Severe Axillary Hyperhidrosis (Excessive Sweating):Causes, Symptoms, and Treatment
Severe axillary hyperhidrosis, or excessive underarm sweating, is a chronic condition that can significantly impact daily life, social interactions, and self-confidence. While sweating is a normal bodily function that helps regulate temperature, individuals with hyperhidrosis experience excessive sweating beyond what is necessary. This article explores the causes, symptoms, and effective treatment options for axillary hyperhidrosis.


What Is Severe Axillary Hyperhidrosis?
Axillary hyperhidrosis is a condition where the sweat glands in the underarms produce excessive sweat, even when the body does not need cooling. It can occur without any underlying medical conditions (primary hyperhidrosis) or as a result of another health issue (secondary hyperhidrosis).
Common Causes of Axillary Hyperhidrosis
- Primary Focal Hyperhidrosis – A condition caused by overactive sweat glands, likely due to genetic factors.
- Secondary Hyperhidrosis – Excessive sweating triggered by medical conditions such as:
- ○ Endocrine disorders (e.g., hyperthyroidism, diabetes)
- ○ Neurological disorders (e.g., Parkinson’s disease)
- ○ Certain medications (e.g., antidepressants, pain relievers)
- ○ Anxiety and stress-related conditions
Symptoms of Severe Axillary Hyperhidrosis
- Excessive underarm sweating that is not related to heat or physical activity.
- Sweat stains on clothing that interfere with daily activities.
- Persistent dampness leading to discomfort and skin irritation.
- Strong body odor due to bacteria breaking down sweat.
- Emotional and social distress, including avoidance of social interactions due to embarrassment.

Treatment Options for Severe Axillary Hyperhidrosis
While hyperhidrosis is not life-threatening, treatment can help individuals manage symptoms and improve their quality of life.
1. Topical Treatments
- Antiperspirants with Aluminum Chloride – Block sweat glands to reduce underarm moisture.
- Prescription Antiperspirants (e.g., Drysol, Hypercare) – Stronger formulations used for more severe cases.
2. Botulinum Toxin (Botox) Injections
- Temporarily blocks nerve signals that stimulate sweat production.
- Effects last 4 to 6 months and significantly reduce sweating.
- FDA-approved and widely used for axillary hyperhidrosis.
3. Oral Medications
- Anticholinergic drugs (e.g., Oxybutynin, Glycopyrrolate) – Reduce sweat gland activity.
- Beta-blockers and Benzodiazepines – Can help manage stress-induced sweating.
4. Medical Procedures
- Iontophoresis – Uses mild electrical currents to temporarily disable sweat glands.
- Microwave Thermolysis (miraDry®) – A non-invasive procedure that destroys sweat glands permanently.
- Surgical Options (ETS Surgery, Sweat Gland Removal) – For severe cases unresponsive to other treatments.
5. Lifestyle Adjustments and Home Remedies
- Wearing breathable, loose-fitting clothing to minimize sweating.
- Using absorbent underarm pads to prevent sweat stains.
- Practicing stress-reduction techniques such as meditation or yoga.
When to Seek Medical Help
If excessive sweating affects your daily activities, work, or social life, consulting a healthcare professional can help determine the best treatment plan. Early intervention can provide long-term relief and improve confidence.


Book An Appointment Today
Severe axillary hyperhidrosis can be distressing, but various treatment options, from prescription antiperspirants and Botox injections to medical procedures, can provide relief. If excessive sweating is interfering with your life, consult a specialist to explore the best treatment options for your needs.
Are you struggling with excessive underarm sweating? Contact Vital Aesthetics today to discuss personalized treatment solutions and regain control over your confidence.