Remission of facial and scalp hyperhidrosis with clonidine hydrochloride and topical aluminum chloride

Axillary and palmar hyperhidrosis are featured prominently in the literature, but no previous studies have detailed a treatment regimen for specific excessive localized sweating of the face and scalp. In this report, a patient was treated for this condition with a combination of clonidine hydrochloride (3 to 4 mg/day) and a topical solution of 20% aluminum chloride in anhydrous ethyl alcohol (Drysol), Over a period of 2 or 3 weeks, the patient achieved a complete remission of symptoms, while having only mild side effects, The treatment regimen also had the added advantage of lowering generalized anxiety.