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Medical dermatology
Excessive sweating treatment in Richardson, TX
Treatment for heavy sweating of the underarms, hands, feet and face, from a board-certified dermatologist who sees every patient herself.
Dr. Kelsie Riemenschneider
MD, FAAD · Board-certified dermatologist. You will see her at every visit.
Overview
What causes excessive sweating
Hyperhidrosis is sweating beyond what the body needs to cool itself. In the most common type, the nerves that signal the sweat glands are overactive in specific areas: the underarms, palms, soles, face or scalp. It usually starts in childhood or the teen years and often runs in families.
It is a real medical condition, it is common and it is treatable. Sweating that starts suddenly in adulthood, affects the whole body or happens at night can be caused by a medication or another health condition, and should be evaluated.
When to see a dermatologist
Sweat soaks through your clothes or drips from your hands
You avoid handshakes, certain fabrics or activities because of sweating
Clinical-strength antiperspirant has not helped
Sweating started suddenly, affects your whole body or happens at night
Areas we treat
Underarms. The most common area, and the one with the most treatment options.
Hands. Damp or dripping palms that interfere with writing, devices and handshakes.
Feet. Sweating that leads to odor, slipping in shoes and skin breakdown.
Face and scalp. Sweating of the forehead, upper lip and hairline.
Whole-body sweating. Evaluated for an underlying cause before treatment.
Treatment
How we treat excessive sweating
Most people have tried antiperspirants long before they see a dermatologist. Dr. Riemenschneider starts with what you have already used and moves step by step to stronger options, chosen for the area involved.
Prescription antiperspirants Aluminum chloride solutions, stronger than store-bought products, applied at bedtime to the underarms, hands or feet.
Prescription wipes. Medicated cloths such as glycopyrronium (Qbrexza), wiped over the underarms once a day.
Oral medication. Pills such as glycopyrrolate or oxybutynin that reduce sweating throughout the body, often used when more than one area is affected.
Checking for an underlying cause.If sweating started suddenly, affects the whole body or happens at night, we review your medications and health history and order tests when needed.
Your visit
What to expect at your visit
Tell us where and when you sweat. Which areas, how long it has gone on and what you have tried.
Dr. Riemenschneider reviews your health and medications. She checks whether anything else could be causing the sweating.
You leave with a plan. A treatment to start, with any prescriptions sent to your pharmacy.
In network with most major health plans. See every plan we accept
Questions
Common questions about excessive sweating
Have a question that is not here? Call 214-833-5300.
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Yes. Hyperhidrosis is a recognized medical condition that affects millions of people. You do not have to live with it, and treatment often makes a large difference in daily life.
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The cloths contain glycopyrronium, a medication that blocks the chemical signal telling sweat glands to switch on. You wipe one cloth across both underarms once a day and wash your hands right afterward.
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They can. Because the pills reduce sweating everywhere, they can also cause a dry mouth, dry eyes or constipation, and can make it harder to cool off in hot weather or during exercise. Dr. Riemenschneider starts with a low dose and adjusts it with you.
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It may not be strong enough, or it may be going on at the wrong time. Antiperspirants work best applied at bedtime to completely dry skin. If that still fails, a prescription antiperspirant or wipe is the next step.
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Yes. Hyperhidrosis often starts in childhood, and several treatments are suitable for younger patients.
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Reviewed by Dr. Kelsie Riemenschneider, MD, FAAD, board-certified dermatologist. Last reviewed October 2026. Source: American Academy of Dermatology.
Plan your visit
See a dermatologist for excessive sweating in Richardson
Address 702 W Arapaho Rd, Suite 104, Richardson, TX 75080
Hours Monday to Friday, 8 AM to 5 PM
Phone 214-833-5300