Treatment of excessive sweating

Sweating is a natural physiological response to thermoregulation. However, in some people, it becomes excessive – both at rest and with minor physical or emotional stress. This condition is called hyperhidrosis and can be either localised (palms, armpits, feet) or generalised (excessive sweating throughout the body).

At the ZDRAVO clinic, we conduct a comprehensive examination of the causes of sweating and select individual treatment, taking into account the type of hyperhidrosis, concomitant conditions and the patient’s lifestyle.

When to see a doctor

Indications for seeking medical care are situations when sweating

• significantly reduces the quality of life (social anxiety, difficulties in work or personal life);
• appears suddenly and for no reason;
• accompanied by an unpleasant odour, skin irritation;
• cannot be controlled by personal hygiene products;
• is localised in the armpits, palms, feet, face or all over the body;
• is a symptom of a concomitant disease (endocrine, infectious, neurological).

Timely treatment allows not only to improve comfort but also to identify possible pathology.

Contraindications to the treatment of excessive sweating

Certain therapies may have limitations. Contraindications include

• acute infectious processes;
• oncological diseases;
• blood coagulation disorders;
• individual intolerance to drug components (for example, in botulinum therapy);
• pregnancy and lactation – temporary restrictions on injection methods.

Before starting treatment, we conduct a detailed examination and find out the possible risks.

How sweating is treated

After a consultation and anamnesis, the doctor prescribes examinations (tests, Minori test, ultrasound, consultations of related specialists). Depending on the causes and form of hyperhidrosis, the doctor prescribes the following treatments:

• Drug therapy – prescribed for systemic forms or as an adjunct.
• Physiotherapy – electrophoresis, iontophoresis.
• Treatment of the underlying disease – in case of secondary hyperhidrosis (thyrotoxicosis, diabetes mellitus, etc.).
• Dermatological care – for skin irritations, maceration and infections.

In complex cases, surgical methods (sympathectomy) may be considered, but this is extremely rare.

What you need to know before the procedure

Preparation depends on the chosen method. Most often, before injection or hardware treatment, it is enough to

• refrain from physical activity the day before the procedure;
• do not drink alcohol;
• Do not use antiperspirants 24 hours before the injection;
• consult about taking medications, especially anticoagulants.

The doctor provides personalised recommendations during the appointment.

Additional examinations and specialists

For high-quality diagnostics and exclusion of other pathologies, patients may be recommended to undergo the following tests:

• Ultrasound of the thyroid gland
• General and hormonal tests
• Consultation with an endocrinologist
• Visit to a neurologist or dermatologist
• Electrocardiography (ECG) when planning drug therapy

Depending on the results, treatment is selected by a multidisciplinary team.

Why patients choose ZDRAVO clinic

At ZDRAVO clinic, we combine modern diagnostic approaches, safe treatment methods and comprehensive patient management. We work with delicate conditions in a sensitive manner – confidentiality, respect for the individual and comfort during each stage of examination and treatment are the priorities of our medical team.