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Brooke’s Blog: Dermatology Questions and Answers

Dear Brooke, I am constantly sweating despite any deodorant I use under my arms. I have ruined so many blouses and dresses and I get so embarrassed when I go out worrying that I am going to have wet marks on my clothes. How can I stop this excessive sweating and finally be able to stop being so self-conscious? Thank you! – Tamara, 35 years-old, from Queens, New York. Dear Tamara, The condition that you are describing is medically known hyperhidrosis, which is an abnormal increase in perspiration. As human beings, we require some level of sweating in order to regulate our body temperature. However, some people suffer from excessive sweating that cannot be controlled by deodorant or even clinical strength antiperspirants. The most common location for hyperhidrosis is the armpits, but it is also known to occur on the hands, feet, and groin area where most of the sweat glands are located. Some people are affected by hyperhidrosis at a young age due to a genetic predisposition. Other people can develop hyperhidrosis later in life; usually these people have an underlying medical condition such as thyroid or pituitary disorders, diabetes, menopause, or from certain medications.  The exact cause of hyperhidrosis is not easily identified, however, there is an association with nervousness, anxiety, and an increased metabolic rate. Additionally, certain outside factors such as caffeine, smoking, and spicy foods can be known to trigger hyperhidrosis.
Your health care practitioner can treat this condition with medical strength aluminum chloride that is not available as over-the-counter deodorants or antiperspirants. The most commonly prescribed medical therapy is Drysol® which can be applied once a day to the affected areas, particularly in the underarm regions. Most patients begin to experience reduction in their sweating using Drysol® within a week. Alternatively, Botox therapy has been shown to be a highly effective method of treating hyperhidrosis. Botox prevents the sweat glands from secreting sweat by paralyzing the neural control centers of the sweat glands. This treatment is approved by the FDA and is safe to use on the hands, underarms, and other regions of the body. Typically, patients experience relief from hyperhidrosis with Botox therapy for approximately 9 months. At Schweiger Dermatology, we treat numerous patients successfully with Botox therapy in order to reduce the symptoms of hyperhidrosis and to ultimately eliminate the embarrassment associated with this condition. Best Regards, Brooke Studley, RPA-C
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Schweiger Dermatology

110 East 55th Street
New York, NY 10022
212.283.3000
contact@schweigerderm.com

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