{"id":28074,"date":"2025-06-21T13:04:56","date_gmt":"2025-06-21T11:04:56","guid":{"rendered":"https:\/\/drromanovaleria.ch\/?post_type=infographie&#038;p=28074"},"modified":"2026-06-08T16:48:31","modified_gmt":"2026-06-08T14:48:31","slug":"good-candidate-botulinum-toxin-excessive-sweating","status":"publish","type":"infographie","link":"https:\/\/drromanovaleria.ch\/en\/infographie\/bon-candidat-toxine-botulique-transpiration-excessive\/","title":{"rendered":"Quels sont les crit\u00e8res pour \u00eatre un bon candidat pour la toxine botulique contre la transpiration excessive ?"},"content":{"rendered":"<h1>WHAT ARE THE CRITERIA FOR BEING A GOOD CANDIDATE FOR BOTULINUM TOXIN AGAINST EXCESSIVE SWEATING ?<\/h1>\n<p>The&nbsp;<a href=\"https:\/\/drromanovaleria.ch\/en\/needs\/body\/hyperhidrosis\/\">hyperhidrosis<\/a>\u00a0condition, also known as excessive sweating, can cause significant difficulties in everyday life, both functionally and psychologically. When it is localised to the underarms, primary and resistant to conventional treatments, botulinum toxin injections offer an effective, validated and well-tolerated treatment alternative. However, this treatment is not suitable for everyone.<br \/>It is therefore essential to define precisely the selection criteria for candidates for botulinum toxin treatment of hyperhidrosis, to optimise effectiveness while ensuring the safety of the medical procedure.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" alt=\"image of young hydrated skin\" srcset=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp 300w, https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau-16x12.webp 16w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><br \/>\n\t\t\t\t\t<a href=\"https:\/\/drromanovaleria.ch\/en\/contact-doctor-romano-valeria\/\"><br \/>\n\t\t\t\t\t\t\t\t\tBook an appointment<br \/>\n\t\t\t\t\t<\/a><\/p>\n<h2>\n\t\t\t\tContents\t\t\t<\/h2>\n<p>\t\t\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><br \/>\n\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/p>\n<h2>Confirmed localised hyperhidrosis resistant to first-line treatments<\/h2>\n<p>The first fundamental criterion is primary localised hyperhidrosis \u2013 meaning it is not linked to an underlying illness \u2013 that is troublesome enough to affect quality of life. Botulinum toxin is indicated for primary axillary (underarm) hyperhidrosis.<br \/>Before considering botulinum toxin treatment, patients are advised to try first-line treatments such as antiperspirants based on aluminium salts or iontophoresis. If these are insufficiently effective or poorly tolerated, botulinum toxin injections offer a relevant treatment alternative.<\/p>\n<h2>Significant functional and\/or social difficulties<\/h2>\n<p>The severity of hyperhidrosis is measured not only by the amount of sweat produced, but also by its impact on the patient's life. A suitable candidate for botulinum toxin is often someone whose excessive sweating interferes with :<\/p>\n<ul>\n<li>Professional activities (performance stress, interpersonal relationships).<\/li>\n<li>Social or personal life (discomfort in company, fear of contact, withdrawal).<\/li>\n<li>Clothing habits (visible stains, the need to change frequently).<\/li>\n<li>General comfort (a constant feeling of dampness, skin irritation).<\/li>\n<\/ul>\n<p>Assessment scales such as the HDSS (Hyperhidrosis Disease Severity Scale) can be used during consultation to assess these difficulties objectively. A high score on this scale is a useful indicator for recommending botulinum toxin treatment.<\/p>\n<h2>Good general health and no contraindications<\/h2>\n<p>Botulinum toxin treatment is generally well tolerated, but it is not indicated for every patient. Certain medical contraindications must be ruled out during the assessment before treatment :<\/p>\n<ul>\n<li>Pregnancy and breastfeeding : as a precaution, injections are contraindicated during these periods.<\/li>\n<li>Known allergy to any component of the product.<\/li>\n<li>Neuromuscular diseases, such as myasthenia gravis, Lambert-Eaton syndrome or amyotrophic lateral sclerosis (ALS), in which botulinum toxin may worsen symptoms.<\/li>\n<li>Skin infection or active skin disease in the area to be treated.<\/li>\n<\/ul>\n<p>A thorough clinical assessment checks that these factors are absent. The doctor also rules out secondary hyperhidrosis, which would require a different type of treatment.<\/p>\n<h2>Realistic expectations and good adherence<\/h2>\n<p>A suitable candidate for botulinum toxin is also informed and motivated, understanding how treatment works, its benefits, its limitations and the need to repeat it every six months. Contrary to some misconceptions, botulinum toxin does not permanently eliminate sweating : its effect is temporary, with an average duration of effectiveness of 4 to 6 months depending on the treated area.