I mentioned above I see a dermatologist. They’re the specialty that treats hyperhidrosis. The options depend on where you sweat the most. There are medications, but they’re basically anticholinergics so they have a ton of side effects and long-term risks, though there are some new topicals that may be approved soon with less risk.

For me, sweating from my face and underarms are the worst. I tried OTC prescription-strength anti-perspirants, the really strong ones, but it causes skin irritation. There are prescription versions too. There aren’t as many options for face/scalp.

Botox works the best for me. It temporarily paralyzes the nerves that cause the sweating. It’s really effective for my underarms but not as great for my face because my doctor has to inject my scalp because to get too close to my face would be considered cosmetic which would not be covered by my insurance.

If you’re able, it may be worth consulting a dermatologist to go over options.