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Hyperhidrosis and Anxiety
Written by Katie Crissman
October 01 2020

Hyperhidrosis and anxiety go hand in hand, one is often both the cause and result of the other. However, it needs to be understood that a mental disorder does not cause hyperhidrosis, rather anxiety produces worsened symptoms of the disease in people that already have it. Historically, hyperhidrosis was actually thought to be a psychiatric condition, but that has been proven to be untrue.[1] Anxiety is often a cause of excessive sweating in those with hyperhidrosis but it is not the only reason it occurs. It is important to understand that anxiety is a symptom of hyperhidrosis because of the uncomfortable experiences the disease produces. Hyperhidrosis is not dangerous, but the anxiety and stress that can result from it are detrimental if they are not treated.

Ways Hyperhidrosis Causes Anxiety

Hyperhidrosis has a profound impact on a patient’s quality of life. In some cases, it is a specific situation like public speaking, that will worsen hyperhidrosis symptoms, but often, daily situations produce the most anxiety for those suffering. Here are some ways in which hyperhidrosis impacts quality of life and creates anxiety for those affected:

These are just some of the ways that hyperhidrosis can cause anxiety and lower the quality of life for those suffering.[2] Fortunately, there are various ways of managing sweat and certain specific treatments that have been shown to greatly reduce the anxiety produced by hyperhidrosis.

How to Deal with Anxiety Caused by Hyperhidrosis

There are several non-medical ways to manage the symptoms of both hyperhidrosis and anxiety. Often, by decreasing the stress caused by hyperhidrosis on a daily basis patients can greatly reduce psychological symptoms. In some cases, the use of relaxation techniques, like deep breathing exercises, meditation and yoga can be greatly beneficial. Anxiety reduction methods can lessen excessive sweating if practiced on a regular basis. This is because hyperhidrosis is thought to be caused by an overactive sympathetic nervous system, so calming the nervous system down also reduces sweat production. These practices do not entirely eliminate symptoms of hyperhidrosis but can help to manage the distress caused by its symptoms, which can range from uncomfortably clammy hands and feet to a person not wanting to go to social events due to fear of social embarassment. In many cases, the most effective way to decrease significant anxiety caused by hyperhidrosis is to treat the actual condition. This often means managing hyperhidrosis with a doctor. There are some at-home management options like iontophoresis and OTC topical treatments that patients can try prior to visiting a doctor if they prefer. However, these treatments may not provide enough relief for a patient suffering from both severe hyperhidrosis and anxiety.

Medical Treatment Options for Hyperhidrosis to Decrease Anxiety

Increased anxiety is especially prevalent among those who have primary focal hyperhidrosis.[2] These are people who typically begin noticing symptoms during adolescence and who often have sweating on specific areas of the body. It is especially common to find anxiety in patients who have palmar and plantar hyperhidrosis[3]. Therefore, treatment for sweaty hands and treatment for sweaty feet are particularly effective in reducing anxiety symptoms. The most effective and well-studied methods which have been shown to reduce anxiety are surgical treatments for primary focal hyperhidrosis. These procedures include botox treatments for palmar, plantar and axillary hyperhidrosis as well as a surgical procedure called endoscopic thoracic sympathectomy (ETS). Both treatments reduce sweating to specific areas of the body and thus greatly reduce the amount of anxiety for those suffering. Patients should be weary of a surgical procedure called endoscopic lumbar sympathectomy as it has been shown to have potentiall serious and detrimental side effects. Patients should also be aware that endoscopic thoracic sympathectomy surgery also carries a high risk of ceratin side effects, like compensatory sweating, that can be difficult to handle. Most doctors maintain the idea that endocopic thoracic sympathectomy is still a safe treatment, despite some of the risks.[1][1]

There is also the option to treat hyperhidrosis with oral medications, specifically anticholinergic drugs like glycopyrrolate or oxybutynin, which can reduce sweating and thus anxiety. This has more recently been shown as a treatment which can potentially reduce anxiety, although surgical treatments are more commonly associated with improvements.[2] Of course, psychiatric medications can always be used to treat anxiety if needed, but if anxiety is specifically caused by the symptoms of hyperhidrosis then it makes sense to first treat the hyperhidrosis. If a patient decides to use psychiatric medications to manage their anxiety, they should be aware that benzodiazepines, which are used to treat acute anxiety, can be habit forming and have a sedating effect.

If a patients is suffering anxiety due to hyperhidrosis, and more conservative measures have not improved symptoms, then managing hyperhidrosis with a doctor is an important, and often life-changing, next step.

How Hyperhidrosis and Anxiety Have Been Studied

There have been several studies examining the relationship between anxiety, stress and hyperhidrosis. Although there have been some mixed results concerning which areas of sweating are most stress-producing (palmar, plantar or axillary) most studies show a correlation between anxiety and hyperhidrosis. One study, used both psychological evaluations (Beck Depression Inventory and Trier Inventory of Chronic Stress) and measured stress hormone levels to see if there was a cause between stress and hyperhidrosis. The cortisol levels remained similar to the control group but the hyperhidrosis patients reported higher levels of stress and depression.[4] There are many other assessments used to determine the quality of life for those suffering from hyperhidrosis including the Dermatology Quality of Life Index, Hyperhidrosis Impact Questionnaire, Skindex and more.[2] These tools are can be used by either researchers or doctors to determine how and to what extent patients are suffering psychologically from hyperhidrosis. Due to the fact that there is a strong correlation between excessive sweating and stress, some people suffer from stress sweating, or sweating that is greatly worsened when a person is in an acutely stressful situation.

It makes sense that hyperhidrosis, stress and anxiety are so closely related as the symptoms of hyperhidrosis cause both physical, social and emotional discomfort.[2] However, there are many available solutions and ways to manage the condition so that patients feel better and experience an improved quality of life.

Sources
  1. Ruchinskas, R. (2007). Hyperhidrosis and Anxiety: Chicken or Egg? Dermatology, 195-196. doi:10.1159/000099581
  2. Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
  3. Ghorpade, V. (2009). Idiopathic unilateral focal hyperhidrosis with social anxiety disorder. Indian Journal of Psychiatry, 51(3), 214-215. doi:10.4103/0019-5545.55094
  4. Gross, K. M., Andrea, B., Schneider, K. K., Schulz, A., & Meyer, J. (2014). Elevated Social Stress Levels and Depressive Symptoms in Primary Hyperhidrosis. PLoS One, 9(3). doi:10.1371/journal.pone.0092412
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Body Areas Affected by Hyperhidrosis

Can Athlete’s Foot Cause Sweating?

By JP Carter /

The answer is “no” - Athlete’s foot does not make you sweat more, but it can make excessive sweating even more uncomfortable than it already was. Here is an in-depth look at what Athlete’s foot really is and how excessive sweating impacts it.

Athlete’s foot, known scientifically as tinea pedis, is caused by a fungal infection (called dermatophytes) that affects the skin of the feet, especially the skin between the toes. The fungus causes skin to redden and crack and the affected areas are often flaky and itchy. Sometimes affected skin can also become inflamed. The fungus is able to infect a foot when it enters the top layer of the skin through small cracks or wounds. The infection can be passed on from person to person through direct contact or when someone steps on infected flakes of skin from another person. In order to grow and thrive, the fungus that causes Athlete’s foot needs a dark, moist environment and feet provide the perfect breeding ground due to those conditions. Furthermore, the skin of the feet contain large amounts of Keratin which the fungus feed on. There are certain risk factors that make it more likely for someone to develop Athlete’s foot, these include:

  • Genetic predisposition (seems to affect some families more than others)
  • History of allergies and eczema
  • Excessively sweaty feet (history of hyperhidrosis)
  • A weakened immune system
  • Poor circulation in the legs
  • Playing certain sports, particularly running and swimming[1]

