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Hyperhidrosis

Hyperhidrosis · Nadměrné pocení (hyperhidróza)

What it is

Sweating far beyond what temperature needs.

Symptoms & signs

  • Dripping palms, soles or armpits
  • soaked clothes
  • social avoidance
  • skin maceration

🚩 Get help if…

  • call 112 / 911 now Sudden sweating with chest pain or breathlessness
  • see a doctor soon Night sweats that soak the sheets
  • see a doctor soon Sweating with weight loss, fever or a racing heart
  • see a doctor soon Sweating on one side only, or starting after age 25

Where it strikes

Medical treatment

  • Aluminium chloride antiperspirant
  • glycopyrrolate
  • botulinum toxin injections
  • iontophoresis
  • microwave thermolysis
  • sympathectomy as last resort (compensatory sweating elsewhere is common)
  • topical anticholinergics for underarm sweating — glycopyrronium cloths (Qbrexza, FDA 2018), sofpironium gel (Sofdra, FDA 2024)

Natural & lifestyle

  • Breathable fabrics
  • absorbent insoles
  • stress management
  • caffeine reduction
  • sage tea (weak evidence)

Emerging & experimental

  • Targeted ultrasound

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Biofeedback and hypnosis — small studies early / small studies
  • Acupuncture — small studies early / small studies
  • Baking soda and apple cider vinegar — anecdotal anecdotal / traditional

ICD codes