Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Urgent Care


Dr. Mary Walton


Primary hyperhidrosis is excessive sweating that exceeds its physiologic function. Unlike secondary hyperhidrosis, it is not caused by an underlying medical condition. Hyperhidrosis negatively affects about 1% of the population by impacting the quality of life of these patients. Patients with hyperhidrosis constantly worry about fundamental social interactions such as shaking hands with someone or holding someone’s hand. Functionally, basic skills such as writing or driving may become difficult as excessive sweating on the palms of the hands and soles of the feet affects a person’s grip. Diagnosing hyperhidrosis early in the primary care setting will help to alleviate these symptoms and improve the significant negative impact of hyperhidrosis. This feature article aims to review the treatments for hyperhidrosis for the primary care provider and examine which treatment option is most practical in this setting. Primary treatment management of hyperhidrosis includes topical medications such as aluminum chloride and oral anticholinergics such as oxybutynin chloride.


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