How does up to 201 days of drier underarms with 1 treatment sound?

Pretty amazing, right? That’s the kind of relief you can experience with BOTOX® (onabotulinumtoxinA) though individual results may vary. Continue reading to learn if Botox for hyperhidrosis is right for you…

The Scoop on Sweat

When is sweat too much sweat? For some people, sweating can go into overdrive. Severe underarm sweating, also known as severe primary axillary hyperhidrosis, is a condition in which the body sweats more than it has to in order to regulate body temperature. The severity of the condition is based on the extent it interferes with your daily activities.

Sweat is good! (Most of the time) Yes, sweating is normal and healthy. In fact, your body has between 2 million and 4 million sweat glands. When your body heats up, these glands release sweat to help cool you down.

What’s considered “normal” sweating?

There is no “normal”! Some people just naturally sweat more than others, so try not to compare yourself with other people.

Are antiperspirants and deodorants enough?

Not always. Over-the-counter and prescription antiperspirants are 2 of the first options people with severe underarm sweating try. These products work by blocking sweat ducts and reducing the amount of perspiration that reaches the skin. Deodorants help control body odor and are typically used in addition to antiperspirants. When these products don’t work well enough, it may be time to consider BOTOX® (onabotulinumtoxinA).

Only a medical professional can diagnose severe underarm sweating that is not being effectively managed with clinical-strength antiperspirants. Read through the examples below and if these sound like you, and if topical antiperspirants have failed, it might be time to schedule an appointment with Dr. Thomas to talk about BOTOX® (onabotulinumtoxinA).

  • Do you change your clothes multiple times a day due to underarm sweating?
  • Do you carry supplies (such as extra clothes, antiperspirants, powders, or towels) to help you manage symptoms of underarm sweating?
  • Do you avoid certain fabrics or clothing styles and/or put absorbent materials under clothing?
  • Have you been treated with any prescription antiperspirants, powders, or deodorants to control your underarm sweating?

How does BOTOX® for hyperhidrosis work?

BOTOX® temporarily blocks the chemical signals from the nerves that stimulate sweat glands. When the sweat glands don’t receive chemical signals, severe sweating is reduced.

Where does the sweat go?

Sweat doesn’t go anywhere or get backed up because it’s simply not produced in the areas treated with BOTOX®. Sweat will continue to be produced elsewhere.

Prepare for your appointment:

The more you prepare for your consultation, the better Dr. Thomas can understand the extent of your severe underarm sweating. Compile a list of important information to share with him, including:

Treatments you’ve tried and how well they’ve worked for you, including antiperspirants, deodorants, and powders, along with any herbal or “alternative” remedies

Any supplies you carry (such as extra clothes, antiperspirants, powders, or towels) to help manage symptoms of underarm sweating

Details such as: How old you were when you first noticed excessive underarm sweating, how many times a day you change your clothes due to severe underarm sweating, and how often you think about your sweating during the day

Does my insurance cover BOTOX® (onabotulinumtoxinA)?

In many cases, yes! Many insurance authorization requests for BOTOX® treatment are approved once you have used topical medications and they did not work well enough. Remember, approval is not automatic and not all insurance plans cover treatment. However, many patients are pleased to find out their insurance plan covers all or most of their BOTOX®treatments.

To find out if your insurance covers BOTOX® please contact your insurance company and inquire with them. Since everyone’s insurance plans are different be sure to ask them specifically what is necessary for reimbursement.

Other Frequently Asked Questions:
In a clinical study, patients had drier underarms for up to 201 days, or 6.7 months though individual results may vary.

BOTOX® (onabotulinumtoxinA) Important Information

BOTOX® is injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older.

It is not known whether BOTOX® is safe or effective for severe sweating anywhere other than your armpits.

IMPORTANT SAFETY INFORMATION BOTOX® may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX®:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months
  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activities

There has not been a confirmed serious case of spread of toxin effect away from the injection site when BOTOX® has been used at the recommended dose to treat severe underarm sweating.

Do not take BOTOX® if you: are allergic to any of the ingredients in BOTOX® (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

The dose of BOTOX® is not the same as, or comparable to, another botulinum toxin product.

Serious and/or immediate allergic reactions have been reported. These reactions include itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you experience any such symptoms; further injection of BOTOX® should be discontinued.

Tell your doctor about all your muscle or nerve conditions such as amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including severe dysphagia (difficulty swallowing) and respiratory compromise (difficulty breathing) from typical doses of BOTOX®.

Tell your doctor about all your medical conditions, including if you: have or have had bleeding problems; have plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® can harm your unborn baby); are breastfeeding or plan to breastfeed (it is not known if BOTOX® passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins, and herbal products. Using BOTOX® with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® in the past.

Especially tell your doctor if you: have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take anti-platelets (aspirin-like products) or anti-coagulants (blood thinners).

Other side effects of BOTOX® include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.