    • Athlete’s foot appears to be a very common problem as anywhere between 3% and 15% of the population are thought to struggle with it at any given time. It is not physically dangerous, but it typically won’t go away on it’s own. Therefore, it is important for people with the condition to seek treatment.[1] While no studies have shown that Athlete’s foot causes people to sweat more, it has been noted that excessive sweating of the feet makes the development of Athlete’s foot much more likely. This is especially true for people who suffer from a condition called primary focal hyperhidrosis.[2] Hyperhidrosis causes people to sweat excessively from specific parts of the body like the hands, feet, armpits, face, and head. It affects about 3% of the US population making hyperhidrosis quite common, like Athlete’s foot.[3] The reason so many people with hyperhidrosis develop Athlete’s foot is because the condition causes the feet to constantly produce sweat which promotes the exact environment fungus need to thrive.[2] Luckily, there are several effective ways to prevent Athlete’s foot and manage the symptoms of hyperhidrosis.

    How To Prevent Athlete’s Foot

    Preventing Athlete’s foot predominantly consists of specific types of self-care to keep feet dry and certain precautions to limit exposure to infectants. Often times, treating hyperhidrosis symptoms, which are how you stop foot sweat and its odor, can greatly reduce the likelihood of developing a fungal infection like Athlete’s foot. Here are some practical solutions you can use to make your feet a less habitable environment for the fungi that cause Athlete’s foot:

  • Thoroughly drying feet after any activity that gets them wet. This includes activities like showering, bathing, swimming, or after sweating profusely while wearing shoes.
  • Wearing breathable shoes that don’t constrict your feet.
  • Not wearing the same pair of shoes two days in a row. It can be useful to have two pairs of shoes that you alternate each day.
  • Taking shoes off and airing out feet as frequently as possible.[1]

    • If you are suffering from hyperhidrosis and practical lifestyle changes are not enough to keep your feet dry, then you may want to consider other treatments for sweaty feet. These include treatment options like using over-the-counter topical treatments like antiperspirant to more invasive procedures like botox injections.[3] Due to the fact that hyperhidrosis treatments reduce the amount of moisture your feet are exposed to they can drastically reduce the likelihood that you will develop Athlete’s foot.[2]

    In addition to maintaining a dry pedal environment, it is also important for people to limit their exposure to the fungi that cause Athlete’s foot. Here are some tips to avoid contracting it:

  • Wear your own flip flops when swimming, using communal showers, and using communal changing rooms.
  • Do not share towels, shoes, and socks with other people.
  • Wash all towels, bedding, and socks in hot water that is greater than 60 degrees C.
  • Add antifungal laundry sanitizer if you wash your laundry at a lower temperature.[1]

    • How to Treat Athlete’s Foot

    Due to the fact that Athlete’s foot is so common, even when practicing prevention procedures, people often develop the condition at some point in their lives. In most cases, Athlete’s foot can be treated with over-the-counter remedies that are available at local pharmacies. These treatments come in the form of creams, gels, or sprays that contain an active ingredient that stops fungal growth of kills off fungus completely. In rare cases, tablets can be prescribed for people who haven’t had success with over-the-counter treatment options. There are also natural remedies that people use, which include tea tree oil some herbal foot bath solutions, although there is not scientific evidence that they are effective.[1]

    Once you have treated Athlete’s foot it is important that you continue to use preventative care practices so that you don’t develop it again. If you do also happen to suffer from hyperhidrosis, then getting treatment for it should keep your feet more comfortable and prevent you from developing Athlete’s foot as easily. There are many effective treatment options and it is important to make sure that you are taking proper care of the skin on your feet.

    Sources
    1. Athlete's foot: Overview. (2015). Retrieved May 31, 2019, from https://www.ncbi.nlm.nih.gov/books/NBK279549/
    2. Common Complications of Hyperhidrosis. (n.d.). Retrieved May 31, 2019, from https://www.webmd.com/skin-problems-and-treatments/common-complications-of-hyperhidrosis
    3. Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
    Causes of Hyperhidrosis

    Everything you need to to know about Hyperhidrosis (or Excessive Sweat)

    By Chris Reid /

    WHAT IS HYPERHIDROSIS?

    Hyperhidrosis, or excessive sweating, is basically when you sweat beyond comfort. People with hyperhidrosis just have overactive sweat glands. 

