DISEASE SEVERITY &
TREATMENT OPTIONS1

There are different treatment options available to treat hyperhidrosis (excessive sweating). These include nonsurgical (i.e., topical, systemic) and surgical treatments that vary in their therapeutic efficacy, side effects, cost, and duration of effect.1

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FOR MILD OR MODERATE AXILLARY
(UNDERARM) HYPERHIDROSIS:1

disease mild

1st line: Topical Aluminum Chloride (AC).

2nd line: Injection within the skin of BTX-A (Botulinum toxin type-A) may be administered.

3rd line: Surgical procedure to reduce sweat glands, done on an outpatient basis with local anesthesia.

FOR SEVERE AXILLARY
(UNDERARM) HYPERHIDROSIS:1

disease severe

1st line: Topical Aluminum Chloride (AC).

2nd line: Intradermal injection of BTX-A (Botulinum toxin type-A) may be administered.

3rd line: The physician may consider the use of oral medications alone or as an additional therapy.

4th line: Surgical procedure to reduce sweat glands, done on an outpatient basis with local anesthesia.

5th line: A procedure known as Endoscopic thoracic sympathectomy (ETS) would be the last resort in patients not responding to the above therapies.

Patients response to treatments may vary from a patient to another. Always discuss with your doctor the suitable treatment options for your condition.

  1. A Comprehensive Approach to the Recognition, Diagnosis, and Severity-Based Treatment of Focal Hyperhidrosis: Recommendations of the Canadian Hyperhidrosis Advisory Committee NOWELL SOLISH Dermatol Surg 2007;33:908–923.
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