The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. You should have several pairs of daytime shoes so that each pair has a few days to dry out.

Changes of clothes may be necessary during the day. Primary focal hyperhidrosis has no underlying cause. Endoscopic thoracic sympathectomy (an operation to cut the sympathetic nerves that are triggered to produce sweating) may be considered for localised hyperhidrosis when other treatments have failed.

Loose fitting clothes made of natural fibres and leather shoes/sandals are beneficial.


Hyperhidrosis (hi-pur-hi-DROE-sis) is abnormally excessive sweating that's not necessarily related to heat or exercise. | Privacy Policy, Javascript must be enabled for the correct page display. 1109376 Topical hyperhidrosis gels containing aluminum chloride hexahydrate are usually first choice treatments for this condition. Primary hyperhidrosis of the face and head, Iontophoresis for palmar and plantar hyperhidrosis, Iontophoresis for hyperhidrosis of the axillae, Botox injection for hyperhidrosis of the axillae, Laser sweat ablation for hyperhidrosis of the axillae, Copyright © 1994 - 2020 The Primary Care Dermatology Society.
The eccrine sweat glands are responsible for perspiration throughout the entire body and, when the chain is over-active, it causes excessive sweating at most times during the day. Adhesive absorbent underarm pads for clothing are available on the internet. Data Protection Policy, Mental Health and Skin Disease  |  05.10.2020 If these fail, and if the sweating is bad enough to interfere with your work or social activities, you should ask your doctor for advice. This in turn may cause considerable social, psychological and occupational problems, involving the sufferer to be either ostracised or bullied by their peers. Most present before the age of 25. REVIEW DATE JUNE 2021. Factors which may modify primary hyperhidrosis: Bilateral excessive sweating most of the day; most commonly found on the palms, soles, axillae or face, If the feet are affected there is an increased incidence of fungal infections due to excessive sweat being trapped inside shoes all day, Investigations are seldom, if at all, indicated for, Flushing, as opposed to sweating, is likely to be associated with the, If patients are unwell during bouts of blushing, and have associated abdominal pain or diarrhoea, consider the, Use emollient washes, rather than soap-based products, Avoid tight clothing and man-made fabrics, Other treatments occasionally used include beta-blockers that cross the blood-brain barrier eg propranolol 40 mg tds, or diltiazem 60 mg tds, both of which can take several weeks to work, Other drugs such as clonidine, clonazepam and indomethacin are probably of little value, Severe palmar hyperhidrosis - endoscopic thoracic sympathectomy (ETS), Aluminium chloride antiperspirants eg Anhydrol Forte ® or Driclor ®, Wash the area, dry before application and wipe on once only, If very irritable use Eumovate cream in the morning, or wash the area with a pinch of baking soda dissolved in water. It is an embarrassing and disabling condition, defined as sweating in excess of that required for normal temperature regulation. Secondary focal hyperhidrosis involves specific areas of the body, caused by an underlying condition. These include nerve and lung damage during the surgery, as well as the risks of any general anaesthetic. This leaflet has been assessed for readability by the British Association of Dermatologists’ Patient Information Lay Review Panel, BRITISH ASSOCIATION OF DERMATOLOGISTS Cotton, silver and copper socks are also helpful for many which may work by helping to reduce sweating or to reduce odour secondary to the excessive sweating. It is most useful for severe hyperhidrosis of the palms and face. Sufferers do not sweat excessively during sleep.

It is also known as primary idiopathic, primary localized, or focal hyperhidrosis. You may be able to slip your feet out of your shoes even for short periods. UK This leaflet has been written to help you understand more about hyperhidrosis. As the dose is increased, some people get relief from sweating before significant side effects occur, but for others the side effects begin before they reach a dose high enough to control sweating.


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