What is the first treatment for sweaty palms?

Palmar hyperhidrosis means sweating from the palms is greater than needed for temperature control. It can interfere with writing, handling objects, using screens or greeting people, even when the surroundings are cool.

Iontophoresis passes a mild electrical current through water while the hands rest in trays. With a suitable plan, repeated sessions can reduce sweat production. Botulinum toxin for sweating is delivered through small injections that temporarily interrupt the nerve signals stimulating sweat glands.

Record when the sweating occurs, whether both hands are affected and whether it also happens during sleep. A clinician may check for medicines or health conditions that can increase sweating before labelling it primary palmar hyperhidrosis.

Discuss iontophoresis if you prefer a non-injectable approach and can maintain repeated sessions. Ask about botulinum toxin if sweating is severe, localised or has not improved enough. Follow device instructions carefully and mention implanted electrical devices, pregnancy or broken skin before treatment.

Book an assessment if new or rapidly worsening sweating affects daily tasks, occurs mainly on one side or comes with tremor, weight change, fever or palpitations. Seek urgent help for sudden sweating with chest discomfort, faintness, severe breathlessness or confusion.

Does my pattern suggest primary or secondary sweating? How often would iontophoresis be needed at first? Would botulinum toxin suit my hands, and what temporary effects should I expect? What should I do if the skin becomes irritated?