The Complete Guide to Hyperhidrosis Treatments

Sweaty hands, changing shirts multiple times a day, sweating bullets even in mild temperatures – these are daily struggles for people with hyperhidrosis.

If you sweat excessively, you might feel like no solution exists that can cure your sweating problem. But don’t lose hope just yet.

Hyperhidrosis isn’t curable, but you don’t have to let it control your life. We created the complete guide to hyperhidrosis treatments —  from safe, inexpensive products to permanent procedures — to help you overcome excessive sweat and gain your confidence back.

Treatment for Hyperhidrosis

Some hyperhidrosis treatments we'll cover include:

  1. Antiperspirant
  2. Sweat proof clothing
  3. Oral medications
  4. Botox injections
  5. Iontophoresis
  6. miraDry
  7. Laser treatments
  8. Hyperhidrosis surgery
  9. Home remedies

1. Antiperspirant

Antiperspirant is the first hyperhidrosis treatment most people turn to. Antiperspirants contain the active ingredient aluminum, which plugs your sweat ducts and blocks your glands from producing sweat. Over-the-counter antiperspirants contain 12-25 percent aluminum.

These antiperspirants are made specifically for people who sweat more than average:

If you’ve exhausted your options in the antiperspirant aisle, you can ask your doctor for a prescription antiperspirant like Drysol, which contains a higher concentration of aluminum – up to 30 percent.

You should know that there’s a dark side to antiperspirant. Antiperspirants have a bad reputation for containing potentially harmful chemicals. Aluminum is also harsh on sensitive skin – it can cause redness and irritation with prolonged use.

Check out these tips for getting the most out of your antiperspirant routine.

2. Sweat Proof Clothing

If you have hyperhidrosis, antiperspirant alone won’t prevent sweaty pits. A good sweat proof shirt will guard you against wet marks and yellow stains, even when your antiperspirant fails.

Look for these natural, moisture-absorbing fabrics when choosing sweat proof clothing:

  • Cotton: High-quality cotton absorbs moisture and offers some airflow to help dry out moisture.
  • Bamboo: This absorbent, breathable fabric is also resistant to odor, mold and bacteria.
  • Linen: Linen is lightweight and doesn’t cling to the body, which can help keep you cooler.

Here are some shirts that can help protect you from pit stains:

Check out these tips for choosing the right sweat proof undershirt.

3. Oral Medications

If store-bought products don’t curb your sweating problem, you might consider an oral hyperhidrosis medication.

There are two types of oral medications used for hyperhidrosis treatments: anticholinergics and beta blockers.


Anticholinergics are a class of prescription medications that decrease sweating across your entire body. They haven’t been studied in controlled clinical trials for hyperhidrosis, so their use is considered “off label.” Their FDA approval is based on studies involving other medical conditions, such as incontinence.

Anticholinergics are recommended for people who suffer from secondary hyperhidrosis or excessive facial sweating. Since they reduce moisture all over your body, your body can’t cool itself down as easily – and you risk overheating. Athletes and people who live or work in warm climates should use extreme caution when taking anticholinergics.

Side effects include dry mouth, constipation, blurred vision, urinary retention and heart palpitations.

Beta Blockers and Benzodiazepines

The second type of oral medication is nerve-blocking drugs such as beta blockers and benzodiazepines. These medications work by blocking the physical response to anxiety, reducing excessive sweating.

Beta blockers can offer temporary relief from situational hyperhidrosis, but they aren’t recommended for long-term use. Beta blockers are habit-forming medications and cause sedative side effects including depression, tiredness and dizziness.

4. Botox Injections

Botulinum toxin ( Botox) is a drug that temporarily paralyzes muscles to treat certain muscle conditions, reduce wrinkles or stop sweat. The FDA approved Botox for treating axillary hyperhidrosis (excessive underarm sweating) in 2004. Botox blocks the secretion of the chemical that activates sweat glands in your armpits.

Botox is a relatively quick and painless hyperhidrosis treatment, but it takes a hefty toll on your wallet. One Botox session costs approximately $1,000-$1,500 – and you need to repeat sessions every three to six months to keep seeing results.

Botox side effects can range from mild to severe, including muscle weakness, allergic reactions and problems speaking, swallowing or breathing.

Learn more about Botox for hyperhidrosis.

5. Iontophoresis

Looking for a noninvasive hyperhidrosis treatment with few side effects? Give iontophoresis a try.

