Living with excessive sweating is physically uncomfortable and emotionally challenging. You may be dealing with hyperhidrosis if you constantly change clothes, avoid handshakes, or feel self-conscious about sweat stains. This medical condition affects approximately 4.8% of the population, causing abnormal and excessive sweating that isn’t necessarily related to heat or exercise. Hyperhidrosis comes in two primary forms:
- The primary focal hyperhidrosis is not caused by another medical condition or medication. It typically affects specific areas such as the underarms (axillary hyperhidrosis), palms (palmar hyperhidrosis), soles of feet (plantar hyperhidrosis), or face and scalp (craniofacial hyperhidrosis). In most cases, this type starts in childhood or adolescence.
- Secondary generalized hyperhidrosis results from an underlying health condition such as diabetes, menopause, thyroid problems, certain medications, or nervous system disorders. This form often causes sweating across the entire body rather than in specific areas.
Effective treatment options for hyperhidrosis
Many treatment options are available for managing excessive sweating, ranging from over-the-counter products to medical procedures. Let’s explore the most effective approaches.
1. Topical treatments
- Clinical-strength antiperspirants containing aluminium chloride are typically the first line of defence. The products block sweat ducts, so they can be applied to underarms, hands, feet, or any area that sweats excessively. For best results, apply to dehydrated skin before bedtime.
- Prescription-strength antiperspirants such as Drysol contain higher concentrations of aluminium chloride (up to 20%) and can be more effective for moderate cases of hyperhidrosis.
- Anticholinergic wipes like Qbrexza (glycopyrronium) are pre-moistened cloths that can be wiped on affected areas once daily to reduce sweating, particularly in the underarms.
2. Oral medications
- Anticholinergic medications such as glycopyrrolate, oxybutynin, and propantheline block the chemical messenger (acetylcholine) that stimulates sweat glands.
- Beta-blockers and benzodiazepines may be prescribed for situational hyperhidrosis triggered by stress or anxiety, but they’re not typically used for ongoing treatment.
3. Surgical options
For severe cases that don’t respond to other treatments, surgical interventions may be considered:
- Endoscopic thoracic sympathectomy (ETS) involves cutting or clamping the sympathetic nerves that trigger sweating. It is a highly effective solution for palmar hyperhidrosis and can improve balance and sweat regulation.
- Sweat gland removal surgically removes sweat glands from a specific area, typically the underarms. Techniques include curettage (scraping), liposuction, or excision (cutting out).
Lifestyle modifications and home remedies
Alongside medical treatments, these strategies can help manage hyperhidrosis:
- Wear breathable, moisture-wicking fabrics like cotton, linen, and specialized athletic materials
- Use absorbent underarm pads or shoe inserts to prevent visible sweat stains
- Apply baby powder or cornstarch to absorb moisture
- Do not consume spicy foods, caffeine, or alcohol, which can increase sweating
- Meditate or practice deep breathing to reduce stress
- Keep a change of clothes handy for emergencies
Managing hyperhidrosis often requires a personalized, multi-faceted approach. Consult a dermatologist who specializes in hyperhidrosis for a diagnosis and treatment strategy. If excessive sweating affects your daily life, seeking medical advice can be beneficial. Exploring different approaches to Hyperhidrosis Treatmentwith a medical expert can help find the best fit.