    The medical definition is sweat that is produced in excess of what is necessary for thermoregulation (the ability to maintain a healthy temperature.

    Sweating is a perfectly natural and necessary function the body uses to cool itself down. We need to sweat to live, however, with hyperhidrosis, you’ll sweat even when your body isn’t overheating.[1] 

    SIGNS YOU MAY HAVE HYPERHIDROSIS: 

    • When dressing, you take into account how your clothes will be affected by sweat and whether they will show sweat stains. 
    • You are always aware of your environment and whether or not you can influence the temperature. 
    • You've hesitated to shake someone's hand. 
    • You tailor your routine to take in account a need for reapplying your deodorant. 
    • You worry about taking off you shoes in front of others. 
    • You leave a sweat trail. 
    • Noticeable sweat even when you aren't working out or overheated. 

    WE DON'T JUST SWEAT UNDER THE ARMS: 

    All can be affected: 

    • Feet
    • Hands
    • Groin
    • Chest/Breasts
    • Thighs
    • Buttocks
    • Face
    • Scalp

    You could have sweat in just one of these areas, or like the lucky few experience full body excessive sweating. 

    Hands, feet, and underarms are the parts of the body that are most likely to be affected by hyperhidrosis.[3]

    People who suffer from hyperhidrosis have the same number and size of sweat glands as people who don’t have the condition. Their sweat glands are just overactive.[1]

    THERE ARE SOLUTIONS: 

    Good news, you don't have to live with uncomfortable sweat.

    SOME OPTIONS: 

    If you are interested in medical solutions, you can book an appointment with your dermatologist and learn how to manage hyperhidrosis with a dermatologist.[3]

    THERE ARE TWO MAIN FORMS OF HYPERHIDROSIS

    The vast majority of people will either have primary focal hyperhidrosis or secondary generalized hyperhidrosis. 

    Primary Focal Hyperhidrosis

    Primary Focal Hyperhidrosis (PFH) is by far the most common type, affecting up to 90 percent of people who have hyperhidrosis. 

    People with primary focal hyperhidrosis only sweat in particular areas like the hands, feet, armpits, face, and groin.

    Sweat will occur on both sides of the body in the same place and often in more than one area — like both hands and feet. [3]

    Symptoms usually begin in childhood or adolescence and tend to last for a person’s entire lifetime. There is evidence that primary focal hyperhidrosis is hereditary, meaning it often runs in families.[3]

    Secondary Generalized Hyperhidrosis

    While primary focal hyperhidrosis appears to be something you’re born with, secondary generalized hyperhidrosis (SGH) is a condition that shows up during adulthood. Think of SGH as an uninvited guest who arrives on your doorstep with no warning. [3]

    When someone has secondary hyperhidrosis the biggest problem isn’t the hyperhidrosis – it’s the disease or condition that might be causing it. [3]

    The source of this type of hyperhidrosis can also be a medication. Many common medications can cause hyperhidrosis as a side effect.[3]

    Unlike primary focal hyperhidrosis, the sweating from secondary hyperhidrosis tends to occur all over the body. This is a telltale sign of the condition.[3]

    Unlike primary hyperhidrosis, this condition doesn’t have to be permanent. If the instigating condition is found and treated, it can fix the hyperhidrosis. It may take a little work.[3]

    If you are concerned that your hyperhidrosis might have an underlying cause, schedule an appointment to talk to your doctor and find out.[3]

    THE IMPACTS OF HYPERHIDROSIS

    While hyperhidrosis isn’t particularly dangerous physically, it can be embarrassing.[3]

    Unfortunately, hyperhidrosis is more serious than just uncomfortable sweating.

    Up to a third of people who deal with excessive sweating from hyperhidrosis say that they are constantly bothered by their sweating.

    • 75% of respondents reported that hyperhidrosis negatively impacted their social, emotional, and mental health.[4] 
    •  Hyperhidrosis and anxiety often go hand in hand.[3] 

    HOW COMMON IS HYPERHIDROSIS?

