I'm 68 years of age, I sweat from my head daily. Any suggestions?
Doctor Answers 7
Treatment for craniofacial hyperhidrosis
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
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.
BOTOX vs gylcopyrrolate solutions
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.
You might also like...
Botox can help
Botox is safe for this use.
Sweating from Scalp
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!