
How to Treat Hyperhidrosis In UK: Best Long-Term Options
Sweating is a natural and essential bodily function that helps regulate temperature.
However, for some individuals, sweating can become excessive and uncontrollable, leading to a condition known as hyperhidrosis. This condition can significantly impact daily life, causing discomfort and social embarrassment.
Fortunately, various treatment options are available to manage and alleviate the symptoms of hyperhidrosis effectively.
What Is Hyperhidrosis?
Hyperhidrosis is characterized by excessive sweating beyond what is necessary for thermoregulation. It can affect specific areas such as the underarms, palms, soles, and face, or it can be generalized across the body. The condition is classified into two main types:
- Primary Hyperhidrosis: This form has no identifiable medical cause and typically affects focal areas symmetrically.
- Secondary Hyperhidrosis: This type results from underlying medical conditions or medications and often presents with generalized sweating.
Understanding the type of hyperhidrosis is crucial for determining the most appropriate treatment approach.
Diagnosis and Assessment
Diagnosing hyperhidrosis involves a thorough medical history and physical examination. Healthcare providers may use specific tests to assess the severity and distribution of sweating:
- Starch-Iodine Test: This test involves applying iodine to the affected area, followed by starch. Areas of excessive sweating turn dark blue or purple, highlighting the extent of hyperhidrosis.
- Gravimetric Measurement: This method quantifies sweat production by measuring the weight of sweat absorbed on filter paper over a specific period.
Accurate diagnosis helps in tailoring treatment plans to individual needs.
Topical Treatments

Over-the-Counter Antiperspirants
Aluminum chloride-based antiperspirants are commonly used to manage mild cases of hyperhidrosis. These products work by blocking sweat ducts, reducing sweat production. They are most effective when applied at night to dry skin, allowing the active ingredients to penetrate the sweat glands.
Prescription-Strength Antiperspirants
For more severe cases, prescription-strength antiperspirants containing higher concentrations of aluminum chloride may be recommended. While effective, these products can cause skin irritation in some individuals. It's essential to follow application instructions carefully and consult a healthcare provider if irritation occurs.
Oral Medications

Anticholinergic Agents
Anticholinergic medications, such as glycopyrrolate and oxybutynin, work by inhibiting the neurotransmitters that stimulate sweat glands. These medications can be effective for generalized hyperhidrosis but may cause side effects like dry mouth, blurred vision, and urinary retention. They are typically considered when topical treatments are ineffective.
Beta-Blockers and Benzodiazepines
In cases where hyperhidrosis is exacerbated by stress or anxiety, beta-blockers or benzodiazepines may be prescribed. These medications help manage the emotional triggers that can lead to excessive sweating. However, they are not suitable for all patients and should be used under medical supervision.
Iontophoresis
Iontophoresis is a non-invasive treatment that uses a mild electrical current to reduce sweating, particularly in the hands and feet. During the procedure, the affected areas are submerged in water, and a gentle current is applied, temporarily blocking sweat gland activity. Multiple sessions are typically required to achieve optimal results.
This treatment is generally safe, but some individuals may experience skin irritation or discomfort during the procedure. It's essential to follow the recommended treatment schedule and consult with a healthcare provider to ensure suitability.
Botulinum Toxin (Botox) Injections

Botulinum toxin injections are an effective treatment for focal hyperhidrosis, particularly in the underarms, palms, and soles. The injections work by blocking the nerve signals that stimulate sweat glands, significantly reducing sweat production. The effects typically last between 4 to 12 months, after which repeat treatments may be necessary.
While highly effective, Botox injections can cause temporary discomfort at the injection site and, in rare cases, muscle weakness. It's crucial to have the procedure performed by a qualified healthcare provider to minimize risks.
Microwave Therapy (miraDry)
Microwave therapy, known as miraDry, is a non-invasive treatment that uses microwave energy to destroy sweat glands in the underarms permanently. The procedure is typically performed in a clinical setting and requires minimal downtime. Patients often experience immediate and lasting results.
While generally safe, some individuals may experience swelling, redness, or discomfort following the procedure. As with all treatments, it's essential to discuss potential risks and benefits with a healthcare provider.
Surgical Options

Endoscopic Thoracic Sympathectomy (ETS)
ETS is a surgical procedure that involves cutting or clamping the sympathetic nerves responsible for excessive sweating. It's typically reserved for severe cases of hyperhidrosis that have not responded to other treatments. While ETS can be effective, it carries risks such as compensatory sweating in other body areas and potential nerve damage.
Sweat Gland Removal Techniques
Surgical removal of sweat glands, through methods like excision, curettage, or liposuction, can be effective for treating underarm hyperhidrosis. These procedures aim to reduce sweat production by physically removing or destroying sweat glands. Recovery times and outcomes vary, and potential risks include scarring and infection.
Lifestyle and Home Remedies

