Consult a dermatologist for hyperhidrosis

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Man experiencing excessive underarm sweating alongside hyperhidrosis treatment products and a team of dermatology specialists offering online care

Medically reviewed by:
Dr. Anne Allen
Dermatologist

What is hyperhidrosis?

Hyperhidrosis is a central nervous dysfunction characterized by excessive sweating that isn’t always related to heat or exercise. The body produces more sweat than needed to regulate temperature, often affecting the underarms, hands, feet, face, or even the entire body.

This heavy sweating can be so severe that it soaks through clothes or drips from the hands, disrupting daily activities and leading to social anxiety and embarrassment. Hyperhidrosis may not have a clear cause but it can also be related to other medical issues like thyroid problems, diabetes, infections, or medications. While not dangerous, excessive sweating can affect your confidence but it can be managed effectively with medical treatment.¹ ² ³

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Woman experiencing excessive underarm sweating, a common symptom of hyperhidrosis, with visible sweat stains and hand perspiration

Can hyperhidrosis be treated online?

Dr. Anne Allen, board-certified dermatologist, explains how to get treatment for hyperhidrosis via Miiskin.

Click to read video transcript

Dr. Anne Allen, MD FAAD speaking:

Ever felt embarrassed lifting your arms because of sweaty armpits… or hesitated to shake someone’s hand because your palms were soaked? If that sounds familiar, you’re not alone, and it might not be “normal sweating”.

This condition is called hyperhidrosis. It’s when your body produces more sweat than it needs to cool down, even when you’re not hot, exercising, or stressed. It commonly affects the underarms, hands, feet, face, or sometimes the whole body.

For many people, excessive sweating is caused by overactive nerves that signal sweat glands to turn on when they shouldn’t. It often starts in childhood or the teen years and can run in families.

Excessive sweating can affect your confidence, social interactions, work, and daily life, leading to anxiety, embarrassment, and constant wardrobe changes. The good news? It’s treatable! Options range from prescription antiperspirants and topical treatments to oral medications.

If excessive sweating is affecting your life, it doesn’t have to. Have a consultation with me via Miiskin to get treatment.

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Get hyperhidrosis treatment through Miiskin

Board-certified dermatologist Dr. Anne Allen notes that dermatologists tailor each prescription by evaluating symptoms, severity, and other clinical factors to ensure appropriate care.

Topical medication for excessive sweating

Aluminum chloride hexahydrate (Drysol)

Glycopyrronium cloths (Qbrexza)

Sofpironium bromide gel

Topical glycopyrrolate (compounded)

Oral medication for hyperhidrosis

Oxybutynin

Glycopyrrolate (Robinul)

Benztropine

Propranolol

How to consult a dermatologist for hyperhidrosis?

How to get a prescription for hyperhidrosis online?

You can have an online consultation via Miiskin, if medically adequate for you, your dermatologist will issue a prescription. First-time consultations are around $59, medication renewal visits are only $39.

Where to buy a prescription antiperspirant?
Your dermatologist can send your prescription to any pharmacy in the country local or online.

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Miiskin partners exclusively with board-certified dermatologists who have helped more than 200,000 people through telehealth.

Get a clear overview of our dermatologists, including where they’re licensed to practice, their experience, specialties, typical response time, and number of telehealth consultations completed.

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About excessive sweating (hyperhidrosis)

Causes of hyperhidrosis

Overactive sympathetic nervous system (excess nerve signaling to sweat glands)

Genetics or family history

Hormonal changes (puberty, menopause, thyroid disorders)

Certain medical conditions (diabetes, heart disease)

Medications (such as antidepressants or fever-reducing drugs)

Stress, anxiety, or emotional triggers ^{4,
5}

Signs and symptoms of hyperhidrosis

Excessive sweating not related to heat or exercise

Sweat that soaks through clothes or drips from hands or feet

Symmetrical sweating (same on both sides of the body)

Sweating occurs very often

Starts suddenly, often in childhood or adolescence

Interferes with daily activities or causes social embarrassment

Where does hyperhidrosis usually appear?

Man pointing to excessive underarm sweating and close-up of facial perspiration, showing common areas affected by hyperhidrosis

Hyperhidrosis usually appears in these common areas:

Underarms (axillary)
Palms of the hands (palmar)
Soles of the feet (plantar)
Face and scalp (craniofacial)
Groin or buttocks (less common)⁶

These areas have a high concentration of sweat glands and are typically affected symmetrically (on both sides).

