BOTOX®  Cosmetic - Hyperhidrosis

 Hyperhidrosis is the medical term given to the condition referred to as excessive sweating. One out of every one hundred people suffers from this condition which is caused by hyperactivity of the nervous system controlling sweat production. This causes an over production of sweat that can reach volumes measured in liters per hour. The condition can affect the sweat glands of the hands and feet as well as the axilla (armpit). Those who suffers from this condition have to deal with embarrassment and ruined clothing or shoes. Some individuals have to change clothing every hour or wear liners under their arms.

There have been several options for treatment of this condition. The first step is a medically prescribed antiperspirant containing a powerful chemical called aluminum chloride. This chemical prevents the sweat from escaping the pores. Many times this treatment is not effective. Primary hyperhidrosis means the cause is not related to another condition such as obesity, menopause, drug use, endocrine disorders (hypoglycemia, hyperthyroidism, pheochromocytoma) or neurological conditions involving autonomic dysregulation. Oral medications tried for this condition have not been successful. There are surgical options for treatment of this condition, but they have some drawbacks as well, including increased sweat production in other areas.

Recently the FDA (Food and Drug Administration) approved the use of BOTOX ® Cosmetic as a treatment for hyperhidrosis because BOTOX® Cosmetic prevents the release of acetylcholine. If acetylcholine is not released the sweat gland will not be stimulated to produce sweat. This treatment has been proven to effectively decrease the production of sweat by 95% within the first forty-eight hours and will reach a peak within two weeks. The effects last an average of six to nine months and some patients require only one treatment. During the hyperhidrosis treatment, the area to be treated is identified and then injected with BOTOX® Cosmetic through a small needle. If needed, a topical anesthetic can be used, but usually there is minimal discomfort involved. There has been no evidence of compensatory sweating in other areas following the use of BOTOX® Cosmetic. If the sweating returns after treatment with BOTOX® Cosmetic, patients report that the sweating decreased in severity. The use of BOTOX® Cosmetic in these patients greatly improves their quality of life and confidence both socially and in their careers.