Products
Request An AppointmentHyperhidrosis: Effective Treatment for Excessive Sweating in NYC
Excessive sweating—known as hyperhidrosis—can interfere with daily life, causing visible wet spots, frequent outfit changes, and high dry-cleaning costs. This medical condition affects many people, even in cool environments or without physical activity.
At our Upper East Side dermatology office, Dr. Debra Jaliman provides advanced treatment options for hyperhidrosis. With extensive experience treating excessive sweating, she uses targeted therapies such as prescription medications and Botox injections to help patients stay dry and feel confident.
Whether you experience underarm sweating, clammy hands, or excessive perspiration on the face or feet, hyperhidrosis can feel overwhelming—but it is treatable. At our New York City dermatology office, Dr. Jaliman customizes every approach to reduce sweat and improve daily comfort, using the most effective, evidence-based methods available.
Hyperhidrosis Treatment Options
Hyperhidrosis isn’t just a daily inconvenience—it can significantly impact your emotional well-being, social interactions, and professional life. Fortunately, there are multiple treatment options that effectively reduce excessive sweating, including:
- Prescription-strength antiperspirants
- Oral medications to block overactive sweat signals
- Botox injections for underarm, hand, or facial sweating
- Iontophoresis, a device that temporarily disables sweat glands
- Minimally invasive surgery for severe, unresponsive cases
Dr. Jaliman will recommend the most appropriate solution based on the severity, location, and cause of your symptoms.
Get Relief from Excessive Sweating
No two patients experience hyperhidrosis the same way. Dr. Debra Jaliman develops individualized treatment plans tailored to your specific needs and goals. With decades of experience treating excessive sweating, she helps patients achieve lasting relief and renewed confidence.
Call our Manhattan dermatology office at to schedule your consultation. Take control of your sweating today—lasting relief is within reach.
Understanding Hyperhidrosis
Hyperhidrosis is a chronic medical condition in which the sweat glands produce excessive sweat, even in the absence of heat or physical activity. This can lead to visible perspiration on the hands, underarms, feet, or face—often soaking through clothing and interfering with daily tasks. The condition may also cause emotional stress, social anxiety, and discomfort.
At Dr. Debra Jaliman’s NYC dermatology office, patients receive personalized, effective treatments for hyperhidrosis, including prescription medications and Botox injections for sweating, to help control symptoms and restore confidence.
Types of Hyperhidrosis
Hyperhidrosis is categorized into two main types:
- Primary Hyperhidrosis
- Localized to specific areas such as the hands, feet, underarms, and face
- Typically begins during childhood or adolescence
- Often hereditary
- Caused by overactive nerves that stimulate the sweat glands unnecessarily
- Secondary Hyperhidrosis
- Caused by underlying medical conditions or medication side effects
- Leads to generalized sweating across the entire body
- Common triggers include:
- Hyperthyroidism
- Menopause and hot flashes
- Diabetes
- Infections
- Neurological disorders
- Antidepressants and certain pain medications
Common Symptoms of Hyperhidrosis
Hyperhidrosis presents differently from person to person, but the most common symptoms involve excessive, uncontrollable sweating that disrupts daily life. The condition often affects the palms, soles, underarms, or face and can occur even when the body is cool and at rest.
Key signs of hyperhidrosis include:
- Persistent, visible sweating without heat or physical activity
- Damp or slippery hands, feet, or underarms
- Difficulty performing routine tasks, such as writing or holding a phone
- Emotional discomfort, anxiety, or social withdrawal caused by sweating
- Skin irritation, rashes, or infections from prolonged moisture exposure
Timely treatment can dramatically improve quality of life for those dealing with these symptoms.
Hyperhidrosis Treatment Options
A range of proven treatments is available to help reduce or eliminate excessive sweating. At Dr. Debra Jaliman’s NYC dermatology office, we customize every treatment plan based on the location and severity of your hyperhidrosis.
- Prescription-strength antiperspirants – Block sweat glands with medical-grade active ingredients
- Oral medications – Reduce sweat production by calming overactive nerves
- Botox injections – FDA-approved and highly effective for treating underarm and hand sweating
- Iontophoresis – A non-invasive device that temporarily blocks sweat in the hands and feet
- Surgical options – Considered for severe, treatment-resistant cases (not typically first-line)
- Microwave therapy – Destroys sweat glands using focused thermal energy, especially effective for underarm sweating
Oral Medications for Hyperhidrosis: Are They Effective?
If you’re dealing with constant sweating that interferes with your daily life, you may be wondering: Are there oral medications that can help control hyperhidrosis? The answer is yes—when other treatments such as antiperspirants or Botox aren’t effective or suitable, oral medications can be an excellent option.
These medications target the nervous system signals that activate your sweat glands. By calming this overactive response, they can reduce excessive sweating across the body or in specific areas.
Types of Oral Medications for Excessive Sweating
- Anticholinergics (Nerve-Blocking Medications):
These medications work by blocking acetylcholine, a neurotransmitter responsible for triggering sweat gland activity. By interfering with this signal, they help reduce the amount of sweat your body produces.
