Hyperhidrosis is a chronic medical condition that can cause excess sweating in the axillae (underarms), hands, feet or face. It can be a disabling condition but thankfully effective hyperhidrosis treatment is available.

Our team of expert neurologists at Northern Beaches Neurology is experienced in the use of injection therapy for the management of severe hyperhihdrosis.

We provide bulk billed treatment of axillary hyperhidrosis (underarm) and also offer treatment of hyperhidrosis of the hands, feet and head (fees will apply).

What is Hyperhidrosis?

Hyperhidrosis refers to chronic sweating in amounts excessive to what the body needs. People with hyperhidrosis usually experience excessive sweating of the underarms, palms, feet, face or head or a combination of these areas.

Hyperhidrosis can cause anxiety, social embarrassment and impact on a person’s self-confidence. Success at school or work may be affected.

Hyperhidrosis often does not have a clear cause (primary hyperhidrosis). Sometimes hyperhidrosis is secondary to an underlying medical condition such as an overactive thyroid, diabetes and some medications or drugs. Your doctor may suggest investigations to look for the cause of hyperhidrosis.

Primary hyperhidrosis is diagnosed if:

  • There has been excessive sweating for 6 or more months
  • Sweating involves underarms, palms, soles, and/or face
  • Sweating is on both sides and symmetric
  • Sweating reduces or stops at night
  • Sweating episodes last at least 7 days
  • Sweating impacts on day to day life

Treatment for Hyperhidrosis

Treatment for hyperhidrosis first involves aluminium-based antiperspirant deodorants and other approaches not involving medication [see treatment ideas below].

If these measures are not enough, anti-wrinkle injection therapy to the affected area is very effective. Injection therapy reduces sweating by temporarily blocking the release of sweat from the sweat glands in the skin.

A response to treatment with anti-wrinkle injection therapy is usually seen within 2-4 days and an improvement in sweating can last 3-6 months or longer.

Besides injection therapy, some oral medications may reduce sweating although side effects can be significant. Prescription creams can also be considered.

You must be over the age of 12 to receive hyperhidrosis treatment.

Try these treatments first

Try these ideas if you have not done so already:

  • Use ‘clinical strength’ antiperspirant
  • Wear natural fabrics (eg cotton, wool or silk)
  • Manage stress and anxiety with relaxation technique


A GP referral is preferred but not essential to attend Sydney Sweat Clinic.

Treatment of axillary hyperhidrosis will be bulk billed (no out of pocket medical cost) with a valid GP referral. A small pharmacy dispensary fee will be charged directly to you by the dispensing pharmacy. This cost is around $40 with a discount for concession and pension card holders.

Cost of treatments for hyperhidrosis of the hands or feet and treatment of axillary hyperhidrosis without a valid GP can be found here


Please fill in the Questionnaire CLICK HERE and we will call you to arrange an appointment.

If you have had hyperhidrosis treatment before, you will be required to send us your last treatment consult notes prior to your appointment. If you have trouble getting this, please let our staff help you.

Alternatively, Email Us or call on (02) 9982 2270.