Generally, it worsens during the warm season and gets better during winter. In patients with primary hyperhidrosis or for symptomatic treatment of heavy sweating in patients with secondary hyperhidrosis, not treatable otherwise, the following methods have been adopted. This treatment is helpful in cases with light to moderate hyperhidrosis. There are no specific drugs available against profuse sweating. Sedatives or Anticholinergics are often tried.
Anticholinergics show too many side effects.
Surgery Excision of the axillary sweat glands Patients with axillary hyperhidrosis who are unresponsive to medical therapy can be effectively treated by excision of the axillary sweat glands. The principle of sympathectomy is to interrupt the nerve tracks which transmit the signals to the sweat glands. Today, the treatment of choice for moderate to severe palmar and facial hyperhydrosis consists in a surgical procedure known as Endoscopic Thoracic Sympathectomy . Individuals with combined hyperhydrosis of the palms and soles have a good chance to improve the sweating of their feet after an operation aiming to suppress sweating of the hands. Isolated plantar hyperhydrosis can, however, only cured by Lumbar Sympathectomy , an open abdominal procedure.