Dr. Abdulaziz AlRashed — Consultant Dermatologist, Cosmetic & Laser
Advice for Hyperhidrosis Patients
A patient advice sheet — 8 practical points. Reviewed and updated by Dr. Abdulaziz AlRashed, July 2026.
Last reviewed: July 2026
The advice
- Hyperhidrosis is a real, treatable medical condition — not just "nervousness".
- First line is an aluminium-chloride antiperspirant: apply at night to completely dry skin and wash off in the morning; daily at first, then space out as you improve.
- Mild stinging or itching at first is normal — space out applications and moisturize during the day if it happens.
- An antiperspirant is different from a deodorant, and it can be used on underarms, palms and soles.
- Choose breathable cotton fabrics and dark or white colours that hide marks, absorbent insoles, and keep spare clothing.
- Caffeine, spicy food and stress increase sweating episodes.
- Stronger, very effective options exist: iontophoresis (water-current device), Botox injections for underarms (effective 4–6+ months), tablets, and energy devices — discuss them with your doctor.
- Sudden generalized night sweating with weight loss needs a general medical evaluation.
See also the full treatment page: Hyperhidrosis treatment — options, evidence and expected timelines.
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