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Request An AppointmentNYC Hyperhidrosis Expert – Effective Treatment by Dr. Jaliman
Do You Suffer from Excessive Sweating?
Are you constantly changing clothes, dealing with embarrassing wet spots, or spending too much on dry cleaning? You may have hyperhidrosis—a common condition that causes excessive sweating, even when you’re not overheated or stressed.
The good news is: effective treatment is available
At our NYC dermatology office, Dr. Debra Jaliman has successfully treated hundreds of patients using prescription medications and Botox injections to reduce sweating and restore confidence.
Hyperhidrosis Treatment Options
Hyperhidrosis isn’t just a nuisance—it can significantly affect your quality of life. Fortunately, there are multiple solutions available:
- Prescription antiperspirants
- Oral medications
- Botox injections for sweating
- Iontophoresis (a device that blocks sweat glands)
- Surgical options for severe cases
Get Relief from Excessive Sweating
Every patient is different, so your treatment plan will be tailored to your unique needs. If you’re ready to stop letting sweat control your life, schedule a consultation with Dr. Jaliman, a top hyperhidrosis specialist in NYC.
Call our office today at to get started. Relief is possible.
What Is Hyperhidrosis?
Hyperhidrosis is a medical condition where the sweat glands become overactive, producing sweat even when it’s not hot or you’re not exercising. For some, it means sweat dripping from the hands or soaking through clothes, which can interfere with daily activities and cause significant emotional stress.
At Dr. Debra Jaliman’s NYC dermatology practice, we offer personalized, proven treatments for hyperhidrosis, including prescription medications and Botox injections for sweating.
Types of Hyperhidrosis
Hyperhidrosis falls into two categories:
- Primary Hyperhidrosis
- Affects specific areas like the hands, feet, underarms, and face
- Usually begins in childhood or adolescence
- Often runs in families
- Caused by overactive nerves triggering sweat glands
- Secondary Hyperhidrosis
- Caused by underlying health conditions or certain medications
- Leads to widespread sweating all over the body
- Possible causes include:
- Thyroid problems (e.g., hyperthyroidism)
- Menopause or hot flashes
- Diabetes
- Infections
- Neurological disorders
- Some antidepressants and pain medications
What Are the Symptoms of Hyperhidrosis?
Symptoms can vary, but common signs include:
- Visible, excessive sweating—even without heat or exertion
- Sweaty palms, soles, underarms, or face
- Sweating that interferes with daily tasks, like gripping a pen or using a phone
- Emotional distress, anxiety, or social withdrawal due to sweat
- Skin issues, including irritation or infections from constant moisture
If you’re dealing with any of these symptoms, there’s no need to suffer in silence.
Hyperhidrosis Treatment
- Prescription-strength antiperspirants
Block sweat glands with powerful active ingredients
- Oral medications
Reduce sweat production through the nervous system
- Botox injections
FDA-approved and highly effective for treating underarm and hand sweating
- Iontophoresis
A non-invasive device that blocks sweat from hands or feet
- Surgical options
For severe, resistant cases (not typically first-line)
- Microwave Therapy
Oral Medications for Hyperhidrosis: Are They Effective?
If you’re dealing with constant sweating that interferes with your daily life, you may be wondering: Are there oral medications that can help control hyperhidrosis? The answer is yes—when other treatments such as antiperspirants or Botox aren’t effective or suitable, oral medications can be an excellent option.
These medications target the nervous system signals that activate your sweat glands. By calming this overactive response, they can reduce excessive sweating across the body or in specific areas.
Types of Oral Medications for Excessive Sweating
- Anticholinergics (Nerve-Blocking Medications):
These medications work by blocking acetylcholine, a neurotransmitter responsible for triggering sweat gland activity. By interfering with this signal, they help reduce the amount of sweat your body produces.
- Certain Antidepressants:
Although primarily used to treat mood disorders, some antidepressants reduce sweating as a side effect. These can be especially helpful if anxiety contributes to your hyperhidrosis symptoms.
Your dermatologist will help determine whether an oral option is appropriate based on your health history, symptoms, and lifestyle.
What are the Potential Side Effects of Oral Medications
While these medications can provide real relief, they may come with side effects. These can vary depending on the drug and the individual but may include:
- Dry mouth
- Constipation
- Blurred vision
- Drowsiness
- Increased heart rate
- Mood changes or mental fog
That’s why it’s essential to consult a board-certified dermatologist before starting any oral treatment for hyperhidrosis. Dr. Debra Jaliman will evaluate your condition and monitor your progress to ensure the safest and most effective results.
