Medically reviewed by Chris Schwerdt. Last updated on December 22, 2024
General Illness Information
Common Name:
Hyperhidrosis
Medical Term: Hyperhidrosis
Description:
Excessive perspiration due to over activity of the sweat glands.
May be general or confined to the palms, soles, armpits, below the breasts or groin.
Often causes social embarrassment.
Causes:
- Genetic factors;
- Anxiety;
- Fever and infection;
- Malignancy;
- Hyperthyroidism;
- Menopause;
- Some drugs and medicines, such as narcotics;
- Withdrawal from addictive drugs;
- Unknown in some cases.
Prevention:
- Control anxiety;
- Keep cool.
Signs & Symptoms
- Heavy perspiration from underarm area, soles and palms and to a lesser degree, from other body parts;
- Unpleasant odor, which is caused by bacteria in sweat.
Risk Factors
- Stress;
- Strenuous activity;
- Hot weather.
Diagnosis & Treatment
This is a clinical diagnosis.
General Measures:
- Treatment for underlying conditions;
- Psychotherapy or counseling, if stress is a major factor;
- Bathe frequently;
- Change clothes frequently;
- Wear loose-fitting clothes of natural fibers, such as cotton;
- Use underarm sweat shields;
- Use antiperspirants and deodorants;
- Use drying powders;
- Wear cotton socks;
- Wear leather shoes or sandals. Don’t use man-made materials;
- Shave underarm hair;
- Surgery to remove sweat glands or sever nerves to major sweat areas (rare).
Medications:
- Treat with soap containing chlorhexidine. Apply aluminum chlorhydroxy complex after bathing;
- Localized hyperhidrosis – treat with nighttime applications of aluminum chloride in absolute ethyl alcohol. Cover with polyethylene films if possible. Wash applications away next morning.
Activity:
No restrictions.
Diet:
No special diet. Drink at least 8 glasses of water a day, more in hot weather.
Possible Complications:
- Psychological distress caused by social embarrassment;
- Rashes from deodorants or antiperspirants.
Prognosis
Symptoms can be controlled with treatment.
Other
Nothing specified.
About Chris Schwerdt
Chris Schwerdt, PharmD is a clinical pharmacist with over two decades of experience in long-term care, pharmacy operations, and regulatory consulting. He has led closed-door pharmacy businesses and serves on Pharmacy & Therapeutics committees for both industry and government programs. His work focuses on medication policy development, formulary strategy, and optimizing patient care through drug utilization review. Chris is affiliated with ASCP, ASHP, and the National Association of Boards of Pharmacy.