- Certain Antidepressants:
Although primarily used to treat mood disorders, some antidepressants reduce sweating as a side effect. These can be especially helpful if anxiety contributes to your hyperhidrosis symptoms.
Your dermatologist will help determine whether an oral option is appropriate based on your health history, symptoms, and lifestyle.
What are the Potential Side Effects of Oral Medications
While these medications can provide real relief, they may come with side effects. These can vary depending on the drug and the individual but may include:
- Dry mouth
- Constipation
- Blurred vision
- Drowsiness
- Increased heart rate
- Mood changes or mental fog
That’s why it’s essential to consult a board-certified dermatologist before starting any oral treatment for hyperhidrosis. Dr. Debra Jaliman will evaluate your condition and monitor your progress to ensure the safest and most effective results.
Lifestyle Changes to Help Control Hyperhidrosis
Living with hyperhidrosis (excessive sweating) doesn’t have to limit your daily life. In addition to medical treatments, simple lifestyle adjustments can significantly reduce symptoms and improve your comfort, confidence, and emotional well-being. By modifying your wardrobe, footwear, hygiene routine, and self-care habits, many patients experience meaningful relief from hyperhidrosis.
- Choose Breathable Clothing and Moisture-Wicking Fabrics
Your clothing choices can make a major difference in managing sweat and staying comfortable. The right fabrics allow your skin to breathe, reduce overheating, and minimize visible sweat stains.
What to wear for excessive sweating:
- Natural fibers like cotton, linen, and bamboo help regulate body temperature
- Moisture-wicking fabrics (common in athletic wear) pull sweat away from the skin
- Dark colors and patterns help conceal sweat marks
- Avoid tight or synthetic clothing, which can trap heat and moisture
- Look for labels with terms like “breathable,” “lightweight,” and “moisture-wicking”
- Smarter Footwear and Foot Care
Sweaty feet are a common and often frustrating symptom of hyperhidrosis. Wearing breathable shoes and maintaining a proper foot care routine can greatly reduce moisture and prevent odor or infection.
Foot care tips for hyperhidrosis:
- Wear shoes made from leather, mesh, or breathable materials
- Choose moisture-wicking socks, especially athletic or antimicrobial types
- Change socks frequently throughout the day
- Use foot powders or antifungal sprays to stay dry and odor-free
- Rotate shoes to ensure they dry completely between uses
Maintaining dry feet not only increases comfort but also helps prevent athlete’s foot and other fungal infections.
- Seek Emotional and Psychological Support
Hyperhidrosis can affect more than just the body—it may also impact mental health. Feelings of embarrassment, anxiety, or social avoidance are common but manageable with the right support.
Tips for managing the emotional impact of hyperhidrosis:
- Speak with a mental health professional to address anxiety or low self-esteem
- Join a hyperhidrosis support group (in-person or online)
- Practice stress-reduction techniques like meditation, deep breathing, or mindfulness
You’re not alone—emotional support can be a vital part of your overall treatment plan.
Small Adjustments, Big Impact
Lifestyle changes such as modifying your wardrobe, improving foot hygiene, and seeking emotional support can greatly improve quality of life for those living with hyperhidrosis. When combined with clinical treatments, these practical strategies offer a comprehensive approach to long-term sweat management.
Topical Treatments for Hyperhidrosis: Prescription Antiperspirants & Deodorants
Topical treatments—including prescription-strength antiperspirants, medicated wipes, and specialized deodorants—are often the first line of defense for managing hyperhidrosis (excessive sweating). These non-invasive solutions can be highly effective, especially when applied consistently and under the care of a board-certified dermatologist. Patients with mild to moderate symptoms may experience significant sweat reduction using these topical products as part of a comprehensive treatment plan.
How Do Prescription Antiperspirants Work?
Prescription-strength antiperspirants containing aluminum chloride are among the most effective topical treatments for hyperhidrosis. These formulations work by blocking the sweat glands, reducing the amount of sweat that reaches the skin’s surface.
- Clinical studies show they can decrease sweat production by 20–30% or more
- Higher concentrations (10%–20%) offer greater results for more severe sweating
- Typically applied at night to allow the active ingredients to fully penetrate and form plugs in the sweat ducts
Unlike standard over-the-counter products, prescription antiperspirants are designed for those with excessive sweating and are often the first treatment recommended for localized areas like the underarms, hands, or feet.
What About Prescription Wipes and Creams?
If you’re sensitive to aluminum-based products or haven’t seen results, topical wipes and creams containing glycopyrrolate may be another excellent option. These work by blocking the nerve signals that stimulate sweat glands, offering targeted relief for areas like:
- The face and scalp
- Underarms
- Palms and soles
Glycopyrrolate wipes are often well-tolerated and can be a convenient daily treatment for patients with localized sweating.
Are Oral Medications Right for You?
Oral treatments are typically considered when topical options or Botox injections don’t offer enough relief—or if you need a more systemic solution for generalized sweating. They’re not for everyone, but they can be life-changing for the right candidate.
