Hyperhidrosis of the palms - features of the disease and treatment

Why do my palms sweat? It is impossible to answer the question unambiguously. The problem is based on the possibility of developing various health disorders. Doctors will likely make a medical diagnosis of hyperhidrosis.

Why do my hands sweat a lot? They will be able to find the answer to an exciting question after examining a patient who has consulted a doctor. The specialist will prescribe tests. Having studied all the data received, the specialist will choose a set of effective means. A visit to the hospital often leads to a diagnosis of palmar hyperhidrosis.

Causes, types and manifestations

Palmar or palmar hyperhidrosis is a disorder of the sweat glands, in which they produce large amounts of sweat. There is much more of it than the body requires for thermoregulation. It usually manifests itself against the background of external factors that have nothing to do with natural sweating.

According to statistics, 3% of the entire world population suffers from hand hyperhidrosis, and women are more susceptible to developing the pathology than men.

Normally, sweating of the palms occurs when:

elevated air temperature;
stress, emotional distress and nervous overload, anxiety and excitement;
increased physical activity;
eating spicy or hot foods.

At the same time, the sweat production is insignificant - after wiping your palms with a towel or paper napkin, they become dry. The daily norm of liquid with salts and complex organic substances secreted by the body does not exceed 500 grams.

In other cases, excessive sweating can signal a number of diseases and malfunctions in the body. In addition to deviations in the functioning of the body, hyperhidrosis causes serious psychological discomfort. This aggravates the situation even further - the person is constantly under tension and his palms sweat even more.

Stands out by character:

primary hyperhidrosis . It first appears in childhood and intensifies during puberty. It can worsen suddenly, even in a healthy child. In 30-40% of cases it is hereditary. Sweat glands increase sweat production under severe stress, serious injuries and hormonal imbalances. But only during the daytime and almost never at night. Primary hyperhidrosis cannot be treated. All methods of struggle only temporarily dull its manifestations;
secondary hyperhidrosis is acquired due to the development of endocrine, somatic, and neurological diseases. This includes vegetative-vascular dystonia, polyneuropathy, rheumatoid arthritis, and various infectious diseases. Increased sweating is characteristic of natural menopause and puberty. It appears in adolescence and adulthood and subsides when the disease goes into remission.

By prevalence:

generalized . Characterized by increased production of sweat throughout the body;
local _ It appears in a small area, a separate part of the body - palms, feet, armpits, sometimes on the face and scalp.

We talked separately about how to get rid of hyperhidrosis of the legs.

Causes of hyperhidrosis:

disturbances in the functioning of the nervous system - both central and peripheral;
increased number of sebaceous glands. This anatomical feature is genetically determined, and in this case, problems with excessive sweating are observed from childhood and throughout life;
disruptions in the functioning of the endocrine system. The thyroid gland influences thermoregulation and sweat production, so any deviations in its functioning can trigger hyperhidrosis. It often accompanies and complicates the course of diabetes mellitus and thyrotoxicosis. The causes of increased sweating due to hormonal fluctuations can also be physiological. It is quite natural during pregnancy, adolescence and menopause;
infections. An increase in sweat production is characteristic, for example, of tuberculosis, influenza, ARVI;
skin diseases that disrupt the functioning of the sweat glands - lichen, neurodermatitis, psoriasis;
neoplasms - both benign and malignant;
intoxication of the body with alcohol or drugs, plant and animal poisons, salts of heavy metals.

Hyperhidrosis of the palms, what are the reasons for its development

Wet palms can result from the following disorders of the human body:

Deviation in the functioning of the pituitary gland. This spherical gland, connected to the brain, “controls” the excretory functions of all the body’s glands, including the sweat glands.
Malfunctions of the endocrine system, leading to hormonal imbalance and changes in the internal secretions of the glands.
Problems with the thyroid gland, which is responsible for metabolic processes.
Problems with the adrenal glands. Since they regulate the body's response to stress by releasing adrenaline into the blood, an imbalance in their work causes all systems to function with increased stress, which leads to increased sweating.
Failure of the autonomic nervous system, which is responsible for the growth, development and actions of internal organs, to perform its functions.

Symptoms

The key symptom of palm hyperhidrosis is increased sweat production. What always happens as a result of excessive activity of the glands located in the palms:

small objects – pens, spoons – slip out of your hands;
wet marks remain on clothes, paper and other objects.

Additional but not required symptoms:

decrease in palm temperature relative to body temperature;
unpleasant odor;
redness of the skin in the affected area.

