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To help decrease the uncomfortable feeling and odor associated with sweating try:
Frequent clothing changes
A number of treatments can be applied to decrease sweating in a particular area. These include:
Aluminum chloride hexahydrate
Iontophoresis (stimulation with electrical current)—needs to be repeated on a daily or weekly basis, eventually tapering off to every 1-2 weeks; may be used if prescription antiperspirants don't work
These are very rarely used due to their side effects, but may include:
This is the toxin produced by the bacteria that cause botulism. Injections of this toxin can decrease sweating in certain areas. It is often used on the palms of the hands and arm pits. The effect of one cycle of injections may last for 6-8 months for most patients.
Endoscopic thoracic sympathectomy—the destruction of nerves that stimulate sweating
Curettage—local removal of sweat glands via surgical scraping
International Hyperhidrosis Society
Canadian Institute for Health Information http://www.cihi.ca/
Health Canada http://www.hc-sc.gc.ca/index%5Fe.html
Baumgartner FJ. Surgical approaches and techniques in the management of severe hyperhidrosis. Thorac Surg Clin . 2008;18(2):167-181.
Braunwald E, Fauci AS, Kasper DL, Hauser SL, Longo DL, Jameson JL, eds. Harrison's Principles of Internal Medicine . 15th ed. McGraw-Hill Professional; 2001.
Commons GW, Lim AF. Treatment of Axillary Hyperhidrosis/Bromidrosis Using VASER Ultrasound. Aesthetic Plast Surg . 2009 Jan 3.
Cecil Textbook of Medicine . 22nd ed. WB Saunders Company; 2004.
Cecil Textbook of Medicine . 21st ed. WB Saunders Company; 2000.
Kasper DL et al. Harrison's Principles of Internal Medicine . 16th ed. McGraw-Hill Professional; 2004.
Local injection of botulinum toxin A for palmar hyperhidrosis: usefulness and efficacy in relation to severity. Yamashita N, Shimizu H, Kawada M, Yanagishita T, Watanabe D, Tamada Y, Matsumoto Y. J Dermatol . 2008;35(6):325-329.
Primary Care Medicine . 4th ed. Lippincott Williams & Wilkins; 2000.
Saenz JW, Sams RW 2nd, Jamieson B. FPIN's clinical inquiries. Treatment of hyperhidrosis. Am Fam Physician . 2011;83(4):465-466.
Solish N, Bertucci V, Dansereau A, et al. A comprehensive approach to the recognition, diagnosis, and severity-based treatment of focal hyperhidrosis: recommendations of the Canadian Hyperhidrosis Advisory Committee. Dermatol Surg . 2007;33(8):908–923.
Treatment of hyperhidrosis. Dermatologic Clinics . 1998 Oct.
The following Steward Centers for Cardiac and Vascular Care offer treatment (surgical and/or non-surgical) for this condition: