Last reviewed dd mmm yyyy. Last edited dd mmm yyyy
suggested stepwise management of primary hyperhidrosis
The following (based on published recommendations) have been suggested for management of primary hyperhidorsis
| Management steps | ||||
First | Second | Third | Fourth | Fifth | |
Axillary hyperhidrosis | topical aluminium chloride at increasing doses as tolerated | botulin A injections | systemic anticholinergic treatment at increasing doses as tolerated | iontophoresis using tap water ±topical anticholinergics | thoracoscopic sympathectomy |
Palmar hyperhidrosis
| topical aluminium chloride at increasing doses as tolerated | iontophoresis using tap water ±topical anticholinergics | systemic anticholinergic treatment at increasing doses as tolerated | thoracoscopic sympathectomy |
|
Plantar hyperhidrosis
| topical aluminium chloride at increasing doses as tolerated | iontophoresis using tap water ±topical anticholinergics | systemic anticholinergic treatment at increasing doses as tolerated |
|
|
Craniofacial hyperhidrosis
| topical aluminium chloride at increasing doses as tolerated; topical glycopyrrolate | systemic anticholinergic treatment at increasing doses as tolerated | thoracoscopic sympathectomy |
|
|
Reference:
Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page