Treatment Options

It is important in Generalised Hyperhidrosis that the cause be addressed.

There are a number of surgical and non surgical treatments for focal hyperhidrosis.

Non Surgical Treatments

  • Topical therapies include topical antiperspirants containing aluminum chlorohydrate. These should be applied once daily, usually at night. This agent however can be associated with skin irritation.
  • Iontophoresis is a specialized treatment, with some devices available for home use. It can cause some discomfort however and may take up to 10 sessions to show benefit.
  • Botulinum toxin A is a highly effective treatment for focal hyperhidrosis. The PBS has approved Neurologists to administer the treatment for patients with hyperhidrosis of the armpits who do not respond to topical aluminium chloride hexahydrate based antiperspirants. This has reduced the out of pocket expenses for patients per session significantly.
  • The treatment is easy and quick to administer for armpit sweating, and gives highly effective results without scarring. Sweating is reduced within a week, with therapeutic effects lasting 4-8 months in 92% of patients. The treatment is associated with high patient satisfaction and low side effect profile.
  • Systemic therapy. Anticholinergic medications can be used. They can be effective and are relatively inexpensive, though can have limiting side effects of dry mouth and eyes, urinary retention, and constipation.


Surgery is reserved for those refractory to medical therapy and in whom the condition is having a significant impact on their life.
Note: Information on this site is not a substitute for professional medical advice.


AFR Sweaty Australians are turning to Botox May 5 2015
AFP Hyperhidrosis and bromhidrosis May 2013
Treatment of Primary Axillary Hyperhidrosis with Botulinum Toxin Type A: Our experience in 50 patients from 2007 to 2010 ISRN Dermatology 2012