Why a Dermatologist?
Dermatologists are physicians (medical doctors) who specialize in dealing with the skin—including the sweat glands.
Dermatologists can diagnose severe underarm sweating, and many dermatologists treat this condition with BOTOX
. But since not all dermatologists are specially trained to administer BOTOX
be sure to use our
Find a Dermatologist
tool to locate one near you who is specially trained.
Getting the Discussion Started
If you're finding it difficult to talk to your dermatologist about treating the symptoms of your severe underarm sweating, you may find it helpful to prepare ahead of time. Here are some tips to help.
First, find a dermatologist who is specially trained to treat severe underarm sweating. To make sure you’re getting a qualified dermatologist, use our
Find a Dermatologist
tool on this site.
Learn all you can about severe underarm sweating (severe primary axillary hyperhidrosis) and answer the
questionnaire to understand the impact it may be having on your daily activities.
Prepare your questions ahead of time. Bring a list with you, and consider writing down the answers when you’re with your dermatologist so you can review them later when you get home. Here are some questions to discuss with your dermatologist:
When did you first notice your severe underarm sweating?
Have you ever been diagnosed with severe primary axillary hyperhidrosis?
How many times per day do you notice your underarms sweating?
How many times per day do you change your clothes?
How many times per day do you wash under your arms?
Do you carry supplies, such as extra clothes, antiperspirants, powders, or towels?
Have you ever tried a prescription antiperspirant? For how long? Were you satisfied?
Have you tried any other treatments?
right for you?
HOW MUCH SWEAT IS
TOO MUCH SWEAT?
Do you often wonder if you sweat too much? Take our test and find out if you have severe underarm sweating.
NEUROTOXIN IS APPROVED BY THE FDA
is approved by the FDA to treat the symptoms of severe underarm sweating when topical medicines do not work well enough. It is not known whether BOTOX® is safe or effective for severe sweating anywhere other than your armpits.
Locate a specialist near you who is trained to treat severe underarm sweating.
(onbotulinumtoxinA) 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
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
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
(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 itchy rash, swelling, and shortness of breath. 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
Human albumin and spread of viral diseases
contains albumin, a protein component of human blood. The potential risk of spreading viral diseases [eg Creutzfeld-Jakob Disease (CJD)] via human serum albumin is extremely rare. No cases of viral diseases or CJD have ever been reported in association with human serum albumin.
Tell your doctor about all your medical conditions, including if you 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 breast-feeding 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
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
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; urinary tract infection and/or inability to empty your bladder on your own (in people being treated for urinary incontinence).
For more information refer to the Medication Guide or talk with your doctor.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit
, or call 1-800-FDA-1088.
Please see BOTOX
including Boxed Warning and
Full Product Information, including Medication Guide has been provided to your doctor.
, Irvine, CA 92612 ® marks owned by Allergan, Inc.
is a registered trademark of Ipsen Biopharm Limited.
is a registered trademark of Solstice Neurosciences, Inc.
is a registered trademark of Merz Pharma GmbH & Co. KGaA.
is indicated for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents.
The safety and effectiveness of BOTOX
for hyperhidrosis in other body areas have not been established. Weakness of hand muscles and blepharoptosis may occur in patients who receive BOTOX
for palmar hyperhidrosis and facial hyperhidrosis, respectively. Patients should be evaluated for potential causes of secondary hyperhidrosis (e.g., hyperthyroidism) to avoid symptomatic treatment of hyperhidrosis without the diagnosis and/or treatment of the underlying disease.
Safety and effectiveness of BOTOX
have not been established for the treatment of axillary hyperhidrosis in pediatric patients under age 18.
IMPORTANT SAFETY INFORMATION INCLUDING BOXED WARNING
Distant Spread of Toxin Effect
Postmarketing reports indicate that the effects of BOTOX
and all botulinum toxin products may spread from the area of injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. These symptoms have been reported hours to weeks after injection. Swallowing and breathing difficulties can be life threatening, and there have been reports of death. The risk of symptoms is probably greatest in children treated for spasticity, but symptoms can also occur in adults treated for spasticity and other conditions, particularly in those patients who have underlying conditions that would predispose them to these symptoms. In unapproved uses, including spasticity in children, and in approved indications, cases of spread of effect have been reported at doses comparable to those used to treat cervical dystonia and at lower doses.
is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation.
WARNINGS AND PRECAUTIONS
Lack of Interchangeability between Botulinum Toxin Products
The potency Units of BOTOX
are specific to the preparation and assay method utilized. They are not interchangeable with other preparations of botulinum toxin products and, therefore, Units of biological activity of BOTOX
cannot be compared to or converted into Units of any other botulinum toxin products assessed with any other specific assay method.
Spread of Toxin Effect
See Boxed Warning.
No definitive serious adverse event reports of distant spread of toxin effect associated with dermatologic use of BOTOX
at the labeled dose of 100 Units (for severe primary axillary hyperhidrosis) have been reported.
Serious and/or immediate hypersensitivity reactions have been reported. These reactions include anaphylaxis, serum sickness, urticaria, soft-tissue edema, and dyspnea. If such a reaction occurs, further injection of BOTOX
should be discontinued and appropriate medical therapy immediately instituted. One fatal case of anaphylaxis has been reported in which lidocaine was used as the diluent, and consequently the causal agent cannot be reliably determined.
Pre-Existing Neuromuscular Disorders
Individuals with peripheral motor neuropathic diseases, amyotrophic lateral sclerosis, or neuromuscular junctional disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should be monitored particularly closely when given botulinum toxin. Patients with neuromuscular disorders may be at increased risk of clinically significant effects including severe dysphagia and respiratory compromise from typical doses of BOTOX
The following adverse reactions to BOTOX
for injection are discussed in greater detail in the following sections: Spread of Toxin Effect (see Boxed Warning); Hypersensitivity Reactions (see Contraindications and Warnings and Precautions); Bronchitis and Upper Respiratory Tract Infections in Patients Treated for Spasticity (see Warnings and Precautions).
Primary Axillary Hyperhidrosis
The most frequently reported adverse events (3 - 10% of adult patients) following injection of BOTOX
for severe primary axillary hyperhidrosis include injection site pain and hemorrhage, non-axillary sweating, infection, pharyngitis, flu syndrome, headache, fever, neck or back pain, pruritus, and anxiety.
Post Marketing Experience
There have been spontaneous reports of death, sometimes associated with dysphagia, pneumonia, and/or other significant debility or anaphylaxis, after treatment with botulinum toxin. There have also been reports of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including cardiovascular disease. The exact relationship of these events to the botulinum toxin injection has not been established.
Please see BOTOX
, Irvine, CA 92612 ® marks owned by Allergan, Inc.
Do I Have Severe Underarm Sweating?
Find a Dermatologist
Information for Physicians
Important Safety Information