I'm 68 years of age, I sweat from my head daily. Any suggestions?

My OB tired me on Gabapentin, 3 100mg a day,worked for awhile. Thinking of Botox next!!

Doctor Answers 7

Treatment for craniofacial hyperhidrosis

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A trial of anticholinergics is warranted and if this fails, Botox injection is effective for craniofacial hyperhidrosis.

H Karamanoukian MD FACS

Failed Gabapentin for Scalp Sweating

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Gabapentin can be effective but may have some systemic side effects.  Craniofacial hyperhidrosis typically involves several treatment options:

  • 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.
  • Topical medications- Usually not advisable to put drysol on the scalp
  • Surgery- May be last resort for some patients but hyperhidrosis treatments tend to be moving away from this
  • LASERS/Miradry/ Radiofrequency- Very effective in other parts of the body.  Not ideal for scalp as some hair loss can be seen.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 180 reviews

BOTOX vs gylcopyrrolate solutions

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Botox works the best, however you may need up to 200 plus units, depending on the extent. Compounded solutions such as Glyco 2% lotion can help, but it is not as reliable as Botox. Botox should last between 2- 4 months. All the best, 

Dr Davin Lim.Brisbane. Australia. 

Botox can help

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Botox can be placed into areas of sweating to help minimize the excess production.
Botox is safe for this use.

Sweating from Scalp

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Dear nana17,
Profuse sweating from any part of the body is very uncomfortable.  It ruins clothes and makes social interactions embarrassing sometimes.  I have had many patients who have benefited from Botox treatment to decrease their sweating.  Majority ask for underarm treatment, followed by sweating of the palms, and then by sweating from the scalp.  I have seen great results that last about 6 months with treatments we've done in all these areas.  Good luck!

Sherly Soleiman, MD
Encino Physician

I sweat from my head daily. Any suggestions?

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Thank you for your question.  Though less common than an individual's armpits or hands, hyperhidrosis of the scalp is a troubling variant for some patients and does respond well to Botox administration.  Be sure to see a board certified plastic surgeon in consultation.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

Head Sweat -- Try Botox, Glycopyrrolate, Beta Blocker

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I suggest you see an expert there is a lot of non invasive options for this to give improvement. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 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.