To sweat is normal and the principal reason one sweats is to maintain body temperature ie. eliminate excess body heat . Hyperhidrosis is excessive perspiration (sweating) or sweating beyond what is necessary to maintain normal body temperature. Hyperhidrosis can have a major impact on one's quality of life. Sweaty hands, feet, or armpits are embarrassing at the least and can increase anxiety and stress in both occupational and social situations.

The most common form of hyperhidrosis is focal (i.e. restricted to the palms of the hands, soles of the feet, the underarms, or the face).

The following anti-antiperspirants can be purchased on the net or by prescription from your doctor.

Prescription strength antiperspirants such as Drysol™, Saldrize™ or Certain Dri™ are useful for some patients with underarm hyperhidrosis, but may be disappointing when used to treat hyperhidrosis of the palms or soles. Anticholinergics, drugs taken by mouth to suppress sweating, have side effects including dry mouth, blurring of vision, and bowel and bladder function disturbances that make them difficult to tolerate.


Axillary hyperhidrosis (sweating of the armpits) that does not respond to topical antiperspirants such as Drysol™, Saldrize™ or Certain Dry™ may be treated with BOTOX®. BOTOX® is an extract of botulinum toxin and when injected into areas of the skin that produce excess sweat, effectively reduces sweat production for many months. BOTOX® injections to the sweat-producing areas of the armpits can frequently provide relief for as long as 6 months. An alternative treatment for axillary hyperhidrosis is surgical removal of the axillary (armpit) sweat glands. BOTOX® injections are also an effective remedy for palmar hyperhidrosis (sweating of the palms of the hands) and relief can last many months.

Commonly Asked Questions about Botox® and Hyperhydrosis

How long does the procedure take?

The procedure will take approximately 0.5 hours to administer.

Is the procedure painful?

There is some discomfort since the clinician will be making a series of injections in the treated area.

Is the treatment permanent?

No, patients will need repeat treatments. The results will last at least 5-6 months

How much does the procedure cost?

The price for each session will range between £400-£500

Procedure information is copyright Department of Health (http://www.dh.gov.uk. Reproduced under the terms of the Click-Use Licence.