POLL: What Treatment Option Do You Most Commonly Use for Patients With Hyperhidrosis?

This Hyperhidrosis Awareness Month, Dermatology Times wants to hear from you. What treatment options do you most commonly rely on when it comes to managing or treating hyperhidrosis in your patients?

Medications for Hyperhidrosis

1. Prescription Antiperspirants: Antiperspirants containing aluminum chloride, like Drysol and Xerac AC, are often the first line of defense for those dealing with hyperhidrosis. When applied to dry skin before bedtime, they work by blocking sweat ducts and reducing excessive sweating.
2. Prescription Creams and Wipes: For localized hyperhidrosis affecting the face and head, prescription creams containing glycopyrrolate or wipes soaked in glycopyrronium tosylate (Qbrexza) can provide relief. These topical solutions are effective in reducing excessive sweating in the affected areas.
3. Nerve-Blocking Medications: Certain oral medications can be used to block the nerves that trigger sweat glands, reducing sweating in some individuals.
4. Antidepressants: Some medications typically used to treat depression may also help decrease sweating, particularly in cases where anxiety plays a role in exacerbating hyperhidrosis symptoms.
5. Botulinum Toxin Injections (Botox): Botox injections have gained popularity as a highly effective treatment for hyperhidrosis. By blocking the nerves responsible for activating sweat glands, Botox can provide relief for several months.

Surgical and Other Procedures for Hyperhidrosis

1. Iontophoresis: Iontophoresis is a home treatment method that involves soaking the affected areas, such as the hands or feet, in water while a device passes a mild electric current. This current blocks the nerves responsible for sweating. The treatment can be performed at home with a prescribed device.
2. Microwave Therapy (miraDry): Microwave energy is used to destroy sweat glands in the armpits. The procedure typically requires two sessions, each lasting 20 to 30 minutes, and spaced three months apart.
3. Sweat Gland Removal: For individuals with localized hyperhidrosis in the armpits, sweat gland removal may be considered. This can be achieved through various methods, including scraping, suction, or a combination of both.

Vote below or email us at DTEditor@mmhgroup.com to share your hyperhidrosis insights or research.

Reference

Hyperhidrosis. Mayo Clinic. September 16, 2022. Accessed November 7, 2023. https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/diagnosis-treatment/drc-20367173