The first course of treatment is over-the-counter and prescription antiperspirants. These work by blocking sweat ducts, thereby reducing the amount of perspiration that reaches the skin. The most widely used ingredients in antiperspirants are metallic salts, including aluminum chloride hexahydrate. Antiperspirants can cause skin irritation, and higher concentrations of aluminum chloride can be destructive to fabrics.
Deodorants help control body odor, which is caused by a reaction between bacteria and sweat. The deodorants work by making the skin more acidic, and less desirable to bacteria. They are often used in combination with antiperspirants to help control sweating and odor.
BOTOX® is FDA-approved for severe underarm sweating that is inadequately managed with topical agents. BOTOX® helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don't receive chemical signals, the severe sweating stops.
If excessive sweating is significantly interfering with your daily activities, talk to Dr. Miller about products and treatments that may help you control this condition.