Esta información y sus vínculos no se debe considerar un consejo médico si no ha habido una consulta en persona con historia clínica y examen físico
Antiperspirants
Antiperspirants containing aluminium or zirconium compounds are the most used method to control mild hyperhidrosis cases. Antiperspirants block the sweat ducts and then the perspiration is released through the urine.
Oral medications - Systemic prescription
Anticholinergics medications, such as glycopirrolate, are sometimes considered by physicians for the treatment of hyperhidrosis. However, this treatment may need of high doses of medication, which frequently has serious side effects such as dry mouth, blurred vision, urinary retention, constipation and heart palpitations.
Botulinum toxin type A (Botox)
The Botulinum toxin type A, which is commercially sold under the name of Botox or Dysport, is a neurotoxin produced by the anaerobic bacteria Clostridium Botulinum. Botox is used to temporarily reduce or abolish excessive sweat production. Botox may be used in the axillary area, hands and feet, previous iodine starch test, which is used to identify the area of hyperhidrosis. However, this form of treatment requires to be applied every four months. This treatment is not used in severe cases of hyperhidrosis.
Surgical treatment of hyperhidrosis
Axillary hyperhidrosis occurs specifically in the area where the axillary hair grows. This area delimits the site for sweat glands excision. The expert surgeon does not penetrate the axillae during the surgical treatment. Through a small incision, a careful subcutaneous excision of the apocrine glands is performed. Curettage and liposuction also may be used to treat the extreme underarm sweating.
This procedure is usually performed under local anesthesia and in an outpatient basis. Any post-surgery discomfort can be minimized with the pain medication prescribed by your physician.
Thoracic sympathectomy
The thoracic sympathectomy surgery is usually performed by a surgeon specialized in thorax. This procedure destroys by excision the T2 and T3 ganglia of the sympathetic nervous system. This treatment has proved to be effective for hyperhidrosis in hands (68-100%) and feet (58-85%). The 86% of the treated patients refer compensatory sweating in trunk and extremities, phantom sweating and neuralgia.