    • 3% of the US population struggles with hyperhidrosis. In other countries the percentage of the population that has it is even higher.[3] 

    Because hyperhidrosis is such an embarrassing and overlooked condition, many individuals avoid reporting the issue to their doctor. This means that the number of people who have hyperhidrosis might even be higher than we currently think.[3]

    What Causes Hyperhidrosis?

    Doctors don’t truly understand what causes primary focal hyperhidrosis yet. One theory is that particular nerves that control the amount of sweat overreact or malfunction. That malfunction can cause the excessive sweating that can be life-changing for those who suffer from it.[7]

    Since hyperhidrosis affects so many people, researchers are now shifting into full gear to discover the causes of excessive sweating so they can develop better treatments. Future treatments and research for hyperhidrosis are being developed more rapidly than ever before.[3]

    What Conditions Can Cause Secondary Generalized Hyperhidrosis?

    Many diseases and medical conditions can cause hyperhidrosis. However, just because you have one of the conditions listed below this paragraph doesn’t mean you’ll develop hyperhidrosis.

    Here are some of the more common conditions that may be causing the hyperhidrosis you have developed as an adult.

    • A febrile illness
    • Menopause
    • Hyperthyroidism
    • Heart failure
    • Diabetes
    • Frostbite
    • Alcoholism - Alcohol can cause excessive sweating when someone is intoxicated, withdrawing, or in someone with an intolerance.
    • Gout
    • Lymphoma and some other cancers and tumors.
    • Obesity
    • Pregnancy
    • Parkinson’s disease
    • Rheumatoid arthritis
    • Stroke[3]

    There are also several types of common medications that cause hyperhidrosis as a side effect. So, if you are on medication and you begin experiencing new or increased amounts of sweating mention it to your doctor. Some of these medications include antidepressants, painkillers, blood pressure medications and many others.a [3]

    If you think you might have secondary generalized hyperhidrosis it is very important that you speak to a doctor. Many of the things that cause it can be resolved, and it could be a sign of a more serious problem. Don’t panic, but it is wise to look into the reason you are sweating more.

    What Are the Treatments for Primary Focal Hyperhidrosis?

    If you are diagnosed with primary focal hyperhidrosis, there are many things you can do.These are the existing treatments for hyperhidrosis, but new treatments are currently being explored by scientists:

    • Antiperspirants:There are many over-the-counter antiperspirants that can be very useful when trying to curb sweat. If a regular antiperspirant isn’t cutting it for you, ask your doctor to write a prescription for a stronger one. You can apply antiperspirant to places other than just your underarms. Use it on your hands, hairline, or feet as well. There are even antiperspirants for the face and groin that are made specifically for sensitive areas.
    • An Iontophoresis machine:This medical device sends low-voltage currents into a pan of water where your hands or feet are sitting. The electricity can lessen the activity of your sweat glands, at least for a while. However, it can take up to 10 sessions with the iontophoresis machine to deactivate your sweat glands. You may need to use this machine up to three times a week in the beginning and one treatment can take up to 40 minutes. Although iontophoresis as a treatment for palmar and plantar hyperhidrosis may give your hands and feet a much needed break, the iontophoresis machine is anything but convenient. Iontophoresis really does work, but patients have to be willing to keep up with a regular treatment regimen for it to work successfully.
    • Botox:If other treatments aren’t enough in your, you might need Botox injections. Botox can be particularly useful for axillary hyperhidrosis, but botox can also be a treatment for palmar and plantar hyperhidrosis. Botox can provide up to 6 months of reduced sweating. If you’re going to pursue this route, you should look for someone who is experienced at doing Botox injections in the underarms to ensure the right area is targeted.
    • Anticholinergics:A few oral medications can for hyperhidrosis can reduce the amount of sweat you produce by stopping your sweat glands from working. Most commonly patients are prescribed anticholinergics like glycopyrrolate or oxybutynin as a treatment for hyperhidrosis. These medications also have several side effects, including heart palpitations, blurry vision, and dry mouth.
    • ETS Surgery:An endoscopic thoracic sympathectomy (ETS) is a surgical treatment for primary focal hyperhidrosis. It is an operation where an individual actually has the nerve endings that transfer sensory information to the sweat glands destroyed. Since no known successful reversal of an ETS surgery has ever been recorded, this option isn’t usually on the table unless the other treatments have failed. As with any surgery, it can be risky. There is also a type of surgery called an endoscopic lumbar sympathectomy which is used to treat plantar hyperhidrosis, but this surgery can be very dangerous and is almost never recommended.[3]