<br \/>It is therefore important that the patient :<\/p>\n<ul>\n<li>Accepts the need to repeat treatment periodically.<\/li>\n<li>Does not seek a systemic or generalised effect, as botulinum toxin acts locally and specifically in the area where it is injected.<\/li>\n<li>Is willing to follow post-injection instructions, particularly avoiding exercise, massage or intense heat in the hours following treatment.<\/li>\n<\/ul>\n<p>This cooperative approach supports optimal care and high satisfaction with treatment.<\/p>\n<h2>Typical profile of a suitable candidate for botulinum toxin treatment of hyperhidrosis<\/h2>\n<p>To summarise, a suitable candidate for botulinum toxin is generally :<\/p>\n<ul>\n<li>Over 18 years old.<\/li>\n<li>In good general health, without neurological disease or contraindications.<\/li>\n<li>Experiencing confirmed, persistent primary axillary hyperhidrosis resistant to conventional treatments.<\/li>\n<li>Reporting clear functional or social difficulties.<\/li>\n<li>Realistic about the effects and duration of treatment.<\/li>\n<li>Ready to follow the medical protocol and recommendations after the procedure.<\/li>\n<\/ul>\n<h2>Botulinum toxin versus other hyperhidrosis treatments \u2013 when is it preferable ?<\/h2>\n<p>Le recours \u00e0 la toxine botulique dans le traitement de l\u2019hyperhidrose axillaire primaire ne doit pas \u00eatre envisag\u00e9 comme l&rsquo;unique solution, mais comme une \u00e9tape th\u00e9rapeutique rationnelle, souvent propos\u00e9e apr\u00e8s l\u2019\u00e9chec d\u2019autres traitements moins invasifs ou moins co\u00fbteux.<br \/>Antiperspirants based on hexahydrated aluminium salts (often at 20 %) are the first-line treatment. They work by temporarily blocking the sweat ducts. Although effective in some patients, these products have several limitations : frequent skin irritation, effectiveness that varies by area (ineffective on the hands or feet), and a temporary effect often limited to a few hours.<br \/>L\u2019ionophor\u00e8se consiste \u00e0 faire passer un courant \u00e9lectrique de faible intensit\u00e9 \u00e0 travers la peau immerg\u00e9e dans l\u2019eau, afin de bloquer temporairement l\u2019activit\u00e9 des glandes sudoripares. Efficace principalement sur les mains et les pieds, cette m\u00e9thode n\u00e9cessite des s\u00e9ances r\u00e9p\u00e9t\u00e9es (souvent plusieurs fois par semaine), une grande rigueur de la part du patient ainsi que l&rsquo;utilisation d&rsquo;un mat\u00e9riel sp\u00e9cifique.<br \/>By comparison, botulinum toxin treatment provides significant improvement with injections approximately once every 5 to 6 months, making it more compatible with the demands of everyday and professional life.<br \/>Some doctors prescribe anticholinergics (glycopyrrolate, oxybutynin) for diffuse or resistant hyperhidrosis. Their effectiveness can be satisfactory, but they often cause troublesome side effects : severe dry mouth, visual disturbances, constipation, difficulty concentrating or drowsiness.<br \/>As a locally acting treatment, botulinum toxin avoids systemic effects while providing targeted, predictable relief.<br \/>In the most extreme cases of hyperhidrosis, endoscopic thoracic sympathectomy may be considered. This surgical procedure aims to cut the nerve fibres responsible for excessive sweating. Although it can be effective, it carries several risks : compensatory sweating (often severe) elsewhere on the body, persistent chest pain, pneumothorax or neurological complications.<br \/>Botulinum toxin is therefore clearly preferable before considering any invasive or irreversible option, particularly because it is temporary, reversible and customisable.<\/p>\n<h2>Is botulinum toxin treatment for hyperhidrosis reimbursed ?<\/h2>\n<p>The question of reimbursement is legitimate, given the sometimes disabling impact of hyperhidrosis.\u00a0<br \/>In Switzerland, treatment of severe axillary hyperhidrosis with botulinum toxin injections may be partly covered by basic health insurance (LAMal), provided that the diagnosis is well documented, first-line treatments have failed and treatment is performed by a doctor.<br \/>A medical report and a request for coverage may be required. Patients are advised to check the exact reimbursement arrangements directly with their health insurer.