If excessive sweating of your palms suddenly appears, contact a specialist immediately. The use of cosmetics, ointments and antiperspirants only blocks sweat production or reduces its amount, but does not eliminate the disease.

Lyudmila Sheveleva

Doctor, pharmacist

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In my opinion, redness of the skin is especially dangerous - sweat is a favorable environment for the growth of pathogenic bacteria. They begin to actively multiply, triggering the development of an infectious-inflammatory process. In this case, powders, lotions and deodorants are indispensable. Only antibiotics can destroy pathogens.

Which doctor treats pathology

Depending on the underlying disease, therapy can be carried out by the following specialties:

Endocrinologist.
Dermatologist.
Neuropathologist.
Psychiatrist.
Cardiologist.
Gynecologist.
Pediatrician.

At the initial stages, it is difficult to independently determine the specialist to whom to turn for help. Therefore, if sweating occurs, you need to consult a therapist or general practitioner. He will prescribe the necessary examinations and, if necessary, refer you for consultation.

Seeing a doctor

If you have hyperhidrosis, you can contact a dermatologist, who will conduct a series of studies and draw up a clinical picture of the disease.

All the doctor’s actions are aimed at eliminating the cause of palm hyperhidrosis. Curing the underlying disease also relieves the patient from sweating.

Minor's sample

To determine the prevalence of hyperhidrosis, iodine is applied to the palms. After complete drying, starch is poured on top. In areas of increased sweat production, it turns purple-brown.

Depending on the area of starch color, three degrees of the disease are distinguished:

10 centimeters or less – mild;
from 10 to 20 cm – average;
more than 20 cm – heavy.

Gravimetric method

Dry filter paper is weighed and placed on the patient's hands. After the paper is saturated with sweat, it is weighed again. The test helps determine the amount of liquid per unit of time.

After collecting primary information, the doctor writes a referral for tests:

general blood analysis;
glucose level determination;
tests to detect abnormalities in the thyroid gland.

Depending on the results of the examination, treatment will be prescribed.

Lyudmila Sheveleva

Doctor, pharmacist

Ask a Question

Treatment tactics for hand hyperhidrosis depend on many factors. For example, if increased sweating is associated with excess glands, then the doctor may immediately suggest surgical intervention. During menopause, competent hormone replacement therapy will allow you to get rid of hyperhidrosis. And for teenagers, the doctor will recommend following the rules of hygiene and using high-quality deodorants. And, of course, give up their favorite fast food, which gives sweat a particularly unpleasant odor.

All methods of combating hyperhidrosis can be divided into :

local;
surgical.

Treatment

Having determined the reason why your palms are sweating, the specialist prescribes the necessary treatment depending on the intensity of sweating. In mild cases, medical-grade deodorants and antiperspirants, as well as frequent hand washing, can help. Their use reduces the amount of fluid released by half, but sometimes this is not enough.

There is another option for getting rid of sweaty hands in the early stages of hyperhidrosis - using zinc ointment.

It should be applied daily to clean skin of the hands in a thin layer, then you should put on cotton gloves and leave for 15-30 minutes. The ointment is applied until symptoms are completely eliminated.

What else can you do if your palms sweat? Teymurov's paste has a positive effect in the treatment of hyperhidrosis. It is applied to cleansed hand skin and left until completely dry, then washed off with warm water.

Cosmetic procedures that have a temporary but long-lasting effect:

Iontophoresis is the application of a weak electric current through water molecules. A cosmetologist will tell you in detail how to get rid of sweaty palms using this method. Several procedures are needed to forget about sweaty hands for 6-8 months.
Botox can eliminate the problem for about a year. The method is safe and effective in more than 90% of cases. But do not trust clinics with a dubious reputation that provide services at low prices.

Answering the question: what to do if your palms sweat, we came to the most radical solution to the problem - surgery. Surgery allows you to say goodbye to sweaty hands forever. During the operation, sweat receptors are destroyed or their nerve endings are pinched. As a result, the brain stops sending signals about sweating, and the hands remain dry.

Local treatment

Local treatment is carried out using ointments and tablets. The choice of a specific drug depends on the causes of hyperhidrosis and its severity. If sweating is caused by malfunctions in the body, then all attention in treatment is directed to eliminating them. Sweating disappears on its own after recovery or stable remission is achieved.

In case of disturbances in the functioning of the central nervous system, sedatives, antidepressants, and tranquilizers are used. The specific medicine and dosage are prescribed by the doctor according to the severity and type of disease;
For infectious diseases, antibiotics, antimycotics, antiviral agents and immunomodulators are used;
for skin conditions, for example, lichen - antifungal drugs, glucocorticosteroids, products with an exfoliating or moisturizing effect.