Botox Injections for Excessive Sweating: How They Work and What to Expect
Botox Injections for Hyperhidrosis
Botox injections can provide powerful, targeted relief for individuals struggling with hyperhidrosis (excessive sweating). While commonly known for cosmetic use, Botox is FDA-approved to treat excessive sweating by temporarily blocking the nerve signals that activate sweat glands. This treatment is especially effective for the underarms, hands, feet, and face.
Benefits of Botox for Hyperhidrosis
- Highly Effective: Clinical studies show Botox can reduce sweating by 80–90% in treated areas
- Quick Treatment: In-office procedure typically takes just 15–20 minutes
- Fast Results: Noticeable improvement often occurs within days to weeks
- Long-Lasting Relief: Results may last up to six months or more, depending on the area
- Minimally Invasive: Involves small, shallow injections and minimal downtime
For many patients, Botox is a life-changing solution that reduces daily stress, improves quality of life, and restores confidence.
Considerations and Limitations
- Repeat Treatments Required: Effects are temporary and maintenance sessions are needed every 4–6 months
- Not for Everyone: People with certain medical conditions or allergies may not be ideal candidates
- Mild Side Effects: Some patients report minor bruising, tenderness, or swelling at the injection site
A consultation with a board-certified dermatologist is essential to determine if Botox is the right treatment for your hyperhidrosis.
What About the Cost?
Cost is an important consideration. Because Botox for hyperhidrosis is a specialized medical treatment, prices vary depending on the treatment area and number of units used.
Is Botox Right for You?
If you’re ready to stop sweating through your shirts or avoiding social interactions, Botox injections may be the solution. At Dr. Debra Jaliman’s NYC dermatology office, we’ve helped countless patients find lasting relief from hyperhidrosis with safe, expert care.
Frequently Asked Questions about Hyperhidrosis
Understanding Hyperhidrosis
What is hyperhidrosis?
Hyperhidrosis is a medical condition that causes excessive sweating beyond what’s needed to regulate body temperature.
What causes hyperhidrosis?
It can be primary (genetic and localized) or secondary (linked to medical conditions like thyroid issues or diabetes).
Is hyperhidrosis a curable condition, or is it only manageable?
While not typically curable, hyperhidrosis is highly manageable with the right treatment plan.
Can hyperhidrosis be a sign of another medical condition?
Yes. Secondary hyperhidrosis can signal an underlying health issue and should be evaluated by a doctor.
What areas of the body are most commonly affected by hyperhidrosis?
It often affects the underarms, palms, soles of the feet, scalp, and face.
Treatment
How do I choose the right hyperhidrosis treatment option for me?
Treatment depends on the severity and location. A dermatologist can recommend options like prescription antiperspirants, Botox, or oral medications.
Can I treat hyperhidrosis on my own?
Mild cases can be managed with clinical-strength OTC products, but persistent symptoms usually need medical treatment.
Does insurance cover hyperhidrosis treatment?
Some treatments, like Botox or prescription medications, may be covered if medically necessary. Check with your insurance provider.
Are there surgical options for treating hyperhidrosis?
Yes, surgery (like sympathectomy) is available but is typically reserved for severe, treatment-resistant cases.
Can lifestyle changes help manage hyperhidrosis?
Yes. Wearing breathable fabrics, avoiding triggers, and managing stress may reduce sweating episodes.
Over-the-Counter & Prescription Options
Are there any over-the-counter products specifically designed for hyperhidrosis treatment?
Yes. Clinical-strength antiperspirants and specialty wipes may help manage mild sweating.
How effective are prescription antiperspirants in treating hyperhidrosis?
Prescription antiperspirants with aluminum chloride can significantly reduce sweating when used regularly.
Is it safe to use prescription treatments long-term?
Yes. Most treatments are safe for long-term use under medical supervision.
In-Office Medical Treatments
What treatments do dermatologists offer for hyperhidrosis?
Options include Botox injections, prescription medications, iontophoresis, and in some cases, laser or surgery.
Is Botox an effective treatment for hyperhidrosis?
Yes. Botox is FDA-approved for underarm sweating and can also treat hands and feet, with results lasting 4–6 months.
Are there any potential side effects of hyperhidrosis treatments?
Side effects are generally mild and vary by treatment—possible irritation, temporary muscle weakness (with Botox), or dry mouth (with oral meds).
How long does it take to see results from hyperhidrosis treatments?
Results vary: Botox often works within a few days; prescription antiperspirants may take 1–2 weeks; oral meds may take longer.
Who offers hyperhidrosis treatment?
Board-certified dermatologists are the best-qualified specialists for diagnosing and treating hyperhidrosis effectively.
Schedule Your Hyperhidrosis Consultation Today
Take control of excessive sweating and reclaim your comfort and confidence. If you’re tired of layering clothes, managing sweat stains, or avoiding social events, expert treatment is available.
Call our NYC dermatology office at to schedule your hyperhidrosis consultation with Dr. Debra Jaliman, a board-certified dermatologist with years of experience treating excessive sweating. Relief begins with an accurate diagnosis and a personalized treatment plan.
