Hyperhidrosis in Cagliari
Effective solutions for excessive sweating
Excessive sweating of the hands, feet, underarms or face can have a significant impact on daily and working life. At Centro Eudermia in Cagliari we offer effective treatments for hyperhidrosis, from clinical antiperspirants to botulinum toxin, with over 30 years of dermatological experience.
- Diagnosis of primary and secondary hyperhidrosis
- Botulinum toxin for underarms, hands and feet
- Prescription clinical antiperspirants
- Personalised approach based on severity
What Hyperhidrosis Is and How It Presents
Hyperhidrosis is abnormal sweating, often independent of the ambient temperature or physical activity. The most characteristic symptoms are:
- Profuse sweating even at rest, in normal climatic conditions
- Visible drops of sweat that may fall spontaneously
- Damp or wet hands that make handshakes embarrassing
- Skin maceration on the feet, with unpleasant odour
- Obvious marks on clothing in the underarm area
- Sweating of the scalp and face
The typical locations of primary hyperhidrosis are the palms of the hands, the soles of the feet, the underarms, the scalp and the face. The distribution is generally symmetrical.
Primary Hyperhidrosis and Secondary Hyperhidrosis
Primary (Essential) Hyperhidrosis
Primary hyperhidrosis is the most common form. It has an idiopathic origin (i.e. without an identifiable cause), typically begins in adolescence or young adulthood, is generally symmetrical, is limited to specific areas of the body (palms, soles, underarms, face) and is often hereditary. Typically, sweating stops during sleep.
Based on its impact on daily life, it is classified as:
- Mild — perceptible but tolerable sweating
- Moderate — visible drops, interference with activities
- Severe — profuse sweating, significant social and occupational limitations
Secondary Hyperhidrosis
Secondary hyperhidrosis is caused by underlying medical conditions: hyperthyroidism, diabetes, menopause, certain medications (SSRIs, opioids), chronic infections, tumours. It usually appears at a later age, may be one-sided and often includes significant night sweats. In these cases, treating the underlying cause is the priority and must always be investigated before treating the symptom.
The Impact on Daily Life
Hyperhidrosis is not only a medical problem but also a social one. Many patients report anticipatory anxiety in situations involving physical contact (handshakes, hugs), avoidance of light-coloured clothing, difficulty handling objects (paper, smartphones, musical instruments) and reduced professional opportunities. Recognising hyperhidrosis as a medical condition is the first step towards addressing it.
Our Treatments for Hyperhidrosis
Clinical Antiperspirants
Clinical antiperspirants based on aluminium chloride (concentrations of 15-25%) are the first approach for mild to moderate forms. They work by temporarily occluding the sweat ducts. They are prescribed by the dermatologist and differ from supermarket products in concentration and method of use. Correct application — on perfectly dry skin, in the evening before going to bed — is essential for effectiveness.
Botulinum Toxin
Botulinum toxin is considered one of the most effective treatments for severe hyperhidrosis, particularly of the underarms, palms and soles. It works by blocking the release of acetylcholine at the sweat glands, leading to a marked reduction in sweating in the treated area.
The procedure involves multiple intradermal micro-injections in the affected area, performed after mapping the areas of excessive sweating with the Minor's starch-iodine test. For the treatment of hands and feet, a topical anaesthetic may be helpful, given the greater sensitivity of the area.
The effect appears within 3-7 days of the injection and is maintained for an average of 6-12 months, with longer durations in the underarms (8-12 months) and shorter durations in the hands (4-8 months). In our experience, the majority of patients report a significant reduction in sweating and a clear improvement in quality of life.
A Personalised Approach
The treatment plan is built on the basis of the type and severity of the hyperhidrosis, the areas involved and the patient's expectations. For the assessment we use objective tools such as the HDSS scale (Hyperhidrosis Disease Severity Scale) and quality-of-life questionnaires, which allow us to monitor results over time.
When to Consult a Dermatologist for Hyperhidrosis
It is advisable to see a specialist when sweating interferes with daily activities, when clothes are constantly wet in normal temperature conditions, when damp hands make common tasks difficult, when there is maceration on the feet, or when the social and occupational impact becomes significant.
A specialist assessment is particularly important when hyperhidrosis appears suddenly in adulthood, is one-sided, or is associated with night sweats, weight loss, fever or palpitations — all signs that may indicate a secondary cause to be identified and treated.
Frequently Asked Questions about Hyperhidrosis
Related Services
Centro Eudermia offers complete solutions for skin conditions and treatments with botulinum toxin (botox), which can be combined with hyaluronic acid fillers and with facial wrinkle treatments. For paediatric patients, specialist paediatric dermatology is available.
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The information on this page is for general informational purposes and does not replace specialist medical advice. The most appropriate treatment is determined during the dermatological consultation, based on the individual characteristics of each patient.