Lifestyle Changes to Help Control Hyperhidrosis
Living with hyperhidrosis (excessive sweating) doesn’t have to control your life. While medical treatments can be effective, simple lifestyle changes can also play a powerful role in reducing symptoms and improving your comfort and confidence. By making a few daily adjustments, many individuals find meaningful relief from the effects of hyperhidrosis.
- Choose Breathable Clothing and Moisture-Wicking Fabrics
Your clothing choices can have a big impact on how well you manage hyperhidrosis. Wearing the wrong fabrics can trap sweat and make you feel even more uncomfortable.
What to wear for excessive sweating:
- Natural fibers like cotton, linen, and bamboo are breathable and help regulate body temperature.
- Moisture-wicking materials, commonly found in athletic wear, pull sweat away from your skin and help it evaporate more quickly.
- Dark colors and patterned fabrics can help camouflage sweat stains.
- Avoid tight or synthetic clothing, which can trap heat and exacerbate sweating.
Tip: Always check clothing labels for keywords like “breathable,” “lightweight,” or “moisture-wicking.”
- Smarter Footwear and Foot Care
Sweaty feet can be one of the most frustrating aspects of hyperhidrosis, but smart footwear and hygiene can help.
Foot care tips for hyperhidrosis:
- Wear shoes made of leather, mesh, or other breathable materials.
- Choose moisture-wicking socks, especially those designed for athletes.
- Change socks throughout the day if your feet get damp.
- Use foot powders or antifungal sprays to reduce moisture and odor.
- Rotate your shoes to allow them to dry fully between uses.
Maintaining dry feet reduces discomfort, prevents odor, and helps prevent fungal infections like athlete’s foot.
- Seek Emotional and Psychological Support
Hyperhidrosis doesn’t just affect your body—it can take a toll on your mental and emotional well-being. Many people feel anxious or avoid social situations out of embarrassment.
How to manage the emotional impact of hyperhidrosis:
- Consider counseling or therapy to address self-esteem, anxiety, or social stress.
- Join a hyperhidrosis support group (online or in person) to connect with others who understand your experience.
- Practice stress-reducing techniques such as meditation, breathing exercises, or mindfulness.
You’re not alone. Emotional support can be a key part of your overall treatment plan and may help you regain confidence and control.
Small Adjustments, Big Impact
From switching up your wardrobe to talking with a therapist, lifestyle changes can go a long way in reducing symptoms of hyperhidrosis and improving your quality of life. Combined with medical therapies, these strategies offer a well-rounded, personalized approach to treatment.
Topical Treatments for Hyperhidrosis: Prescription Antiperspirants & Deodorants
Topical treatments—including prescription antiperspirants and medicated wipes—are often the first line of defense in treating hyperhidrosis (excessive sweating). These solutions are simple, non-invasive, and highly effective when used correctly under a dermatologist’s guidance.
How Do Prescription Antiperspirants Work?
Prescription-strength antiperspirants containing aluminum chloride are among the most effective topical treatments for hyperhidrosis. These formulations work by blocking the sweat glands, reducing the amount of sweat that reaches the skin’s surface.
- Clinical studies show they can decrease sweat production by 20–30% or more
- Higher concentrations (10%–20%) offer greater results for more severe sweating
- Typically applied at night to allow the active ingredients to fully penetrate and form plugs in the sweat ducts
Unlike standard over-the-counter products, prescription antiperspirants are designed for those with excessive sweating and are often the first treatment recommended for localized areas like the underarms, hands, or feet.
What About Prescription Wipes and Creams?
If you’re sensitive to aluminum-based products or haven’t seen results, topical wipes and creams containing glycopyrrolate may be another excellent option. These work by blocking the nerve signals that stimulate sweat glands, offering targeted relief for areas like:
- The face and scalp
- Underarms
- Palms and soles
Glycopyrrolate wipes are often well-tolerated and can be a convenient daily treatment for patients with localized sweating.
Are Oral Medications Right for You?
Oral treatments are typically considered when topical options or Botox injections don’t offer enough relief—or if you need a more systemic solution for generalized sweating. They’re not for everyone, but they can be life-changing for the right candidate.
Botox Injections for Excessive Sweating: How They Work and What to Expect
Botox injections for hyperhidrosis may offer the relief you’ve been looking for.
Botox, widely known for reducing facial wrinkles, is also an FDA-approved treatment for excessive sweating. When injected into the skin, Botulinum toxin temporarily blocks the nerve signals that trigger sweat production, providing targeted, long-lasting results.