It is impossible to guess what treatment will be prescribed for a particular drug, since it depends on the general picture of the disease, the individual characteristics of the patient, and contraindications. Do not self-medicate or make diagnoses on the Internet. If sweaty palms cause you discomfort, consult a doctor.

Along with treatment with medications, patients with hyperhidrosis are prescribed medications to relieve inflammation and reduce the amount of sweat:

Teymurov's paste or spray. Relieves sweating, reduces inflammation, and has an antiseptic effect. It is not recommended to use Teymurov's products for prophylactic purposes - the drugs contain formaldehyde, which is toxic with long-term use. It has a large list of contraindications - read the instructions carefully;
Formagel. Gel-like drug to suppress the activity of sweat glands. The main active ingredient is formalin, the same formaldehyde.

Do not use ointments without a diagnosis and consultation with a doctor. Formaldehyde and its derivatives have the ability to accumulate in the body and affect the functioning of the genitourinary system, gastrointestinal tract and central nervous system.

Why do my palms sweat?

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Sweating is an important function that helps the body maintain temperature, ensure water-salt balance, and remove waste substances. When malfunctions occur for various reasons, a local problem may appear - sweaty palms - local hyperhidrosis. The reasons for this are:

stressful situations;
genetic inheritance;
physical overload;
psychological tension.

When a person’s hands sweat a lot, this is a signal of serious problems, including:

disorders in the endocrine system - thyrotoxicosis, pathologies of the pituitary gland, adrenal glands;
effects of medications;
improper diet - spicy, salty foods;
lack of vitamins;
disruption of the autonomic system responsible for thermoregulation, breathing, and heartbeat;
diabetes mellitus – with a lack of insulin, sweating of the palms increases;
oncology;
diseases - ARVI, sore throat, influenza;
intense work.

Why do the palms of men sweat?

The appearance of local sweating is an unpleasant situation for men, who usually greet by shaking hands. Why do my palms sweat? There are many reasons why this problem occurs. The palms of men's hands sweat in the following cases:

psychological overload;
treatment with antibiotics that kill intestinal microflora and reduce immunity;
hormonal disorders in the body;
infectious diseases, AIDS, tuberculosis;
excess alcohol intake;
obesity;
coffee abuse;
intense sports;
mental activity.

Woman's palms sweat

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A girl’s wet hands are a reason to avoid communicating with men, which becomes additional stress. Constantly wet palms interfere with your work. It is difficult to do household chores and engage in hobbies. A woman's palms sweat as a result of:

high temperature indoors, outdoors;
consuming hot spices that cause sweating;
imbalance of hormones and vitamins during pregnancy;
unnecessary worries;
menopause with constant hot flashes, frequent sweating;
taking medications with side effects.

Why does a child's hands sweat?

A child’s wet palms may appear when the body’s heat exchange process fails. This often happens in a dream. When a child's hands sweat, this may indicate the following problems:

thyroid dysfunction;
presence of hyperhidrosis in relatives;
kidney disease;
excess weight;
overheating of the body due to warm clothing;
high room temperature, low humidity;
the appearance of an acute infection;
pneumonia;
metabolic disease;
use of synthetic fabrics in clothing.

Why do teenagers' palms sweat?

Wet palms in adolescence become a cause of stress due to the ridicule of friends, the inability to communicate normally with girls, or do what you love. The situation provokes an increase in symptoms. Why do teenagers' hands sweat? The reason may be taking antibiotics for infection or heavy physical activity. If a teenager’s palms are sweaty, there are problems caused by hormonal changes:

nervous excitability;
increased work of the endocrine system, producing a huge amount of fluid;
obesity;
mental problems.

Surgery

Surgical treatment of palmar hyperhidrosis is used in cases where it is independent in nature and is the result of a genetic predisposition. Before using these methods, a complete examination of the body is carried out to exclude diseases that could affect the appearance of hyperhidrosis.

With the congenital form of hyperhidrosis of the palms, it is impossible to cure it and all methods, including surgical ones, are aimed at a temporary solution to the problem.

injections _ Botox is injected into the palm with a thin needle, which stops the work of the sweat glands and brings sweat production to normal levels. The procedure is therapeutic and is performed in a dermatologist's office. The effect of injections lasts up to 4-6 months;
sympathectomy . Surgery to block and remove nerve endings. It is carried out in extreme cases, as it has a large list of contraindications and a high risk of complications.

