Will Xeomin Help with Excessive Sweating (Hyperhidrosis) the Same Way Botox Does?

Question

heard these products are nearly the same, if Xeomin will help with sweating also, or if that is only something Botox can do?

Kenneth D. Steinsapir, MD · Answer

Excessive sweating is estimated to affect 2-3% of the population. Clinicians have now successful used BOTOX, Xeomin, and Dysport to treated hyperhidrosis. So the answer is yes Xeomin will help with hyperhidrosis

Matthew Richardson, MD · Answer

Botox and Xeomin have the same active ingredient with only minor molecular differences.  They can both be used to treat hyperhidrosis and are almost identical in their functions and applications.  Make sure you are seeking an expert physician injector for all of your injections.
All the best,

Raffy Karamanoukian, MD, FACS · Answer

Xeomin functions similar to Botox injections for hyperhidrosis, but is currently not FDA approved for that use. Clinical evidence supports its use for hyperhidrosis in the armpits. Botox Medical works well for this problem and I use it in my practice in Los Angeles.

Anteneh Roba, MD · Answer

Xeomin and Botox have the same active ingredient, botulinum toxin A
So Xeomin should work as well as Botox for hyperhidrosis.

Stanley Kovak, MD · Answer

Currently only Botox has FDA approval for the treatment of hyperhidrosis. Xeomin can certainly help prevent excessive sweating, but it is considered off-label when used in this manner, as it does not yet have FDA clearance for this condition. Xeomin is essentially identical to Botox with regard to its active neurotoxin ingredient (botulinum toxin A), except that it does not contain the carrier proteins present with Botox. In theory this will lead to fewer allergic reactions, although the probability of an allergic reaction with Botox is already extremely low.
The hyperhidrosis treatment results for Xeomin and Botox should be similar and last anywhere from 3 months to a year, but will vary on an individual patient basis. Please ensure that you discuss with your healthcare provider further before using Xeomin for hyperhidrosis, as it is still not approved (as of this writing) by the FDA for this condition, although it can treat it successfully.

Kristin J. Tarbet, MD, FACS · Answer

Xeomin can help with hyperhydrosis in the same way that botox does. I would find a reputable provider for injection.

Marla M. Klein, MD · Answer

Only Botox is currently FDA approved for the treatment of focal hyperhidrosis.  The axilla (armpits) are one of the most common areas to treat for excessive sweating.  This labeling becomes important only for collecting insurance reimbursement, as many patients can get covered for this procedure if the hyperhidrosis is severe enough.All three, Botox, Xeomin, and Dysport will work, but Xeomin and Dysport are not FDA labeled for this use.  So in my opinion, it would be a waste of time to try to bill any insurance company for a treatment with Xeomin or Dysport; whereas Botox will often be a covered procedure.If the patient doesn't have insurance for this problem, and they are self paying, they most certainly should be able to use either Xeomin or Dysport and be charged less than if it were Botox.  They would just need to find a Board Certified Dermatologist who does enough of these kind of treatments to be able to do that.

Harry Goldin, MD · Answer

Xeomin is an FDA approved botulinum toxin similar to
Botox.  Its dilutions are the same as
Botox and it lasts as long as Botox, but is much less expensive.  At GoldinSkin, we have replaced Botox for Xeomin for
cosmetic injections.  The results have
been the same.

However, we have not gotten the same results for hyperhidrosis
(sweating) as we do with Botox.  I do not
know the reason.

Melda A. Isaac, MD · Answer

Xeomin has been tested and proven to prevent hyperhidrosis under the arms and is FDA-approved for that use. Xeomin works by preventing the release of a chemical, which signals activation of the sweat glands. Results generally last around three months, but depending on the person can last for up to a year.

Michael H. Gold, MD · Answer

Xeomin will work for
excessive sweating, as does Dysport and we know that Botox does. The thing one
must know is that only Botox has an FDA approval to treat underarm sweating in
the USA. The others can be used, but will be considered an off-label use of the
products. This is fine to do, but just know it is an off-label indication.

Will Xeomin Help with Excessive Sweating (Hyperhidrosis) the Same Way Botox Does?

Answers (16)

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