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What are some advanced treatments for hyperhidrosis?

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Some more advanced treatments for hyperhidrosis include:

Oral hyperhidrosis medications can also reduce excessive sweating, although side effects frequently limit their use.

In extreme cases, referral to a surgeon is an option. Surgical procedures are available to treat hyperhidrosis and can be quite effective. They often have serious side effects, though, and are considered a last resort.

  • Iontophoresis: This involves soaking the hands or feet in a basin of water through which a mild electric current is passed. It requires frequent treatments, but it's often effective at reducing sweating.
  • Botulinum toxin type A (Botox): Injections of this anti-wrinkle drug turn off sweat glands of the underarms for months at a time. Botox is more than 90% effective as a hyperhidrosis medication. The injections can be painful, though, sometimes requiring local anesthesia.
  • miraDry system: This device uses electromagentic energy to permanently eliminate underarm sweat glands. It is not approved for use on other areas of the body.

SOURCES: 

Haider A. January 2005; vol 172: pp 69-75.  Canadian Medical Association Journal,

International Hyperhidrosis Society: "Sweating Bullets: Hyperhidrosis Fact Sheet." 

Weber, A. 2005; vol 114: pp 342-345. British Journal of Dermatology,

Glaser, DA. 2012 Feb;38(2):185-91.  Dermatol Surg.

Hong, HC. 2012 May;38(5):728-35.  Dermatol Surg.

Reviewed by Stephanie S. Gardner on October 13, 2017

SOURCES: 

Haider A. January 2005; vol 172: pp 69-75.  Canadian Medical Association Journal,

International Hyperhidrosis Society: "Sweating Bullets: Hyperhidrosis Fact Sheet." 

Weber, A. 2005; vol 114: pp 342-345. British Journal of Dermatology,

Glaser, DA. 2012 Feb;38(2):185-91.  Dermatol Surg.

Hong, HC. 2012 May;38(5):728-35.  Dermatol Surg.

Reviewed by Stephanie S. Gardner on October 13, 2017

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Is hyperhidrosis serious?

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