Localised Hyperhidrosis

• Ttopical strong antiperspirants (20%-25% aluminium salts) e.g. Driclor ®; Anhydrol Forte® (OTC)
• Use at night in a cool environment without physical or emotional stress and wash off in the morning.
• First week it should applyd for 3 to 5 consecutive nights, then once or twice a week If there is local irritation apply 1% hydrocortisone cream the morning after the treatment if necessary 

Generalised Hyperhidrosis

• Oxybutinin Modified Release 5mg daily - up to 5mg four times a day
• Trospium Immediate Release 20mg daily - up to 20mg twice daily
• Propantheline 15mg three times a day, one hour before each meal, and 30mg at bedtime. May be increased up to 120mg per day

Glycopyrronium bromide is an antimuscarinic drug that prevents the stimulation of sweat glands. Oral preparations of glycopyrronium bromide (tablets and solution or suspension) are not licensed or available in the UK for treating hyperhidrosis. Such preparations must be either imported or prepared by 'specials' manufacturers.