    Defeating Hyperhidrosis

    Undoubtedly, hyperhidrosis can be a hard condition to cope with. Until recently, the lack of research into hyperhidrosis had made hyperhidrosis difficult to manage. Thankfully, however, new treatments and awareness has made hyperhidrosis much easier to handle. Keep trying treatments until you find what works for you and remember that you are not alone in suffering with this condition. It’s just a matter of figuring out what you can do to control your sweat instead of your sweat controlling you!

    Sources
      1. MedicineNet Medical Journal. (2016, May 13). Definition of Hyperhidrosis. Retrieved May 14, 2018, from https://www.medicinenet.com/script/main/art.asp?articlekey=16272
      2. Diaphoresis: What causes excessive sweating? (n.d.). Retrieved May 20, 2020, from https://www.medicalnewstoday.com/articles/321663#overview
      3. Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Amsterdam: Elsevier Pub. Co., 2014. Retrieved from https://www.elsevier.com/books/hyperhidrosis-an-issue-of-dermatologic-clinics/pariser/978-0-323-32607-0
      4. Lenefsky, M., & Rice, Z. P. (2018). Hyperhidrosis and Its Impact on Those Living With It. AJMC. Retrieved from https://www.ajmc.com/journals/supplement/2018/hyperhidrosis-managed-markets-update-treatments/hyperhidrosis-and-its-impact--on-those-living-with-it

    Nordqvist, C. (2017, December 21). Hyperhidrosis: Symptoms, causes, diagnosis, and treatment. Retrieved May 14, 2018, from https://www.medicalnewstoday.com/articles/182130.php

    Doolittle, James, et al. “Hyperhidrosis: an Update on Prevalence and Severity in the United States.” Archives of Dermatological Research, vol. 308, no. 10, 2016, pp. 743–749., doi:10.1007/s00403-016-1697-9. Retrieved from https://pubmed.ncbi.nlm.nih.gov/27744497/

    Huddle, J. R. (2014). Hyperhidrosis: Causes, Treatment Options and Outcomes. New York, NY: Nova Science. Retrieved from https://www.bookdepository.com/Hyperhidrosis-Janine-R-Huddle/9781633215160
    Complications of Hyperhidrosis

    Things to Avoid when Treating Hyperhidrosis

    By Katie Crissman /

    Hyperhidrosis affects upwards of 3% of the population, making it a very common medical condition. This means that there are many people seeking treatment for their excessive sweating. While there are several effective treatments for people with hyperhidrosis, there are some pitfalls that people need to be aware of. All of the medically recommended treatments for hyperhidrosis have been tested by the medical community but it doesn’t mean that they don’t come with their own risks. For those that suffer from primary focal hyperhidrosis proper treatment can make an immense difference in their quality of life.[1] Here is what people with hyperhidrosis need to watch out for as they figure out which treatments work best for them:

    Skin Irritation

    The first line treatment that dermatologists will recommend for hyperhidrosis is the use of antiperspirant. Antiperspirant is a type of topical treatment for hyperhidrosis that prevents skin from producing sweat.[1] It is considered to be a drug by the FDA due to the fact that it changes the function of skin. Most antiperspirants, even powerful ones, can be found over-the-counter and are quite effective at stopping a person from producing excessive sweat.[2] Typically, antiperspirant is used for axillary sweating although it has been used on other parts of the body more frequently as time goes on. One of the most bothersome side effects of antiperspirant is the irritation it can cause. When used on the less sensitive skin of the armpit this is not as big of an issue, but it is a problem when antiperspirant needs to be used on other, more sensitive, areas of the body.[1]

