Hyperhidrosis Treatment

Managing hyperhidrosis often requires a combination of treatments, lifestyle adjustments, and specialized products. Below are several options—ranging from topical treatments to medical procedures—that may help reduce excessive sweating and improve daily comfort. From over-the-counter antiperspirants to more advanced treatments like Botox injections and iontophoresis, there are a variety of solutions to address this condition. Lifestyle changes, such as wearing moisture-wicking clothing and practicing stress-reduction techniques, can also play a crucial role in managing symptoms. Additionally, working with a healthcare professional can help determine the most effective approach for your specific needs, offering both temporary relief and long-term management strategies.

Disclaimer: I am not a medical professional. Any medical treatments mentioned are provided for informational purposes only. If you are considering treatment for hyperhidrosis, please consult a qualified healthcare provider before taking any action.

Lotions and Antiperspirants

Lotions and antiperspirants are often the first line of defense for people managing excessive sweating. Clinical-strength formulas temporarily block sweat glands, reducing the amount of moisture that reaches the skin. Many modern products use gentle aluminum-based compounds that provide strong sweat control without significant irritation.

Lotions for Sweaty Hands and Feet

  • Carpe Lotion
  • Sweat Block
  • Dryyd
  • Zero Sweat

Antiperspirants for Sweaty Armpits

  • Certain Dri
  • Drysol
  • Carpe
  • Zero Sweat
  • Sweat Block

Clothing and Sweat-Friendly Fabrics

Choosing the right clothing can make a noticeable difference in managing hyperhidrosis. Breathable fabrics—such as cotton, bamboo, and moisture-wicking synthetics—help pull sweat away from the skin, reducing dampness and keeping the body cooler. Loose-fitting, lightweight designs also improve airflow, limiting heat buildup that triggers sweating.

Socks

  • +MD
  • Smartwool
  • Hollow
  • Pacas
  • Camel City Mill

Shoes

  • Lems Shoes
  • Allbirds
  • Astral
  • Xero Shoes

Underwear

  • Merino Tech
  • Smartwool

Shirts & Undershirts

  • Thompson Tee
  • Neat
  • Social Citizen

Other Accessories

  • Sweat Hawg (hats)
  • DRYKI (hand towels)

Sweat-Reduction Devices

Devices like iontophoresis machines can offer significant relief, especially for sweaty hands, feet, and sometimes underarms. Iontophoresis uses a mild electrical current delivered through water to temporarily reduce sweat gland activity. With consistent use, many people notice a substantial decrease in sweating.

These devices are noninvasive, can be used at home, and are an excellent option for those who haven’t experienced enough improvement from topical treatments.

Iontophoresis Device

  • Dermadry

Surgical Options

For severe cases that don’t respond to other treatments, surgery may be considered. Endoscopic thoracic sympathectomy (ETS) is a procedure designed to interrupt the overactive nerves that trigger excessive sweating—typically in the hands, underarms, or face.

During ETS, a surgeon uses a small camera and tiny incisions to locate and disable the sympathetic nerves responsible for sweat production. While many patients experience dramatic improvements, the procedure carries risks, including compensatory sweating in other areas. Because of this, ETS is generally recommended only after exploring less invasive options.