Excessive Underarm Sweating: Causes, Treatments, and Lifestyle Tips

Excessive Underarm Sweating: Causes, Treatments, and Lifestyle Tips


Excessive underarm sweating, medically known as axillary hyperhidrosis, is a condition that affects millions of people worldwide. It can be not only physically uncomfortable but also emotionally distressing. If you’re struggling with this condition, you’re not alone. In this comprehensive guide, we’ll delve into excessive underarm sweating: causes, treatments, and lifestyle tips to manage excessive underarm sweating effectively.


What is Excessive Underarm Sweating?

Excessive underarm sweating occurs when the sweat glands in the armpits produce more sweat than what is needed to regulate body temperature. While sweating is a natural cooling mechanism, overactive sweat glands can lead to embarrassment and discomfort.

Causes of Excessive Underarm Sweating

  1. Primary Hyperhidrosis: This is the most common cause of excessive underarm sweating and typically has a genetic component. It often begins in childhood or adolescence and is not triggered by an underlying medical condition.
  2. Secondary Hyperhidrosis: This type of excessive sweating is usually caused by an underlying medical condition such as thyroid problems, menopause, anxiety disorders, obesity, or certain medications.

Effects of Excessive Underarm Sweating

Excessive underarm sweating can have a significant impact on an individual’s life, leading to social and psychological challenges such as low self-esteem, anxiety, and even depression. Many people find themselves constantly worried about visible sweat stains and unpleasant body odour.

Treatments for Excessive Underarm Sweating

  1. Antiperspirants

Over the counter or prescription-strength antiperspirants containing aluminium chloride can help control excessive sweating. These products work by blocking sweat ducts temporarily. There are several over the counter (OTC) medications and antiperspirants that can help manage excessive underarm sweating. These products are easily accessible and can be a good starting point for individuals looking to address mild to moderate cases of axillary hyperhidrosis. Remember to follow the instructions on the product label and consult with a healthcare professional if you have any concerns. Here are a few examples of OTC medications and antiperspirants:

  • Aluminium-Based Antiperspirants: Aluminium-based antiperspirants are the most common OTC products used to control sweating. They work by temporarily blocking sweat glands and reducing sweat production. Look for products with higher concentrations of aluminium chloride, aluminium chloride hexahydrate, or aluminium zirconium compounds. Brands like Certain Dri, Dove Clinical Protection, and Secret Clinical Strength offer antiperspirants with higher concentrations of active ingredients for more effective sweat control.
  • Clinical-Strength Antiperspirants: These antiperspirants typically contain a higher level of active ingredients, such as aluminium salts, compared to regular OTC products. They are designed to provide stronger and longer-lasting protection against excessive sweating. Brands like Dove Clinical Protection, Secret Clinical Strength, and Gillette Clinical are known for their clinical-strength antiperspirant offerings.
  • Sweat-Activated Antiperspirants: These antiperspirants are designed to be more effective when you’re active or sweating, providing extra protection during times when you need it most. Brands like Degree and Secret offer sweat-activated formulas that respond to your body’s needs.
  • Antiperspirant Wipes: Antiperspirant wipes are convenient and easy to use. They offer a mess-free application and can be used on-the-go. Brands like SweatBlock offer antiperspirant wipes that contain a higher concentration of aluminum chloride to help control sweat.
  • Topical Powders and Lotions: Some OTC products come in powder or lotion form and can be applied to the underarms to help absorb moisture and reduce sweating. These can be useful for people who prefer non-roll-on forms of antiperspirants. Brands like Gold Bond offer powders and lotions with sweat-absorbing properties.
  • Odor-Controlling Antiperspirants: In addition to sweat control, some antiperspirants are formulated to address body odour as well. These products combine sweat-blocking ingredients with deodorizing agents to provide dual protection.
  • Natural and Aluminium-Free Options: If you prefer a more natural approach, there are aluminium-free antiperspirant options available. While they may not be as potent as traditional antiperspirants, they can be a suitable choice for individuals with milder sweating concerns. Brands like Native and Schmidt’s offer aluminium-free options.

Remember that individual responses to OTC antiperspirants can vary, and what works for one person may not work as effectively for another. If you find that OTC options are not providing sufficient relief, or if your excessive sweating is impacting your quality of life, consider consulting a healthcare professional for further guidance and potential prescription treatments.

  1. Botox Injections

Botulinum toxin (Botox) injections can effectively reduce sweating by blocking the nerve signals responsible for excessive sweat production. This treatment is temporary and usually needs to be repeated every 4 to 6 months.

  1. Prescription Medications

Doctors may prescribe anticholinergic drugs that inhibit sweat gland activity. However, these medications may have side effects and are typically used when other treatments haven’t been successful.

