What are the solutions for hyperhidrosis?

Management starts by confirming whether sweating is localised or widespread and whether another condition or medicine may be contributing. Antiperspirants reduce sweat reaching the skin surface and may be prescribed when ordinary products are not enough. Iontophoresis uses a controlled electrical current through water for suitable hands or feet. Botulinum toxin injections reduce nerve signals to sweat glands in treated areas. Microwave sweat gland treatment uses energy under the skin in selected underarm cases. Each option has different preparation, aftercare, and possible effects, so a clinician should match it to your needs.

Drying skin promptly and wearing breathable fabrics can reduce friction and moisture-related irritation. Heat rash, intertrigo, and tinea versicolor can look or feel different from sweating alone and may need their own treatment. See [Excessive Sweating](/symptoms/excessive-sweating/) for the symptom overview.

Record the body areas affected, common triggers, sleep impact, skin symptoms, and products already tried. Apply any prescribed antiperspirant exactly as directed, often to fully dry skin, because incorrect use can increase irritation. Ask about hand and foot options if gripping, walking, or footwear is affected. Protect cracked skin, rotate shoes, and change damp clothing or socks so moisture does not remain against the skin.

Book an assessment when sweating persists despite routine measures, interferes with daily tasks, or has spread beyond its usual areas. Prompt care is appropriate for new night sweating, unexplained weight change, fever, palpitations, or a recent medicine change. Emergency help is needed for sweating with chest pain, fainting, confusion, or severe breathing difficulty.

Which option suits my sweating pattern? How should I prepare my skin? What side effects should make me stop or call? Could we first check for a medicine-related or medical cause?