For persistent pathological sweating, the following surgical treatment is practiced:

liposuction. The treatment method is based on the destruction of sympathetic nerves and removal of subcutaneous fat. It is usually used in the treatment of hyperhidrosis in obese patients. After the operation, the flow of nerve impulses to the glands is disrupted, which leads to the elimination of excess sweating;
closed curettage . A local method of treating hyperhidrosis, aimed at destroying nerve endings and subsequent removal of sweat glands. A persistent positive result lasts for several years. And then the innervation can be restored - the symptoms of hyperhidrosis return.

Such methods are effective, but many doctors resort to them only when conservative treatment is unsuccessful. This is associated with the risk of postoperative complications.

Medical and physiotherapeutic methods

The doctor will consider all the possibilities of medicinal and traditional recipes. He will determine what to do if your palms are sweaty. Often, wet hands interfere with the patient’s professional activities. He begins to get nervous and feel uncomfortable. Intimate life becomes more complicated. Hands leave marks everywhere. The sweaty appearance is embarrassing and spoils the mood. Elimination methods are different, some are rare.

Iontophoresis. The procedure is part of a complex of dermatological actions. During it, the sebaceous glands that secrete sweat are suppressed. The patient is asked to immerse his hands in baths with an ionizing composition. The course of treatment is 8-10 sessions. The completed complex will eliminate the problem.
Sympathectomy. This is a surgical method. The doctor performs an operation to block the nerve endings that regulate the increased secretion of moisture from the body in the area of the hands. The danger of the method is the possible transition of symptoms to other areas. The armpits and groin areas may sweat. The operation involves placing staples on the nerve canals. Special objects can compress nerve zones or destroy them completely. The actions required for the operation are determined by the surgeon, taking into account the recommendations of the neurologist and dermatologist.
Ultraviolet. Treatment with physiotherapy equipment reduces sweating.

Treatment can be carried out in a solarium or in the sun, especially if the degree of the disease is weak.

Cosmetical tools

All the cosmetics listed below can reduce sweat production or mask the problem, but do not eliminate hyperhidrosis. Their use is recommended only after confirming the diagnosis and identifying the real cause of the disease.

SyNeo 5

A cream product from a German manufacturer with deodorizing properties. Use as needed throughout the day. Absorbs quickly and helps reduce the amount of sweat produced. Used to eliminate severe symptoms of hyperhidrosis. It is not recommended to use it as a prophylactic agent - the alcohol in the composition dries out the skin.

ChistoStop-Deo, Hand and foot cream

The product is based on natural ingredients - oak, laurel, and grapefruit bark - regulates sweat production, has a moisturizing and anti-inflammatory effect. The composition also includes essential oils and vitamin B3.

Can be used for hyperhidrosis of varying severity.

Antiperspirant foam Purax

Australian product to reduce sweaty palms. Can be used as a prophylactic and for severe hyperhidrosis. In addition to its main function - reducing sweat production, it cares for the skin of your hands, making it soft and tender.

The only drawback is the high price.

Psychotherapeutic

Modern methods of treating excessive sweating include psychotherapy and hypnosis. They will not help you get rid of hyperhidrosis forever. But these methods will help solve psychological problems that arise due to pathological sweating or provoke its exacerbation. The psychotherapist will teach you to control your emotions and survive stressful situations without consequences.

Do not refuse individual or group sessions - they are useful not only in the treatment of hyperhidrosis, but also other neurological diseases.

How to get rid of excessive sweating

Do not despair if you have been diagnosed with palmar hyperhidrosis; today there are many methods to combat it. These can be either traditional folk methods proven over centuries or the use of modern medications.

But first things first, let’s look at each of the methods of struggle in more detail.

Medications

Baths and compresses using formalin and other drugs containing aluminum salts will help to minimize the external manifestations of the disease. But they should be used carefully and only with the consent of the doctor, as individual side effects (allergies, burns) are possible.

The use of zinc ointment has a good effect. Before starting the procedure, you need to warm your hands in warm water, holding them there for 15 minutes. Then ointment is applied to the skin, it is also kept for no more than 15 minutes, after which it is washed off.

Teymurov's paste, made on the basis of zinc and aluminum salts, is very effective. Hands are washed and dried, then a generous layer of paste is applied to them for 30 minutes. After time, it is washed off and a moisturizer is applied to the skin. You can also use antiperspirants, which have proven effectiveness of up to 40%.

