What to expect at your consultation

Your dermatologist may ask you to take a quiz to better understand the extent to which severe underarm sweating affects your daily activities. In addition, your dermatologist may also measure the amount of sweat you are producing over a period of time. This determines where you are on the
Hyperhidrosis Disease Severity Scale (HDSS).

Prepare for your appointment

The more you prepare for your consultation, the better your dermatologist can understand the extent of your severe underarm sweating. Compile a list of important information to share with your dermatologist, 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
Discuss your treatment options

Once your dermatologist has made a diagnosis, it’s time to talk about treatment options and if BOTOX® is right for you. Take the severe underarm sweating quiz, then print your results to share with your dermatologist.

DO YOU SWEAT “TOO MUCH”?

TAKE A QUIZ

FIND A DERMATOLOGIST

ENTER YOUR ZIP

WHAT IS BOTOX® TREATMENT LIKE?

READ ABOUT TREATMENT

BOTOX® (onabotulinumtoxinA) Important Information

Indication
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. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX®:

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.

BOTOX® may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX®. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

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 including itching, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX® should be discontinued.

Tell your doctor about all your muscle or nerve conditions such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and 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; 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 (it is not known if BOTOX® passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. 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.

Tell your doctor if you 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 (tell your doctor 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 aspirin-like products or blood thinners.

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

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 www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see BOTOX® full Product Information including Boxed Warning and Medication Guide.


References: 1. BOTOX® Prescribing Information, February 2021. 2. U.S. National Library of Medicine. National Institutes of Health (NIH). MedlinePlus website. http://www.nlm.nih.gov/medlineplus/ency/article/007259.htm. Updated June 4, 2018. Accessed August 17, 2021. 3. U.S. National Library of Medicine. National Institutes of Health (NIH). MedlinePlus website. http://www.nlm.nih.gov/medlineplus/ency/article/003218.htm. Updated June 4, 2018. Accessed June 25, 2018. 4. Solish N, Bertucci V, Dansereau A, et al. A comprehensive approach to the recognition, diagnosis, and severity-based treatment of focal hyperhidrosis: recommendations of the Canadian Hyperhidrosis Advisory Committee. Dermatol Surg. 2007;33(8):908-923. 5. American Academy of Dermatology (AAD). Hyperhidrosis: Diagnosis and treatment. AAD website. https://aad.org/public/diseases/dry-sweaty-skin/hyperhidrosis. Accessed February 27, 2020. 6. International Hyperhidrosis Society. OnabotulinumtoxinA Injections (BOTOX®). International Hyperhidrosis Society website. http://www.sweathelp.org/en/hyperhidrosis-treatments/botox.html. Updated 2014. Accessed February 27, 2020.

BOTOX® (onabotulinumtoxinA) Important Information

Indication
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. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX®:

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.

BOTOX® may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX®. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

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 including itching, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX® should be discontinued.

Tell your doctor about all your muscle or nerve conditions such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including difficulty swallowing and 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; 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 (it is not known if BOTOX® passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. 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.

Tell your doctor if you 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 (tell your doctor 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 aspirin-like products or blood thinners.

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

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 www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see BOTOX® full Product Information including Boxed Warning and Medication Guide.


References: 1. BOTOX® Prescribing Information, February 2021. 2. U.S. National Library of Medicine. National Institutes of Health (NIH). MedlinePlus website. http://www.nlm.nih.gov/medlineplus/ency/article/007259.htm. Updated June 4, 2018. Accessed August 17, 2021. 3. U.S. National Library of Medicine. National Institutes of Health (NIH). MedlinePlus website. http://www.nlm.nih.gov/medlineplus/ency/article/003218.htm. Updated June 4, 2018. Accessed June 25, 2018. 4. Solish N, Bertucci V, Dansereau A, et al. A comprehensive approach to the recognition, diagnosis, and severity-based treatment of focal hyperhidrosis: recommendations of the Canadian Hyperhidrosis Advisory Committee. Dermatol Surg. 2007;33(8):908-923. 5. American Academy of Dermatology (AAD). Hyperhidrosis: Diagnosis and treatment. AAD website. https://aad.org/public/diseases/dry-sweaty-skin/hyperhidrosis. Accessed February 27, 2020. 6. International Hyperhidrosis Society. OnabotulinumtoxinA Injections (BOTOX®). International Hyperhidrosis Society website. http://www.sweathelp.org/en/hyperhidrosis-treatments/botox.html. Updated 2014. Accessed February 27, 2020.

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