How to prevent hyperhidrosis?

You can’t always fully prevent hyperhidrosis, but you can reduce and control it:

Use prescription-strength antiperspirants (aluminum chloride–based), applied at night

Keep skin cool and dry; wear loose, breathable fabrics

Manage stress and anxiety (relaxation techniques, CBT, meditation)

Avoid triggers like spicy foods, caffeine, and alcohol

Maintain good skin hygiene and regular bathing

When should someone seek medical care for hyperhidrosis?

You should contact a doctor for hyperhidrosis if:

You’re sweating excessively without clear triggers (like heat or exercise)

The sweating interferes with daily life or causes embarrassment

Over-the-counter antiperspirants aren’t helping

You have night sweats or sweating only on one side of the body

You started sweating suddenly later in life (not related to menopause or perimenopause)

You develop skin infections, irritation, or cracks from constant moisture

Process to getting a prescription for hyperhidrosis treatment
Through Miiskin, you get in touch with a dermatologist using an online dermatology consultation. The dermatologist will review your case and will write you a prescription for hyperhidrosis if it is suitable for you. Then you can pick it up at the pharmacy of your choice.

FAQ about getting a hyperhidrosis prescription antiperspirant

Dr. Anne Allen answers the most popular questions about hyperhidrosis prescription antiperspirant

Are there medications to stop excessive sweating?

Yes! Medications used to reduce excessive sweating include prescription-strength antiperspirants (aluminum chloride), oral anticholinergics (such as glycopyrrolate or oxybutynin), or topical glycopyrronium wipes, depending on the body area and severity.

What is the best face sweating treatment?

There isn’t one best treatment for everyone. Your dermatologist will evaluate your individual needs and issue a prescription accordingly.

Can you use Drysol on the face?

Drysol is not generally recommended for routine use on the face. Drysol contains 20% aluminum chloride, which can cause significant irritation, especially on sensitive facial skin.

Can doctors prescribe a prescription-strength deodorant?

Yes, more precisely, a prescription-strength antiperspirant. If OTC antiperspirants aren’t effective, a dermatologist can prescribe treatments such as aluminum chloride (Drysol). Miiskin also lists Qbrexza, sofpironium bromide gel, and compounded topical glycopyrrolate as topical options.

How to stop excessive armpit sweat?

Treatment generally includes prescription-strength aluminum chloride, Qbrexza (glycopyrronium cloth), Sofdra (sofpironium bromide gel), and oral medications when topical treatments aren’t enough.

What is the best body sweat treatment?

There is no single “best” remedy for everyone; first-line treatment is usually clinical-strength antiperspirant, while moderate to severe cases may respond better to iontophoresis, prescription medications.

Can propranolol reduce sweating?

Propranolol can help reduce sweating when it is triggered by anxiety or stress by blocking the physical effects of adrenaline, such as a fast heart rate, shaking, and excessive sweating, making it particularly useful for situational or performance-related nervousness. While it does not treat the emotional experience of anxiety itself, it calms the body’s fight-or-flight response and is often taken before events like public speaking or interviews. However, propranolol is a prescription medication, is not suitable for all types of excessive sweating such as generalized hyperhidrosis, and should only be used after consulting a healthcare provider due to potential side effects and individual considerations.

What foods reduce sweating?

Hydrating and cooling foods like water-rich fruits and vegetables help keep the body cool, while bananas support hydration by replenishing potassium lost through sweat. Nutrients that regulate temperature and metabolism—such as magnesium, calcium, and B vitamins found in leafy greens, dairy, lean proteins, and whole grains—can help manage excessive sweating by supporting healthy metabolic function. Additionally, whole grains stabilize blood sugar to prevent sweat spikes, green tea may aid temperature regulation through its antioxidant properties, and whey protein provides amino acids that can help calm the nervous system.

What vitamin stops excessive sweating?

No single vitamin can stop excessive sweating, but deficiencies in certain vitamins and minerals (particularly B vitamins (especially B12), vitamin D, and magnesium) may contribute to hyperhidrosis, meaning supplementation can help if a deficiency is present. B vitamins support stress and hormone regulation, vitamin D deficiency has been linked to excessive sweating (especially of the head), and magnesium plays a key role in temperature and stress control, with low levels potentially creating a cycle of stress and increased sweating. Calcium also supports temperature regulation by working alongside magnesium.