Benefits of Botox for Hyperhidrosis
- Highly Effective: Clinical studies show Botox can reduce sweating by 80–90% in treated areas.
- Quick Treatment: Appointments typically take 15–20 minutes in the office with little to no downtime.
- Fast Results: Most patients notice improvement in just a few days to weeks after treatment.
- Lasts for Months: Results can last up to six months or longer, depending on the area and individual response.
- Minimally Invasive: Botox involves small, shallow injections and is well-tolerated by most patients.
For many patients, Botox is a life-changing treatment that restores confidence and freedom from the daily stress of excessive sweating.
Considerations and Limitations
- Repeat Treatments Are Needed: The effects are temporary. To maintain results, you’ll need Botox injections every 4–6 months.
- May Not Be Suitable for Everyone: Patients with certain medical conditions or allergies may not be good candidates. A consultation with a dermatologist is essential.
- Mild Side Effects: Some people experience temporary soreness or minor bruising at the injection site.
What About the Cost?
Cost is an important consideration. Because Botox for hyperhidrosis is a specialized medical treatment, prices vary depending on the treatment area and number of units used.
Is Botox Right for You?
If you’re ready to stop sweating through your shirts or avoiding social interactions, Botox injections may be the solution. At Dr. Debra Jaliman’s NYC dermatology office, we’ve helped countless patients find lasting relief from hyperhidrosis with safe, expert care.
Frequently Asked Questions about Hyperhidrosis
Understanding Hyperhidrosis
What is hyperhidrosis?
Hyperhidrosis is a medical condition that causes excessive sweating beyond what’s needed to regulate body temperature.
What causes hyperhidrosis?
It can be primary (genetic and localized) or secondary (linked to medical conditions like thyroid issues or diabetes).
Is hyperhidrosis a curable condition, or is it only manageable?
While not typically curable, hyperhidrosis is highly manageable with the right treatment plan.
Can hyperhidrosis be a sign of another medical condition?
Yes. Secondary hyperhidrosis can signal an underlying health issue and should be evaluated by a doctor.
What areas of the body are most commonly affected by hyperhidrosis?
It often affects the underarms, palms, soles of the feet, scalp, and face.
Treatment
How do I choose the right hyperhidrosis treatment option for me?
Treatment depends on the severity and location. A dermatologist can recommend options like prescription antiperspirants, Botox, or oral medications.
Can I treat hyperhidrosis on my own?
Mild cases can be managed with clinical-strength OTC products, but persistent symptoms usually need medical treatment.
Does insurance cover hyperhidrosis treatment?
Some treatments, like Botox or prescription medications, may be covered if medically necessary. Check with your insurance provider.
Are there surgical options for treating hyperhidrosis?
Yes, surgery (like sympathectomy) is available but is typically reserved for severe, treatment-resistant cases.
Can lifestyle changes help manage hyperhidrosis?
Yes. Wearing breathable fabrics, avoiding triggers, and managing stress may reduce sweating episodes.
Over-the-Counter & Prescription Options
Are there any over-the-counter products specifically designed for hyperhidrosis treatment?
Yes. Clinical-strength antiperspirants and specialty wipes may help manage mild sweating.
How effective are prescription antiperspirants in treating hyperhidrosis?
Prescription antiperspirants with aluminum chloride can significantly reduce sweating when used regularly.
Is it safe to use prescription treatments long-term?
Yes. Most treatments are safe for long-term use under medical supervision.
In-Office Medical Treatments
What treatments do dermatologists offer for hyperhidrosis?
Options include Botox injections, prescription medications, iontophoresis, and in some cases, laser or surgery.
Is Botox an effective treatment for hyperhidrosis?
Yes. Botox is FDA-approved for underarm sweating and can also treat hands and feet, with results lasting 4–6 months.
Are there any potential side effects of hyperhidrosis treatments?
Side effects are generally mild and vary by treatment—possible irritation, temporary muscle weakness (with Botox), or dry mouth (with oral meds).
How long does it take to see results from hyperhidrosis treatments?
Results vary: Botox often works within a few days; prescription antiperspirants may take 1–2 weeks; oral meds may take longer.
Who offers hyperhidrosis treatment?
Board-certified dermatologists are the best-qualified specialists for diagnosing and treating hyperhidrosis effectively.
Schedule Your Hyperhidrosis Consultation Today
Don’t let sweat run your life. If you’re ready to stop hiding under layers of clothing or avoiding social situations, it’s time to seek expert care.
Call our NYC dermatology office today at to schedule your hyperhidrosis consultation with Dr. Debra Jaliman. Relief starts with the right diagnosis and treatment.
