Reisfeld Rafael, Berliner Karen I
Center for Hyperhidrosis, 1125 South Beverly Drive, Suite 500, Los Angeles, CA 90035, USA.
Thorac Surg Clin. 2008 May;18(2):157-66. doi: 10.1016/j.thorsurg.2008.01.004.
The most common nonsurgical modern treatments for hyperhidrosis include topical treatments such as aluminum chloride, iontophoresis (usually with tap water), oral medications such as anticholinergics, and BTX-A. Topical treatments should always be first-line therapy. For those who fail such treatment, iontophoresis is typically recommended for those with palmar or plantar hyperhidrosis, whereas BTX is often considered as first- or second-line therapy in severe axillary hyperhidrosis. Oral anticholinergics are considered after failure of all other nonsurgical treatments.