What is the main cause of hyperhidrosis?

The main cause of hyperhidrosis depends on its type: primary hyperhidrosis, the most common form, is caused by overactive sympathetic nerves (often with a genetic component) that trigger excessive sweating without a clear reason, typically affecting the hands, feet, and underarms and beginning in childhood or adolescence. Secondary hyperhidrosis, which usually appears later in life, is driven by underlying medical conditions such as diabetes, thyroid disorders, infections, hormonal changes, or certain medications, and often causes more generalized, full-body sweating.

What kind of doctor treats hyperhidrosis?

Dermatologists are the primary specialists who diagnose and treat hyperhidrosis, though pediatricians, neurologists, or endocrinologists may be involved in certain cases.

What is the new drug for excessive sweating?

The newest FDA-approved treatment for excessive underarm sweating is Sofdra (sofpironium bromide) a prescription topical gel approved in mid-2024 for adults and children aged 9 and older, which works by blocking acetylcholine (the neurotransmitter that activates sweat glands) directly at the skin. Applied locally to the underarms, it offers targeted sweat reduction with fewer whole-body side effects than older oral medications, with clinical trials showing significant sweat reduction for many users. Other recent developments include topical glycopyrronium formulations approved in some regions

What ingredients fight hyperhidrosis?

The main ingredients that fight hyperhidrosis include aluminum-based compounds used in antiperspirants and pharmaceutical anticholinergics that reduce sweat gland activity. Aluminum salts such as aluminum chloride, aluminum zirconium compounds, and aluminum chlorohydrate work by temporarily blocking sweat ducts to limit sweat release, while anticholinergic agents like glycopyrronium tosylate and sofpironium bromide reduce sweating by blocking the nerve signals that activate sweat glands, offering targeted and clinically proven options for managing excessive underarm sweating.

What do doctors prescribe for hyperhidrosis?

Doctors manage hyperhidrosis with topical and oral treatments, starting with prescription-strength aluminum chloride antiperspirants and topical anticholinergic options such as glycopyrronium tosylate wipes (Qbrexza) or sofpironium bromide gel (Sofdra), which work by blocking sweat gland signals at the skin. If topical treatments are insufficient, oral anticholinergic medications like oxybutynin or glycopyrrolate may be prescribed to reduce sweating systemically, with careful monitoring for side effects such as dry mouth or blurred vision.

How to treat hyperhidrosis in kids?

Treatment in children usually starts with mild options such as clinical-strength antiperspirants, lifestyle adjustments, and reassurance, with medications or iontophoresis considered in more severe cases under medical supervision.

What is the new prescription for hyperhidrosis?

Sofdra (sofpironium bromide) is the newest FDA-approved topical treatment for excessive underarm sweating, approved in mid-2024 for adults and children aged 9 and older. Applied directly to the underarms, it blocks acetylcholine to reduce sweat locally, offering effective relief with fewer systemic side effects than oral medications.

Is hyperhidrosis linked to ADHD?

There is no direct causal link between hyperhidrosis and ADHD, but stimulant medications and anxiety associated with ADHD can increase sweating in some individuals.

Can kids grow out of hyperhidrosis?

Yes, some children and teenagers experience improvement or resolution of hyperhidrosis as they grow older, especially when they reach adulthood, though others may continue to have symptoms.

Can you get tablets for excessive sweating?

Yes. Doctors can prescribe oral medications for excessive sweating, including oxybutynin and glycopyrrolate (Robinul). Other options may include benztropine or propranolol, depending on the type and cause of sweating.

Can citalopram cause excessive sweating?

Yes. Increased sweating is a known side effect of citalopram. The current citalopram prescribing information reports increased sweating among adverse reactions.

References:
¹https://www.mayoclinic.org/diseases-conditions/hyperhidrosis/symptoms-causes/syc-20367152
²https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis
³https://pmc.ncbi.nlm.nih.gov/articles/PMC9884722/
⁴https://www.urmc.rochester.edu/encyclopedia/content?ContentTypeID=85&ContentID=P00284
⁵https://medlineplus.gov/ency/article/007259.htm
⁶https://my.clevelandclinic.org/health/diseases/17113-hyperhidrosis