Controlling underarm hyperhydrosis has a variety of approaches with Botox being one of the most effective. Typically these approaches are used when conservative measures are utilized first:
- Botox- The standard for hyperhidrosis with local side effects only. May require a larger dose for the scalp.
- Oral medications- Typically involve anticholinergic medications such as glycopyrrolate and are not well tolerated due to systemic side effects.
- Topical medications- Drysol is often a first line treatment but may not be effective for all patients.
- Surgery- May be last resort for some patients but hyperhidrosis treatments tend to be moving away from this
- LASERS/Miradry/ Radiofrequency- Very effective and for some patients can approach a permanent solution. In my office, we combine radio frequency needling (fractora) with laser hair removal as a semi-permanent to permanent solution.