What Is Hyperhidrosis? Causes, Symptoms & Treatment with Iontophoresis

Hyperhidrosis is a medical condition that causes excessive sweating—far beyond what the body needs for temperature regulation. It can significantly impact daily life, causing discomfort, embarrassment, and even anxiety in social or professional settings.
In this article, we’ll explore what hyperhidrosis is, what causes it, and how iontophoresis treatment with the Aquex system by Phothera can help patients effectively manage symptoms without surgery or medication.
What Is Hyperhidrosis?
Hyperhidrosis is characterized by abnormally excessive sweating, commonly affecting the:
- Hands (palmar hyperhidrosis)
- Feet (plantar hyperhidrosis)
- Underarms (axillary hyperhidrosis)
- Face and scalp
Sweating may occur even in cool temperatures or without physical exertion. People with hyperhidrosis often need to change clothing frequently or avoid handshakes and social interactions due to embarrassment.
Types of Hyperhidrosis
Primary Focal Hyperhidrosis
This form typically begins in childhood or adolescence and affects specific areas like the hands, feet, or underarms. It’s not linked to another medical condition.
Secondary Generalized Hyperhidrosis
This type is caused by an underlying medical condition (e.g., diabetes, thyroid issues, infections) or medications. It usually involves sweating across larger areas of the body.
What Causes Hyperhidrosis?
While the exact cause of primary hyperhidrosis is not fully understood, it’s believed to be related to overactivity of the sympathetic nervous system, which controls sweating.
For secondary hyperhidrosis, causes may include:
- Endocrine disorders
- Infections
- Certain medications
- Neurological conditions
A full medical evaluation is key to determining the type and cause of hyperhidrosis.
How Is Hyperhidrosis Treated?
Treatment depends on the type and severity of the condition. Common options include:
- Prescription-strength antiperspirants
- Botulinum toxin (Botox) injections
- Oral medications
- Surgery (for severe cases)
- Iontophoresis – a non-invasive, drug-free solution ideal for hands and feet
Iontophoresis for Hyperhidrosis: How It Works
Iontophoresis is a clinically proven treatment for palmar and plantar hyperhidrosis, using a mild electrical current to temporarily block the sweat glands.
How Does It Work?
Patients place their hands or feet in trays of water, and a low-voltage electrical current is passed through the water for about 15–30 minutes per session. After several treatments, most patients experience a significant reduction in sweating, often within 1–2 weeks.
The Aquex Iontophoresis System by Phothera
The Aquex system from Phothera is an advanced iontophoresis device designed for safe, effective, and convenient treatment of hyperhidrosis at home or in a clinical setting.
Aquex Features:
- Dual-tray design for hands or feet
- Adjustable current for customized treatment
- No prescription medications required
- Portable and easy-to-use
- Trusted by dermatologists worldwide
Whether you’re treating primary palmar hyperhidrosis in a teen patient or helping an adult manage plantar symptoms, Aquex provides a drug-free alternative with long-term results.
Is Iontophoresis Right for Your Patients?
Iontophoresis is an excellent first-line or adjunctive treatment for:
- Patients seeking a non-invasive, medication-free option
- Those who have failed antiperspirants
- Individuals looking for long-term relief without injections or surgery
It is not recommended for patients with pacemakers, metal implants, or who are pregnant without physician guidance.
Where to Get Aquex
Phothera offers Aquex directly to dermatology practices and patients with provider authorization.
Contact Phothera to learn how to add iontophoresis to your treatment options or to help your patients order a device for home use.
Key Takeaways
- Hyperhidrosis is a medical condition causing excessive sweating, often in the hands and feet.
- Iontophoresis is a safe and effective treatment for primary focal hyperhidrosis.
- The Aquex system from Phothera provides convenient, non-invasive therapy for lasting relief.