    The reason that antiperspirant can be so irritating is because of its active ingredient. Most antiperspirants use aluminum chloride, aluminum chloride hexahydrate, or a newer generation ingredient, like aluminum zirconium trichlorohydrex. These products can easily irritate skin. One study published in the journal of Dermatologic Clinics found that 26% of patients being treated with aluminum chloride antiperspirant reported stinging and itching sensations after use. If you are struggling to use antiperspirant because of skin irritation there are things you can do. Using antiperspirant consistently over a period of time seems to reduce skin irritation. You can also apply 1% hydrocortisone cream the morning after applying antiperspirant to clear up irritation. If you are sensitive to irritation then you may benefit from trying a newer generation antiperspirant with aluminum zirconium hexahydrate as the active ingredient. Studies have found that these antiperspirants tend to cause less irritation. There are also specific antiperspirants that are made for sensitive skin that you can try. Ultimately, you shouldn’t have to put up with skin irritation to talk to your doctor and see if you can find the antiperspirant that works best for your skin.[1]

    Stains

    Antiperspirants can be extremely helpful for those with excessive sweating, but they come with another major downfall - they stain clothing. Unfortunately, antiperspirant can leave a yellowish stain on clothing, especially when it is mixed with sweat. One study showed that up to 70% of people with axillary hyperhidrosis reported having to change their clothes at least two times a day. If a person is regularly sweating through their clothes it is safe to assume that they are also getting antiperspirant residue on their clothing. Antiperspirant is usually worth the inconvenience, and thankfully, there are effective ways to get antiperspirant out of clothes.[1]

    Medication Side Effects

    Doctors often treat hyperhidrosis with oral medications when other, more conservative, therapies have failed to work. Most of the time patients are prescribed a type of medication that falls into the class of anticholinergics. Anticholinergics work on the part of the nervous system that innervates sweat glands and stops the body from producing as much sweat. Unfortunately, they can also act on other parts of the body as well and cause unintended and unwanted side effects. The side effects a person will experience depend on their individual biological makeup and the specific medication they use. Some of the side effects of anticholinergics include dry mouth, constipation, nausea, vomiting, and many other possibilities. If you are planning to try oral medications for your hyperhidrosis, make sure that you work closely with your doctor to make sure that you aren’t suffering from intolerable side effects so that you can find the best medication for your body.[1]

    Not Trying Less Invasive Therapies First

    Almost all doctors that treat hyperhidrosis will recommend that patients begin trialing the most conservative treatments first before they move on to more invasive options. Sometimes, however, patients are exasperated with their condition and want to move on to more extensive options before trying all of the more conservative treatments. This is a big mistake because some of the most effective options are local therapies which are less invasive.[1] For example, a patient with palmar hyperhidrosis who didn’t respond well to an antiperspirant may try iontophoresis, but be inconsistent with their routine and fail to see a benefit. They may want to move on to botox injections, or even surgery, when iontophoresis may have worked if they had given it a proper chance. This would require them to take less risk and cost them less money. However, this isn’t the case for everyone and sometimes patients decide to go with more invasive treatments first for a variety of legitimate reasons. The most important thing is that you communicate openly with your doctor to find the treatment that is most effective for you.

    Giving Up

    Sometimes, despite their best efforts, patients can’t find an effective treatment for their hyperhidrosis. This can be extremely frustrating and disheartening because hyperhidrosis is a condition that negatively impacts quality of life.[1] However, it is important that patients continue to try new treatments as they come out and that they remain open to using the treatment options they do have. Even if your hyperhidrosis symptoms are not completely under control, most people find at least some relief from treatment. There are new treatments coming out every year and as awareness grows the future continues to look brighter for those with hyperhidrosis.

    Sources
    1. Pariser, D. M. (2014). Hyperhidrosis (4th ed., Vol. 32). Philadelphia, PA: Elsevier.
    2. Zirwas, M. J., & Moennich, J. (2008). Antiperspirant and Deodorant Allergy Diagnosis and Management. The Journal of Clinical and Aesthetic Dermatology, 1(3), 38-43. Retrieved August 22, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3013594/
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