<\/p>\n<p>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/07\/photo-docteur-romano-valeria-150x150.webp\" alt=\"Photo of doctor Valeria Romano in Geneva\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/p>\n<p>Article written by <a href=\"https:\/\/drromanovaleria.ch\/en\/\">Dr Romano Valeria<\/a><\/p>\n<p>SHARE THIS ARTICLE ON<\/p>\n<p>\t\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tLinkedIn\t\t\t\t\t\t\t\t\t<\/p>\n<ul>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:dr.romano.valeria@gmail.com\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M502.3 190.8c3.9-3.1 9.7-.2 9.7 4.7V400c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V195.6c0-5 5.7-7.8 9.7-4.7 22.4 17.4 52.1 39.5 154.1 113.6 21.1 15.4 56.7 47.8 92.2 47.6 35.7.3 72-32.8 92.3-47.6 102-74.1 131.6-96.3 154-113.7zM256 320c23.2.4 56.6-29.2 73.4-41.4 132.7-96.3 142.8-104.7 173.4-128.7 5.8-4.5 9.2-11.5 9.2-18.9v-19c0-26.5-21.5-48-48-48H48C21.5 64 0 85.5 0 112v19c0 7.4 3.4 14.3 9.2 18.9 30.6 23.9 40.7 32.4 173.4 128.7 16.8 12.2 50.2 41.8 73.4 41.4z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\tdr.romano.valeria@gmail.com<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<li>\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+41%2078%20209%2002%2089\"><br \/>\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M497.39 361.8l-112-48a24 24 0 0 0-28 6.9l-49.6 60.6A370.66 370.66 0 0 1 130.6 204.11l60.6-49.6a23.94 23.94 0 0 0 6.9-28l-48-112A24.16 24.16 0 0 0 122.6.61l-104 24A24 24 0 0 0 0 48c0 256.5 207.9 464 464 464a24 24 0 0 0 23.4-18.6l24-104a24.29 24.29 0 0 0-14.01-27.6z\"><\/path><\/svg><br \/>\n\t\t\t\t\t\t\t\t\t\t+41 78 209 02 89<br \/>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t<\/li>\n<\/ul>","protected":false},"featured_media":0,"template":"elementor_header_footer","class_list":["post-28074","infographie","type-infographie","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Crit\u00e8res pour \u00eatre un bon candidat \u00e0 la toxine botulique contre hyperhidrose ? - Dr Romano<\/title>\n<meta name=\"description\" content=\"Un bon candidat \u00e0 la toxine botulique contre l\u2019hyperhidrose pr\u00e9sente une transpiration localis\u00e9e, persistante et r\u00e9sistante aux traitements topiques. L\u2019absence de contre-indications m\u00e9dicales est \u00e9galement essentielle pour envisager cette option th\u00e9rapeutique.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drromanovaleria.ch\/en\/infographic\/good-candidate-botulinum-toxin-excessive-sweating\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Crit\u00e8res pour \u00eatre un bon candidat \u00e0 la toxine botulique contre hyperhidrose ? - Dr Romano\" \/>\n<meta property=\"og:description\" content=\"Un bon candidat \u00e0 la toxine botulique contre l\u2019hyperhidrose pr\u00e9sente une transpiration localis\u00e9e, persistante et r\u00e9sistante aux traitements topiques. L\u2019absence de contre-indications m\u00e9dicales est \u00e9galement essentielle pour envisager cette option th\u00e9rapeutique.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/drromanovaleria.ch\/en\/infographic\/good-candidate-botulinum-toxin-excessive-sweating\/\" \/>\n<meta property=\"og:site_name\" content=\"Dr Romano\" \/>\n<meta property=\"article:modified_time\" content=\"2026-06-08T14:48:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/drromanovaleria.ch\/wp-content\/uploads\/2024\/05\/hydratation-peau.webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/drromanovaleria.ch\/wp-content\/themes\/romano-performance\/assets\/photo-docteur-valeria-romano.webp\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/drromanovaleria.ch\\\/infographie\\\/bon-candidat-toxine-botulique-transpiration-excessive\\\/\",\"url\":\"https:\\\/\\\/drromanovaleria.ch\\\/infographie\\\/bon-candidat-toxine-botulique-transpiration-excessive\\\/\",\"name\":\"Crit\u00e8res pour \u00eatre un bon candidat \u00e0 la toxine botulique contre hyperhidrose ? - Dr Romano\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/drromanovaleria.ch\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/drromanovaleria.ch\\\/infographie\\\/bon-candidat-toxine-botulique-transpiration-excessive\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/drromanovaleria.ch\\\/infographie\\\/bon-candidat-toxine-botulique-transpiration-excessive\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/drromanovaleria.ch\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/hydratation-peau.webp\",\"datePublished\":\"2025-06-21T11:04:56+00:00\",\"dateModified\":\"2026-06-08T14:48:31+00:00\",\"description\":\"Un bon candidat \u00e0 la toxine botulique contre l\u2019hyperhidrose pr\u00e9sente une transpiration localis\u00e9e, persistante et r\u00e9sistante aux traitements topiques. 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The absence of medical contraindications is also essential to consider this therapeutic option.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/drromanovaleria.ch\/en\/infographic\/good-candidate-botulinum-toxin-excessive-sweating\/","og_locale":"en_GB","og_type":"article","og_title":"Crit\u00e8res pour \u00eatre un bon candidat \u00e0 la toxine botulique contre hyperhidrose ? - Dr Romano","og_description":"Un bon candidat \u00e0 la toxine botulique contre l\u2019hyperhidrose pr\u00e9sente une transpiration localis\u00e9e, persistante et r\u00e9sistante aux traitements topiques. 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