Treatment Options for Hyperhidrosis

Depending on the location of the hyperhidrosis and the patient's needs, the physician will consider various treatment options based upon the following therapeutic ladder for localized primary hyperhidrosis, with the preferred treatment options listed first:

Axillary Hyperhidrosis:

• Botox®
• Topical aluminum salts
• Systemic anticholinergics
• Surgical sweat gland excision or sympathectomy

Palmoplantar Hyperhidrosis:

• Aluminum salts
• Iontophoresis
• Botox®
• Systemic anticholinergics
• Sympathectomy

Hyperhidrosis of the Head, Face, Scalp and Forehead:

• Botox®
• Systemic anticholinergics

Frey syndrome (neurological disorder)

• Topical aluminum salts
• Botox®