Iontophoresis uses a medical device to pass a mild electrical current through water (using shallow pans or special pads) to your skin’s surface. It’s mainly used to treat excessive sweating on the hands and feet (palmoplantar hyperhidrosis). One study found that iontophoresis reduced sweating in 85 percent of palmoplantar hyperhidrosis patients.

It’s not a painful procedure, and the electrical current isn’t strong enough to damage your skin. Some mild side effects include blistering, peeling and irritation, but you can combat these effects by applying moisturizer after each session.

One drawback of iontophoresis is that it requires a strict maintenance schedule. Most people with hyperhidrosis need to have consistent weekly treatments to notice an improvement in symptoms. If you travel frequently or have a demanding work schedule, you’ll need to decide if iontophoresis is a realistic treatment for you.

Learn more about the results you can expect from iontophoresis.

6. miraDry

This newer, noninvasive hyperhidrosis treatment uses microwave technology to destroy underarm sweat glands and permanently suppress sweating. Doctors also use miraDry to eliminate underarm hair and odor glands.

miraDry is less invasive than other medical treatments like hyperhidrosis surgery or Botox, but it does have some side effects. Underarm swelling, redness and tenderness can last several days. Numbness and tingling can last up to five weeks.

miraDry is touted as a “permanent” procedure. But like all hyperhidrosis treatments, results vary from person to person. You may need two or more miraDry treatments to see lasting results, and each treatment costs approximately $3,000.

Read everything you need to know about the cost, side effects and results of miraDry.

7. Laser Treatments

Laser treatments target, heat and destroy underarm sweat glands. Few doctors offer laser treatments, and they’re pretty expensive. Each treatment will run you approximately $3,000.

Side effects include bruising, swelling and numbness.

8. Hyperhidrosis Surgery

If antiperspirant, oral medications and noninvasive procedures don’t provide sweating relief, your doctor might recommend hyperhidrosis surgery.

During endoscopic thoracic sympathectomy (ETS) surgery, surgeons attempt to interrupt the transmission of nerve signals between the spinal column and sweat glands. It’s performed under general anesthesia.

Underarm surgery is the most invasive and expensive hyperhidrosis treatment. The cost ranges from $5,000-$10,000.

If you do decide to undergo hyperhidrosis surgery, do extensive research first. Find a surgeon who is well-trained and informed on the most recent hyperhidrosis research. Ask your physician if you can speak to other patients who have had the procedure done.

You should also know that serious side effects are possible. Spend time researching the irreversible side effects and complications of ETS surgery, which include:

  • Heavy scarring
  • Loss of sensation in the armpits
  • Compensatory sweating
  • Arrhythmia
  • Infection and other complications from surgery

Read about Thompson Tee co-founder Randy Choi’s first-hand experience with ETS surgery.

ETS surgery should be a last resort. It’s an irreversible procedure that does not guarantee results. Try all other hyperhidrosis treatments before moving forward with surgery.

9. Home Remedies

If you prefer a natural route over medical treatments, you can control excessive sweating using common ingredients in your kitchen or medicine cabinet.

Here are a few home remedies you can rub on your pits to get your sweat under control:

  • Witch Hazel : Witch hazel is a natural astringent. It dries out your skin and shrinks your pores to minimize sweat.
  • Salt: Salt absorbs sweat and blocks your pores to keep your skin dry.
  • Coconut Oil : This ingredient contains lauric acid, which kills sweat-causing bacteria.
  • White Sandalwood Powder :Another natural astringent, white sandalwood powder contains enzymes that absorb excess moisture from the skin.

You can also create your own mixture of natural ingredients to make a homemade deodorant. Making your own deodorant lets you experiment with different ingredients and scents to find what works best for your skin.

Learn how to make your own sweat-fighting deodorant at home.

Stop Sweat Marks and Live Freely

Living with hyperhidrosis can feel completely hopeless. Like no solution out there will give you the relief you’re seeking. But sweat mark-free living is in reach – and it doesn’t have to be painful or expensive.

The Thompson Tee was made for people with hyperhidrosis, by people with hyperhidrosis. It’s a safe, comfortable and effective alternative to the many expensive treatments and harmful procedures on the market.

Unlike other hyperhidrosis treatment options, the Thompson Tee is guaranteed to prevent pit stains from soaking through your outer layer. The underarms are equipped with a patented sweat proof barrier that locks in sweat and odor.

Try one risk free for 30 days and discover the freedom of dry pits!


Men's Sweat Proof Shirts


Crewneck / V-Neck / Deep V-Neck

Crewneck / V-Neck

Women's Sweat Proof Shirts


Scoop Neck

Scoop Neck / V-Neck