs in the sweat ducts, which inhibits sweat production in the applied area. For individuals with severe hyperhidrosis, there are prescription strength antiperspirants available as well. Mild skin irritation can be a side effect of these stronger antiperspirants.


Iontophoresis involves passing a weak electric current through water-using pads, which are applied on the skin. This is a common treatment method for individuals suffering hyperhidrosis of the hands and feet. The procedure can be performed at home with an iontophoresis device. It’s usually done multiple times a week, which can be time-consuming but has shown positive results. Common side-effects involve skin dryness and mild irritation.

Oral Medications

Several types of medications can potentially curb excessive sweating. These include anticholinergic drugs, which inhibit the transmission of parasympathetic nerve impulses hence decreasing sweat production. Although these medications can be effective, they also come with side effects like dry mouth, blurred vision, and bladder problems. Therefore, they’re typically considered a secondary treatment option.

Botox Injections

In some cases, Botulinum toxin (Botox) can be used to block the nerves controlling the sweat glands, specifically in the underarms. Botox injections tend to be effective for 6 to 12 months, after which the treatment needs to be repeated. The procedure can be painful, and it’s necessary to consult a skilled practitioner to correctly administer the treatment.

Endoscopic Thoracic Sympathectomy (ETS)

If other treatments have failed to reduce excessive sweating, Endoscopic Thoracic Sympathectomy (ETS) might be considered. ETS is a surgical procedure in which the surgeon cuts or clamps the spinal nerves responsible for excessive sweating. Regrettably, the procedure has potential severe side effects, including compensatory sweating (increased sweating in other body parts). Hence, it’s considered as a last resort.

Microwave Therapy

Microwave therapy uses a device that delivers microwave energy, effectively destroying sweat glands. While this treatment is lengthy and may require multiple sessions, it’s generally associated with fewer side effects and can offer long-term results for excessive underarm sweating. One potential downside is that it can be relatively expensive.

In conclusion, hyperhidrosis treatment options range from non-invasive techniques like antiperspirants and iontophoresis to more invasive procedures such as Botox injections and surgery. The choice of treatment should be made with a healthcare provider, considering the severity of the problem, the impact on quality of life, and the potential side effects of the treatment. While managing hyperhidrosis can be frustrating at times, it’s important to remember that you’re not alone and various treatment options can provide relief.