Managing hyperhidrosis effectively often involves incorporating practical lifestyle adjustments and home remedies into your daily routine. While these strategies may not eliminate excessive sweating entirely, they can significantly reduce symptoms and improve comfort.
Clothing and Footwear Choices
Opt for loose-fitting, breathable clothing made from natural fabrics like cotton, wool, or silk. These materials allow your skin to breathe and help minimize signs of sweating. Avoid tight clothes or synthetic fabrics, such as nylon, which can trap heat and exacerbate sweating.
For footwear, choose shoes made of natural materials like leather, which allow your feet to breathe. Wear moisture-wicking socks and change them at least twice a day if possible. Using foot powders can also help absorb moisture and keep your feet dry.
Dietary Considerations
Certain foods and beverages can trigger or worsen sweating. Common culprits include spicy foods, caffeine, and alcohol. Reducing or eliminating these from your diet may help manage hyperhidrosis symptoms.
Incorporating sage into your diet, either as a tea or supplement, has been suggested to help reduce excessive sweating. However, consult with a healthcare provider before starting any new herbal remedies.
Stress Management and Relaxation Techniques
Stress and anxiety can exacerbate hyperhidrosis. Practices such as deep breathing exercises, meditation, yoga, or other relaxation techniques can help manage stress levels and, in turn, reduce sweating episodes.
Hygiene and Skin Care
Maintaining good hygiene is essential. Regular bathing with antibacterial soap can help control the bacteria that cause body odor. After bathing, ensure you dry your skin thoroughly, especially in areas prone to sweating, to prevent skin irritation or infections.
Using antiperspirants containing 6% to 20% aluminum chloride can temporarily block sweat pores, reducing the amount of sweat that reaches the skin. Apply it to dry skin before going to bed and wash it off when you wake.
Home Remedies
Some individuals find relief using natural remedies, though their effectiveness can vary:
- Apple Cider Vinegar: Applying apple cider vinegar to the skin may help close pores and reduce sweating.
- Baking Soda and Cornstarch: A mixture applied to sweat-prone areas can absorb moisture and neutralize odor.
- Sage Tea: Drinking sage tea or taking sage supplements may help reduce excessive sweating.
Before trying any home remedies, consult with a healthcare provider to ensure they are safe and appropriate for your situation.
While these lifestyle and home remedies can be beneficial, they may not be sufficient for everyone. If hyperhidrosis significantly impacts your daily life, consider consulting a healthcare professional to explore additional treatment options.
Choosing the Right Treatment Plan for Hyperhidrosis
With such a wide array of options available—from antiperspirants to surgery—finding the best treatment for hyperhidrosis requires a tailored approach. The ideal treatment depends on several factors, including the type of hyperhidrosis (primary or secondary), the severity of symptoms, the affected area (such as the underarms, palms, or feet), and the patient’s medical history and lifestyle.
For individuals with mild to moderate focal hyperhidrosis, topical antiperspirants or iontophoresis may be sufficient. Those with more severe or treatment-resistant cases might benefit from botulinum toxin injections, microwave therapy, or even surgical intervention in extreme circumstances.
It is essential to work closely with a qualified healthcare provider—preferably one experienced in hyperhidrosis treatment—to receive an accurate diagnosis and develop a personalized care plan. At Brighton Implant Clinic, we offer evidence-based solutions like Botox injections for axillary hyperhidrosis, carried out with the highest standards of safety and precision.
FAQs About Hyperhidrosis Treatment
What causes hyperhidrosis?
Hyperhidrosis may be primary, with no identifiable medical cause, or secondary, linked to other conditions like diabetes, hyperthyroidism, or menopause. Secondary hyperhidrosis can also be triggered by medications. Understanding the underlying cause is key to selecting the correct treatment.
Is Botox safe for treating hyperhidrosis?
Yes. Botulinum toxin (Botox) is FDA-approved for treating excessive underarm sweating and has also been successfully used on hands and feet. Side effects are typically mild and may include localized discomfort, temporary muscle weakness, or minor bruising. It is essential to have this treatment performed by a qualified professional to minimize risks and ensure effectiveness.
How long does Botox last for hyperhidrosis?
Botox typically reduces sweating for 4 to 12 months, depending on the area treated and individual response. Repeat treatments are safe and often scheduled once symptoms begin to return. Most patients notice a significant reduction in sweating within 3–7 days post-injection, with full effects in about two weeks.
Can lifestyle changes alone manage hyperhidrosis?
For mild cases, lifestyle adjustments—like wearing breathable clothing, avoiding sweat triggers (e.g., spicy foods or caffeine), and using strong antiperspirants—can help. However, people with severe hyperhidrosis often require medical intervention to achieve meaningful relief.
Is surgery a permanent fix for hyperhidrosis?
Procedures like endoscopic thoracic sympathectomy (ETS) can offer a permanent reduction in sweating for some individuals. However, they carry higher risks, including compensatory sweating in other areas, nerve damage, or infection. Surgery is usually reserved for cases where other treatments fail and should only be considered after consulting with a specialist.
Conclusion: Take Control of Excessive Sweating with Expert Care
Hyperhidrosis can be a physically and emotionally distressing condition, but it is also highly treatable. From clinical-grade antiperspirants and iontophoresis to advanced therapies like Botox injections and microwave-based sweat gland removal, there are effective ways to help you regain control over your symptoms.
At Brighton Implant Clinic, we understand the burden that excessive sweating can place on your personal, professional, and social life. Our team of skilled healthcare professionals provides personalized treatment plans that align with your needs, goals, and comfort level.
If you’re experiencing persistent or severe sweating that impacts your quality of life, we invite you to schedule a consultation at one of our convenient locations in Brighton, Hove, Hailsham, or Worthing. Let us help you find long-term relief with safe, proven treatment options—so you can live with confidence again.
Visit brightonimplantclinic.co.uk or call today to book your appointment.