Excess Sweating (Hyperhidrosis)

Sweating is a normal and necessary function for body temperature regulation and to keep your body cool during hot conditions. However, people with hyperhidrosis have overactive sweat glands that produce more sweat than necessary or at times when sweating isn’t needed for thermal regulation. Commonly affected areas include the hands and feet, underarms and face. It is estimated that around 5% of the population suffer from hyperhidrosis.

There are main two types of hyperhidrosis:

1. Primary – This occurs in healthy patients without any known systemic disease or implicated medications. This is the most common type of hyperhidrosis and is associated with anxiety or increased emotional state.
2. Secondary – This is associated with a generalized underlying medical condition, such as hyperthyroidism or an infection, or due to a medication.

How is it treated?

Treat for hyperhidrosis is personalized, and treatment options may include:

1. Botox injections – This blocks the nerve signals that produce excess sweating. Repeat treatment is needed every 4-6 months as your nerves regenerate.
2. Topical Aluminum Chloride / Drysol
3. Topical glycopyrrolate wipes
4. Oral glycopyrrolate tablets
5. Iontophoresis