Can botox stop excess sweating?

Tim Smith receives a Botox injection from Dr. Ib Odderson in Bellevue, Wash., to control his excessive sweating. When everyone else is cool and dry, he soaks through three shirts a day. View more men's health pictures.
Tim Smith receives a Botox injection from Dr. Ib Odderson in Bellevue, Wash., to control his excessive sweating. When everyone else is cool and dry, he soaks through three shirts a day. View moremen's health pictures.
AP Photo/Joe Brockert

Our body produces sweat to keep itself cool, which is why you'll notice it dripping when something causes your temperature to rise. But it's not just hot and humid weather thatcauses you to sweat: Exercise, physical stress, emotional stress and nervousness can also make you sweat. About 1 percent of Americans, however,sweat excessively(as much as four times the normal amount) just going about their daily lives as their bodies try to sustain a normal temperature [sources: The Society of Thoracic Surgeons,WebMD Health News]. It's a condition known asprimaryhyperhidrosis, and it most noticeably affects the palms of the hands, the feet and the armpits. People with this condition can be plagued with not only sweaty clothes and a soggy handshake, but also withskin infectionsand social embarrassment. This kind of sweat can't be tamed by over-the-counter antiperspirants. What does help? As it turns out,botulinum toxin type A, what we know as Botox.

Botox is the darling of celebrities because of its ability to smooth wrinkles, but it can also stop your sweat. This cosmetic treatment is actually a neurotoxin produced by the bacteriaClostridium botulinum(which is found in soil). It adversely affects our muscle control, causing drooping eyelids and blurry vision, difficulty breathing and swallowing, muscle weakness and paralysis. This ability to paralyze is what makes it useful in fixing furrows and, as it turns out, treating excessive sweating.

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Our skin -- specifically the middle layer, or dermis -- isn't made up of just collagen and elastin -- it's full of sweat glands, hair follicles, sebaceous glands (these produce oil), blood vessels and nerve endings. Our body secretes sweat from two types of glands, theeccrineandapocrine腺体。外分泌腺的腺位于皮肤l over the body. Apocrine glands, on the other hand, are located in places on the body where there's a high concentration of hair follicles, such as the scalp, armpits and groin area. These glands are controlled by thesympatheticandparasympathetic nervous systems, the command center that also controls involuntary bodily functions such as breathing, digestion, body temperature, heart rate and blood pressure. When you have an increase in body temperature, your sympathetic nervous system automatically signals the sweat glands to cool your body.

When Botox is injected into the skin, the treatment affects the signal between the nerve endings and the sweat glands in the dermis. The botulism toxin binds itself to the nerve endings near the injection site and acts like a roadblock. It blocks the release of the neurotransmitter acetylcholine, a chemical our nerve cells make to communicate with each other, and this disrupts the message sent from the nerve endings to stimulate the production of sweat. The sweat glands are none the wiser.

In 2004, the U.S. Food and Drug Administration approved Botox injections to treataxillary hyperhidrosis(excessively sweaty armpits), and some doctors use it to treatpalmar hyperhidrosis(excessively sweaty palms) andplantar hyperhidrosis(excessively sweaty feet). Each treatment may include several injection points concentrated in the affected area, and each treatment is expected to last about six months. Don't worry about blocking the sweat from one or two small areas of the body -- there are plenty of sweat glands to handle the job.

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Related Articles

  • Allergan, Inc. "BOTOX®Severe Sweating." 2010. (Aug. 20, 2010) http://www.botoxseveresweating.com/
  • American Academy of Dermatology. "Hyperhidrosis." 2010. (Aug. 20, 2010) http://www.aad.org/public/publications/pamphlets/common_hyperhidrosis.html
  • Baker, Donald J., M.D. and Warren R. Heymann, M.D. "Eccrine and Apocrine Glands." American Academy of Dermatology. 2010. (Aug. 20, 2010) http://www.aad.org/education/students/glands.htm
  • Cable News Network. "Botox suspected in 4 botulism cases." Dec. 4, 2004. (Aug. 20, 2010) http://www.cnn.com/2004/HEALTH/12/02/botulism.botox/index.html
  • Food and Drug Administration. "Botox Medication Guide." April 8, 2010. (Aug. 20, 2010) http://www.fda.gov/downloads/Drugs/DrugSafety/UCM176360.pdf
  • Heckmann, Mark, M.D. and Gerd Plewig, M.D. "Low-Dose Efficacy of Botulinum Toxin A for Axillary Hyperhidrosis." Archives of Dermatology. Vol. 141. Pages 1255 - 1259. 2005. (Aug. 20, 2010) http://archderm.ama-assn.org/cgi/content/full/141/10/1255
  • Mayo Foundation for Medical Education and Research. "Botulism: Symptoms." 2010. (Aug. 20, 2010) http://www.mayoclinic.com/health/botulism/DS00657/DSECTION=symptoms
  • MedlinePlus. "Hyperhidrosis." June 10, 2009. (Aug. 19, 2010) http://www.nlm.nih.gov/medlineplus/ency/article/007259.htm
  • 默克手册。“Disor自主神经系统ders: Introduction." November 2006. (Aug. 21, 2010) http://www.merck.com/mmhe/sec06/ch098666/ch098666a.html
  • 默克手册。"Biology of the Skin: Structure and Function." October 2006. (Aug. 21, 2010) http://www.merck.com/mmhe/sec18/ch201/ch201b.html
  • The Society of Thoracic Surgeons. "Hyperhidrosis." Feb. 19, 2010. (Aug. 19, 2010) http://www.sts.org/sections/patientinformation/othersurgery/hyperhidrosis/?CFID=39985955&CFTOKEN=16510123
  • WebMD Health News. "Botox Injections Fight Underarm Sweat." July 26, 2005. (Aug. 20, 2010) http://www.webmd.com/skin-problems-and-treatments/news/20050726/botox-injections-fight-underarm-sweat
  • World Health Organization. "Botulism." August 2002. (Aug. 20, 2010) http://www.who.int/mediacentre/factsheets/fs270/en/
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