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Topical Treatments
Topical therapy for focal hyperhidrosis, or antiperspirant
treatment, can be carried out with chemicals of several different
classes—astringent agents, topical anticholinergics,
local anesthetics, and aluminum and other metallic salt solutions.[58]
The general population in industrialized nations uses over-the-counter
antiperspirants for cosmetic control of underarm sweating
and odor, but patients with moderate-to-severe hyperhidrosis
need stronger therapy.[58]
Prescription products as well as specially compounded solutions
are often needed for these patients,[145]
but are not always effective.[148]
Other than aluminum chloride, many of the topical agents reviewed are not available commercially or do not have U.S. Food and Drug Administration approval for the treatment of hyperhidrosis.
Topical treatments for hyperhidrosis include:
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