Hyperhidrosis natural history, complications and prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]

Some of the complications of hyperhidrosis can be serious. Always consult a doctor if you have excessive sweating.

• Aluminum Chloride: Initially a patient may need to use it three to seven times a week. After sweating becomes normal, the person may need to use it only once every one to three weeks. If skin irritation is a problem, a doctor may temporarily prescribe a steroid-based cream.
• Botox: Swelling goes away in a few weeks. The effect of a single injection can last up to a few months. Some patients need additional injections.
• Iontophoresis: Sweating may be reduced after six to 10 sessions. After that, the person may need treatment once every one to four weeks.

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