From the Research
To address axillary hyperhidrosis and bromhidrosis, start with daily hygiene practices, including washing armpins with antibacterial soap, and apply an antiperspirant containing aluminum chloride at night, considering products for oily/combination skin. The most recent and highest quality study on this topic is from 2023 1, which highlights the importance of inhibiting the growth of malodour-forming bacteria and reducing sweat flow to address body odor. Key points to consider include:
- Washing armpins thoroughly with antibacterial soap to reduce bacteria growth
- Applying antiperspirant at night when sweat glands are less active
- Choosing products specifically formulated for oily/combination skin
- Wearing breathable fabrics like cotton and changing clothes daily
- Modifying diet to reduce consumption of strong-smelling foods and increasing water intake If these measures do not work within 2-3 weeks, consider clinical-strength antiperspirants or consult a dermatologist about prescription options like glycopyrrolate or botulinum toxin injections, as suggested by previous studies 2, 3, 4. It is also important to note that while there have been concerns about the safety of aluminum sweat glands, a 2020 study 4 found no significant increase in plasma aluminum concentration or total excreted aluminum per day after 14 days of antiperspirant use. However, it is crucial to prioritize the most recent and highest quality evidence, which emphasizes the importance of addressing both sweating and bacterial growth to treat axillary hyperhidrosis and bromhidrosis effectively 1.