Hyperhidrosis

Excess sweating from the eccrine sweat glands, This may be generalized but more commonly localized to the armpits or thepalms and soles.

Treatment:

Avoid heat,humidity and minimize anxiety or treat it

• Topical aluminum chloride solution in ethanol (Drysol)
• Topical Gluteraldehydeapplied to palms and soles
• Botox is gaining populartiy and can reduce sweating for 6 months or more
• Iontophoresis best for the palms and soles
• Sympathectomy
• Axillary liposuction or axillary surgery
• Case reports showing benefit from anti-cholinergic drugs both topical and systemic
• Biofeedback
• Clonazepine
• Clonidine
• Diltiazem

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