8th June 2025

A 22-year-old woman has had excessive sweating from multiple sites including her axillae, back, palms and soles for as long as she can remember.

A 22-year-old woman has had excessive sweating from multiple sites including her axillae, back, palms and soles for as long as she can remember. She describes embarrassing sweat patches on her blouses and now only wears black tops. She tries to avoid shaking hands with people as her hands are always damp. She has tried over-the-counter antiperspirants without any benefit. She is otherwise well and takes no medication. 

Which is the most appropriate management? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.