Hyperhidrosis

The treatment for hyperhidrosis is to try and solve the underlying problem that might have made it occur to begin with. After test, if there is no underlying cause determined treatment will focus on controlling the excess sweat. Your doctor might prescribe medications or surgical or non-surgical procedures.

Medications

• Prescription antiperspirant — you apply these products before you go to bed and then wash it off once you wake up. These products include aluminum chloride (Drysol, Xerac Ac). Be aware of eye and skin irritation and if skin become irritated other options may be better for you.
• Prescription creams — if your hyperhidrosis affects your face and head then these creams which contain glycopyrrolate can help.
• Nerve-blocking medication — to block chemicals that allow nerves to communicate, you can take oral medications. These include drugs such as carbamazepine (Tegretol) and gabapentine (Neurontin). These can stop excessive sweating.
• Antidepressants — to reduce anxiety that can make hyperhidrosis worse, you can take antidepressants. They can also stop sweating in some people by controlling the anxious or depressive symptoms that make people sweat. These include drugs such as SSRIs (selective serotonin reuptake inhibitors) like citalogpram, escitalopram, fluoxetine, SNRIs (serotonin and noradrenaline repute inhibitors) like duloxetine, venlafaxine and desvenlafaxine.
• Botilinum toxin injections — these treatments temporarily block the nerves that cause sweat. They include botulinum toxin in the form of Botox, Myobloc, among others. Your body will receive several injections into the affected area and can last six to twelve months.

Surgical and Non-Surgical Procedures

• Microwave therapy — this is when a device is used to deliver microwave energy in order to destroy sweat glands. This can take twenty to thirty minutes each session and sessions are needed three months apart.
• Sweat gland removal — this is the removal of sweat glands in your armpits which is a prominent area of excessive sweating. Another minimal invasive procedure that could help is suction curettage which is used when you are not responding to other treatments.
• Nerve surgery — this is where the surgeon will cut, burn, or clamp the spinal nerve which is controlling the sweating in your hands. Sometimes this can lead to excessive sweating in other areas of your body called compensatory sweating. This is not used for hyperhidrosis that occurs only in the neck and head. Another surgery which is a variation of nerve surgery involves the interruption of the nerve signals without having to remove the sympathetic nerve. This procedure is called a sympathotomy.