These medications are typically considered when other treatments like antiperspirants and lifestyle changes haven’t provided sufficient relief. It’s important to consult a medical professional before starting any prescription medication. Here are a few examples of prescription medications that may be used to treat excessive underarm sweating:

  • Anticholinergics: These medications work by blocking the chemical messenger acetylcholine, which stimulates sweat glands. They can help reduce sweating but may also have potential side effects like dry mouth, blurred vision, and constipation. One commonly prescribed anticholinergic for hyperhidrosis is glycopyrrolate.
  • Antiperspirant Solutions: Some prescription-strength antiperspirant solutions contain higher concentrations of aluminium chloride compared to over-the-counter products. These solutions can be applied to the underarms and can help block sweat glands.
  • Topical Glycopyrrolate: This medication is applied topically to the skin and can help reduce sweat production. It’s available as wipes or solutions.
  • Botulinum Toxin Injections (Botox): While Botox is more commonly associated with cosmetic procedures, it’s also used to treat excessive sweating. Botox injections block nerve signals that stimulate sweat glands, reducing sweating in the treated area.
  • Clonidine: Originally used to treat high blood pressure, clonidine can also help reduce excessive sweating by influencing the nervous system’s response to sweating triggers.
  • Beta-Blockers: These medications are often used to treat conditions like high blood pressure and anxiety. They may also help reduce sweating by blocking certain nerve signals.
  • Propranolol: This beta-blocker can be prescribed off-label for hyperhidrosis. It may help manage stress-induced sweating.
  • Calcium Channel Blockers: Medications like nifedipine, typically used to treat conditions like high blood pressure, have been explored for their potential to reduce excessive sweating.

Remember, these medications may have potential side effects, and their effectiveness can vary from person to person. It’s important to discuss your medical history and any concerns you have with your healthcare provider before starting any prescription treatment for excessive underarm sweating. They can guide you in choosing the most suitable option based on your individual needs and circumstances.

  1. Iontophoresis

This treatment involves passing a mild electrical current through water into the skin’s surface. It can help reduce sweat production but requires multiple sessions for long-term results.

  1. Medical Procedures

Surgical options include sweat gland removal, nerve-blocking procedures, and even sweat gland suction. These interventions are typically considered when other treatments have failed.

Lifestyle Tips for Managing Excessive Sweating

  1. Clothing Choice

Opt for loose-fitting, breathable clothing made from natural fabrics like cotton. Dark colours can help conceal sweat stains.

  1. Personal Hygiene

Shower daily and use antibacterial soap to reduce odour. Keeping your armpits clean can help minimize the growth of odour-causing bacteria.

  1. Diet Modifications

Avoiding spicy foods, caffeine, and alcohol can help reduce sweating. These items can stimulate sweat glands and exacerbate the condition.

  1. Stress Management

Practicing relaxation techniques such as deep breathing, yoga, or meditation can help manage stress-related sweating.

  1. Regular Hydration

Staying hydrated can help regulate body temperature and reduce the intensity of sweating.

  1. Natural Remedies

Some natural remedies like applying apple cider vinegar or witch hazel to the armpits can help control excessive sweating. However, these remedies may not work for everyone.

  1. Weight Management

Maintaining a healthy weight can reduce the risk of excessive sweating, as obesity is linked to increased sweat production.

  1. Exercise and Physical Activity

Engaging in regular physical activity can help regulate your body’s overall temperature, potentially reducing the frequency and intensity of excessive underarm sweating. However, it’s important to choose moisture-wicking activewear to minimize discomfort during workouts.

  1. Cool Down Techniques

Applying cold packs or taking cool showers can temporarily reduce sweating by lowering your body’s temperature.

  1. Mindfulness and Cognitive Behavioural Therapy (CBT)

Mindfulness techniques and CBT can help you manage the psychological impact of excessive underarm sweating. Learning to change your thought patterns and reactions to sweating can improve your overall quality of life.

  1. Support Groups

Joining support groups or online communities can connect you with others who are dealing with similar challenges. Sharing experiences, tips, and coping strategies can provide emotional relief and a sense of camaraderie.

  1. Medical Advancements

Stay informed about the latest medical advancements in treating excessive underarm sweating. Researchers and medical professionals are constantly exploring new treatment options, so there may be innovative solutions on the horizon.

  1. Consultation with a Medical Professional

Before starting any treatment plan, it’s crucial to consult a healthcare provider. A medical professional can diagnose the type and severity of your excessive sweating and recommend the most appropriate treatments based on your individual needs.


Excessive underarm sweating can have a profound impact on both physical comfort and emotional well-being. However, the good news is that you have a range of options available to manage and even alleviate this condition. From antiperspirants and medical procedures to lifestyle adjustments and psychological techniques, there is no one-size-fits-all solution. The key is to find the combination of treatments and strategies that work best for you.

Remember that seeking help and support is a sign of strength, not weakness. If you’re struggling with excessive underarm sweating, reach out to healthcare professionals who can guide you toward effective solutions. With determination, patience, and the right resources, you can regain control over your life and confidently embrace social situations without the burden of excessive sweating holding you back.

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