Now, more than ever, there are a number of treatment options for patients who suffer from underarm sweating. The Sweat Free clinic always encourages simple over the counter treatments as first line treatment.
Driclor antiperspirants and deodorants
Antiperspirants such as Driclor are available without prescription from your pharmacy. If applied correctly, they can help reduce underarm sweating by blocking sweat ducts, thereby reducing the amount of sweat that reaches the skin’s surface.
Prescription tablets for sweating
There are a number of tablets that can be useful for underarm sweating. These group of tablets are called anti-cholinergic medications, and can be obtained via a prescription. The most commonly used tablet is called Propantheline Bromide. This tablet can reduce underarm sweating by 20-50% however side effects such as sedation, dry mouth and blurred vision may occur.
BOTOX injections has revolutionised the treatment of axillary or underarm treatment. This treatment has been listed on the PBS under Specialist Use for the treatment of severe underarm sweating when other skin directed treatments (Driclor antiperspirants) do not work. This treatment blocks the chemical stimulation of nerves that activate the sweat glands. The treatment is effective in over 90% of cases and lasts between 6-8 months.
Alternative therapies and lifestyle changes
A number of herbal remedies such as St John’s Wort, Nat Mur, Sage, Chamomile and Argentum have been reported to reduce underarm sweating.
Biofeedback and meditation can be very useful if stress plays a part in excessive armpit sweating.
This treatment involves treating your sweat glands with an electrical current. It works better for palmar (sweaty hands) as well as plantar (sweat feet) hyperhidrosis. Iontophoresis of the armpits can be achieved with a pad, and can be effective in 20% of patients.
There are several surgical techniques for underarm or axillary sweating. The most promising surgical procedure is known as ETS or endoscopic thoracic sympathectomy. This procedure can be used for underarm sweating, facial sweating, and palmar (sweaty hands) hyperhidrosis.