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How do you cure sweaty hands?

Updated: 8/16/2019
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14y ago

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The medical term is "palmar hyperhidrosis". It can be a physical condition or it can be caused by anxiety.

There are a number of ways to "treat" sweaty hands. TOPICAL APPLICATIONS:

1. Antiperspirants. The Aluminium Chloride (AlCl) in these blocks sweat from leaving your body eg, Driclor, Drysol.

2. Alternate Topical Applications such as hydrosal (A new first-line topical gel treatment for excessive sweating. Developed by dermatologists, the gel contains salicylic acid which, as well as having antiperspirant properties of its own, is meant to enhance the penetration of aluminum chloride. The absence of ethanol also reduces irritaion), secure wipes (These are like a tissue or pad which are wiped across the area. The glycopyrrolate prevents synaptic transmission as the "messenger" acetylcholine is inhibited from stimulating receptors on the sweat glands.), etc. ORAL MEDICATION: In general these may be effective but they have been know to have MANY side effects like memory loss, etc.

IONTOPHORESIS: This involves placeing the hands and/or feet into shallow trays filled with water, while a small electrical current is passed into metal plates and the water. After 5-10 initial treatments dryness can last up to 3 weeks in applied areas. To use this method you can either buy a Iontophoresis machine (expensive) or I have found a very useful guide to making your own at http://www.sweatinghands.net.

BOTOX: The responses have been as long as 1 year, but in most cases the anhidrosis effect begins to weaken in 4 months. It is usually very expensive unless covered by insurance. It may be used on the hands and feet but with less effect than the armpits. Injections in the hands and feet have been reported to be painful. Slight numbness of the thumb has been reported (caused by injection or diffusion of molecules into thenar muscle).

SURGERY: Endoscopic Thoracic Sympathectomy. The last resort. This is a procedure that generates conflicting opinions due to a very diverse range of possible side effects. In general terms ETS does not offer a true cure for hyperhidrosis, but usually moves sweat from one area to another - referred to as reflex sweating.

In general most of my patients have found Iontophoresis to be the best method but it is really up for you to decide which works best for you. If you decide to go for Iontophoresis please look at : http://www.sweatinghands.net

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