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Is Botox Mixed with Any Other Solution for Hyperhidrosis?

Do you mix Botox (100mg) with any other solution for treatment of hyperhydrosis on the scalp and head?

Doctor Answers (8)

What is Botox mixed with...

Botulinum toxin such as Botox is a freeze dried powder to which saline (preserved or non-preserved) is added so as to reconstitute it and be able to administer it via syringe. It has been used for over 20 years on the market very safely and effectively for many indications, including hyperhidrosis/excessive sweating.

Toronto Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

Botox needs to be mixed before administration


botox is ver effective for hyperhydrosis but also consider miradry for under arm sweating.  Its  FDA approved and long lasting

Cameron Rokhsar, MD
New York Dermatologic Surgeon
4.5 out of 5 stars 32 reviews

Botox dilution for hyperhidrosis


Botox comes as a fine white powder in a vial.  One has to mix it with sterile saline to get it into injectable, (liquid), form.  There are no other recommended liquids for dilution at time of this writing.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

Botox used for increased sweating / hyperhidrosis


No. The only approved diluent for the Botox powder is sterile saline (salt water). If a doctor mixes it with any other product, the effectiveness and safety, and comfort level during the administration can not be assured.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

Botox for Hyperhidrosis


Botox is supplied in 100 unit vials.  Regardless of its intended injection site Botox is always mixed with sterile saline.  The concentration is usually less for Hyperhidrosis than for facial wrinkles.

Christopher L. Hess, MD
Fairfax Plastic Surgeon
5.0 out of 5 stars 19 reviews

Mixing Botox for hyperhydrosis


Botox is reconstituted with sterile saline prior to being use for treatment of dynamic facial wrinkles and for treatment of hyperhydrosis of the underarms, scalp, hands and feet. I know of no other solutions recommended for use in the reconstitution of Botox.

Anifat Balogun, MD
Seattle Facial Plastic Surgeon

Botox dilution


Botox is diluted in sterile saline solution to allow for injection.  Other than that, it is not mixed with any other solution ( i.e lidocaine, etc..) 

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Mixing Botox


 Botox comes as a fine white dust in its bottle and is reconstituted with saline prior to use.  I am not aware of any difference in this regardless of where you are going to use it.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 52 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.