This must be a known symptom of Long COVID because I’m in the Recover Vital (the NIH Paxlovid) clinical trial for dysautonomia and the questionnaires specifically ask about excessive sweating, flushing, and night sweats.

For anyone looking for potential relief, I see my dermatologist for Botox injections to treat excessive sweating. Dermatologists treat hyperhidrosis. It doesn’t address the difficulty moderating my temperature and I don’t know if it would help night sweats, but it does help excessive sweating that comes on with light activity or just sitting down when it seems totally disproportionate. But it depends on where you sweat.

It’s FDA approved for hands, feet, and underarms. I get it for my underarms and scalp because I have embarrassing cranio-facial hyperhidrosis. It’s really effective for my underarms and so-so in my scalp, but we’re working on tweaking the dose and location of the injections. Thankfully, my insurance covers it. It lasts from 2-6 months and it’s been better than anything else I tried, other than staying in air conditioning!