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How to treat hyperhidrosis

Is your face drenched in sweat after a short walk to nearby Starbucks to get a coffee regardless of the weather? How about having a wet patch at your underarm during an important office presentation?

Excessive sweating, or hyperhidrosis, is very common. In fact, most of you know someone who constantly has sweaty underarms or palms. Let’s face it. It is distressing for most people. Some avoid social contact with others because of the embarrassment. Some constantly appear anxious and distracted during important meetings because of sweaty forehead. Excessive sweating can potentially have serious impact on your life.

The good news is, excessive sweating is treatable!

There are several ways to treat this problem. However, treatment can be challenging. It may take a while to discover the best treatment for u.

1) Topical treatment*

Topical means things you apply directly onto your skin. You may have seen hundreds of anti-perspirant products in the supermarket or your local pharmacy. They contain certain chemicals that block your sweat glands. The truth is, they really are not very pleasant to use, and they do not work for most people. They can cause irritation to the skin if used frequently or in large amount, creating more problems for you. Therefore, it is best to consult a doctor if you suffer from excessive sweating.

2) Oral treatment*

Yes, there are oral medications available by prescription only. They act by blocking a chemical (acetylcholine) existing naturally in your body that contributes to sweating. The ones available in Singapore are Oxybutynin and Propantheline bromide.

Oxybutynin is most commonly used in Singapore. Studies have shown that it successfully treated excessive sweating in about 80% on people after 12 weeks of treatment. The effect varies in each individual: some after a few doses, some after a few weeks. It typically takes 1-2 hours after ingestion of the table to have the effect of reduced sweating.

Oral treatment is easy and flexible. Some like the fact that the effect is reversible. The effect wears off after about 6-8 hours.

Mr. P takes one oxybutynin tablet 2 hours before his meeting in the morning so he does not have an embarrassing sweaty underarm or forehead. Later that evening, he goes for a jog and sweats it all out!

Any side effects?

Oxybutynin does have side effects such as dry mouth and constipation. However, most people tolerate it very well. It is important to consult a doctor to understand the dosage and potential side effects before taking it.*

3) Botulinum Toxin injection (Botox®)*

Botulinum injection can be given in the armpits or face. Around 15 to 20 injections are usually needed. The effect lasts for 4 to 6 months, after which time the treatment can be repeated if necessary.

Click here to know more about Botox® for hyperhidrosis

Click here to know more about Botox® for cosmetics


4) Surgery*

This is usually the last resort if treatments mentioned above do not work. Please consult a surgeon if a surgical treatment is needed.


Remember: excessive sweating can be cured!

If you or someone you know suffer from excessive sweating, do not hesitate to give us a call or visit us at our clinics to get a proper assessment. You may require blood tests to exclude underlying health problems if needed. Seek help early, and you can get rid of your sweaty underarms!

Click here to contact us

*Results may vary for individual.


Related Articles:

Botox for hyperhidrosis


How to Reduce Underarm Sweating

7 ways to get rid of excessive sweating


*Note:  The outcomes and results of this medical procedure may vary from person to person. Outcomes and results may not be guaranteed.


Am a Nigerian and odemale endurance by name. am currently in Nigeria and will like to know the cost of under going minimum invasive surgery for underarm hyperhidrosis in your clinic.. to enable me to start planning my trip to Singapore.
Dr Sii Sik Liong's picture

Hi there. We do not perform Surgery for underarm hyperhidrosis. However, we do Botox treatment for underarm hyperhidrosis, which costs between $1000 to $1500. You can email me at [email protected] to find out more.

Can oxybutinin be bought without prescription in Singapore?
Dr Sii Sik Liong's picture

Not possible. It is a prescription medicine in Singapore.

Thank you. How much does it cost in Singapore per tablet?
Dr Sii Sik Liong's picture

Please email us at [email protected] to know the details regarding price, or send us an enquiry here

Can i get more details about oxybutinin medicene(oral treatment)
Dr Sii Sik Liong's picture

If you wish to know more, please drop us an email at [email protected] , or contact us here , or call 66942348 to arrange an appointment to come in to speak to our doctor.

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