Excessive Sweating hyperhidrosis

Excessive Sweating

Hyperhidrosis is the medical term for excessive sweating. The problem may be limited to a few problem areas or may be all over. The armpits and the palms are the areas most often troublesome. Excessive sweating starts after puberty. It may be present to some degree all the time, but is at its worst when under stress such as during exams, interviews or dating. Excess sweating that affects areas other than the armpits and palms may a sign of serious problems. Systemic, neurological and anxiety conditions need to be ruled out; however most cases have no underlying cause.

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Excessive Sweating Treatment

Botox has been around for over 20 years and is considered an extremely safe medical treatment for anti-aging and migraines. Botox also works beautifully for hyperhidrosis. For treatment in the underarms, Botox is injected in about 15-20 sites in the armpits. Decreased sweating is seen about two weeks later, with the sweat reduction lasting approximately six months. Botox injections also work well to treat excessive sweating in the face, soles of the feet and palms of the hand.

The newest treatment for hyperhidrosis is miraDry. It was approved by the FDA for excessive underarm sweating. This treatment uses a hand held device which delivers electromagnetic energy non-invasively to the area where the sweat glands reside. As a result the glands are destroyed and don’t grow back, resulting in a dramatic and lasting reduction of underarm sweat.

Adapted from original source: AOCD

Frequently Asked Questions – Excessive Sweating

Can I prevent hyperhidrosis?
What parts of the body does hyperhidrosis affect?
Generalized hyperhidrosis makes you sweat all over. Focal hyperhidrosis mostly affects the:
- Armpits (axillary hyperhidrosis).
- Bottoms (soles) of the feet (plantar hyperhidrosis).
- Face, including the cheeks and forehead.
- Lower back.
- Genitals.
- Undersides (palms) of the hands (palmar hyperhidrosis).
Sometimes, a medical condition or emotion (like anxiety) triggers excessive sweating. For many people with hyperhidrosis, controlling symptoms can be a constant challenge.
What is focal hyperhidrosis?

Focal hyperhidrosis is a chronic skin disorder that you can inherit from your family. It results from a mutation (change) in your genes. It is also called primary hyperhidrosis. Most people who sweat excessively have focal hyperhidrosis.

Focal hyperhidrosis usually affects only the armpits, hands and feet, and head. It tends to start early in life, before age 25.
What is generalized hyperhidrosis?

Generalized hyperhidrosis is excessive sweating that happens due to another medical problem. Many medical conditions can cause your body to sweat more than usual. Some medications, such as naproxen (Aleve®) and zinc supplements (Cold-Eeze®), cause extra sweating as a side effect.

Generalized hyperhidrosis, also called secondary hyperhidrosis, tends to occur in adults.
How common is hyperhidrosis?

Estimates suggest between 2% and 5% of people in the U.S. have hyperhidrosis. However, that number may be higher. Many people who sweat excessively don’t talk about their symptoms and never tell their healthcare provider. That makes it hard to gauge how many people hyperhidrosis affects.
What symptoms does hyperhidrosis cause?
Hyperhidrosis symptoms can range widely in their severity and impact on your life. Minor symptoms may ebb and flow over a long time. Or excessive sweating may be an everyday challenge, a constant source of frustration and insecurity.

Hyperhidrosis affects people differently. Sweat may:
- Pool under your arms or around your back.
- Soak your shirt to the point that you need to change clothes to feel comfortable.
- Bead on your cheeks or forehead.
- Dampen or drip down your hands or soak your socks.
Excessive sweating may also lead to:
- Itching and inflammation when sweat irritates the affected area.
- Body odor, when bacteria on the skin mix with sweat particles.
- Residue from combinations of sweat, bacteria and chemicals (deodorants), leaving noticeable marks on clothing.
- Skin changes, such as paleness or other discoloration, cracks or wrinkles.
- Maceration (unusually soft or disintegrating skin) on the soles of your feet.
Your symptoms may offer clues to the type of hyperhidrosis you have. Excessive sweating due to focal hyperhidrosis usually affects both sides of the body (both hands or feet). Focal hyperhidrosis doesn’t cause night sweats and doesn’t go away without treatment. People with generalized hyperhidrosis may sweat while sleeping.

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IMPORTANT SAFETY INFORMATION & APPROVED USES
BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® Cosmetic :
Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months. Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control, trouble breathing, and trouble swallowing.
BOTOX® Cosmetic dosing units are not the same as, or comparable to, any other botulinum toxin product.

There has not been a confirmed serious case of spread of toxin effect when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines. BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.
Serious and/or immediate allergic reactions have been reported. They include: itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you are wheezing or have asthma symptoms, or if you become dizzy or faint.
Do not receive BOTOX® Cosmetic if you : are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and difficulty breathing from typical doses of BOTOX® Cosmetic.
Tell your doctor about all your medical conditions, including: plans to have surgery; had surgery on your face; have trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® Cosmetic can harm your unborn baby); are breast-feeding or plan to (it is not known if BOTOX® Cosmetic passes into breast milk).
Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® Cosmetic in the past.
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
Other side effects of BOTOX® Cosmetic include : dry mouth; discomfort or pain at the injection site; tiredness; headache; neck pain; and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids and eyebrows, swelling of your eyelids and dry eyes.

APPROVED USES
BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults.
For more information refer to the Medication Guide or talk with your doctor. To report a side effect, please call Allergan at 1-800-678-1605.

Please see BOTOX^® Cosmetic full Product Information including Boxed Warning and Medication Guide.