All of the above remedies can be used for mild forms of hyperhidrosis; in more complex cases they may be ineffective.

Folk remedies

In addition to medications, it is also possible to use folk remedies, the recipes for which you can find below:

Apple cider vinegar is used to eliminate sweaty palms. They do it this way: take 0.5 liters of hot water and add 5 tablespoons of vinegar to it. Place your hands in the resulting solution and hold them there for 20 minutes, then take them out. The course of treatment is one month;
An ointment made from lemon juice, glycerin and alcohol is quite effective. It is made in proportions 4:2:4, the ingredients are taken in the above order;
oak bark baths. The recipe is simple: add 3 liters of oak bark to 1 liter of boiling water and leave for half an hour. Then put your hands in the water for 10 minutes, after removing them, wash your hands under running water;
lemon juice baths. Dissolve a spoonful of juice in 1 liter of warm water, then immerse your hands in the water for 15 minutes;
ammonia. A bath is made on its basis: 1 liter of alcohol is dissolved in 1 liter of water, then used for its intended purpose;
decoction of bay leaves. Take 20 leaves and pour 2 liters of boiling water, leave for one hour. Then the resulting decoction is used for baths; one serving of decoction is enough for 2-4 baths.

Botox injections

The principle of this technique is simple - a drug is injected into a certain area of the body, which begins to clog the sweat glands, thereby interrupting their work with the nervous system. But such treatment is local and can only correct external manifestations without eliminating the root cause.

Surgical methods

It’s worth saying right away that surgical intervention is a measure that is resorted to only if all of the above methods have proven powerless. The operation should be carried out under the guidance of an experienced doctor, as there is a risk of developing a large number of side effects.

There is a well-known myth that increased sweating of the palms is associated with a larger number of sweat glands than the average person. This is a misconception; in fact, sweating occurs due to disturbances in the functioning of the nervous system, and surgical intervention is aimed at influencing it.

Through surgery, nerve connections are removed, which weakens the effect on the sweat glands of the sympathetic system.

There are several methods of surgical treatment of hyperhidrosis, but sympathectomy is effective.

Physiotherapeutic

In the treatment of hyperhidrosis, pine-salt therapeutic baths and contrast showers have proven themselves to be excellent. The procedures have a beneficial effect on the nervous system and have both a relaxing and tonic effect. Like electrosleep, it is a therapeutic method of influencing the brain with pulsed low-frequency currents. During therapeutic manipulation, inhibition processes are enhanced and the functioning of the peripheral nervous system is improved.

Lyudmila Sheveleva

Doctor, pharmacist

Ask a Question

Iontophoresis, the effect of direct current on drug ions, is no less effective. They penetrate directly into the tissues of the palms, causing temporary dehydration. An interesting fact is that ions accumulate in the skin, so the pharmacological effect appears within 2-3 weeks.

Traditional treatment

Traditional recipes for masks, baths and compresses, as well as cosmetic preparations, eliminate symptoms and cannot have a real impact on the causes of hyperhidrosis.

The recipes listed below are suitable to reduce sweating and eliminate unpleasant odor. They can be used together with the main treatment - medication, physiotherapy.

Milk bath

Mix a tablespoon of crushed oak bark with 1 glass of warm milk;
Leave the solution to brew for 30 minutes, then dilute with water in a ratio of 1 to 1 – for 1 glass of broth – 1 glass of water;
Immerse your hands in the liquid for 10-15 minutes.

Milk helps soften the skin, and oak bark prevents excess sweat and fights unpleasant odors. It is recommended to carry out the procedure daily before bed.

Apple Cider Vinegar Lotion

Mix equal amounts of warm water and apple cider vinegar - 3 tbsp. l. water and 3 tbsp. l. vinegar;
Mix the liquid and moisten a cotton pad with it;
Wipe your palms with lotion 2 times a day - morning and evening.

Bath with potassium permanganate

Make a pink solution. To do this, mix 1 gram of potassium permanganate with 1 liter of water. You can measure 1 gram by eye - the total weight of the substance in the bottle, for example, divide 3 grams into 3 equal parts and take 1 of them;
Heat the solution to 40°C and lower your palms for 10-15 minutes.

Strictly observe the concentration of manganese. This is the case when more does not mean better. The stronger the solution, the higher the likelihood of a chemical burn.

The American Academy of Dermatology conducted a study among all patients diagnosed with hyperhidrosis and found that more than 80% of them suffered from depression due to social maladjustment. Have you ever had to deal with illness? Share your experience in the comments!

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My hands are sweating, what should I do?

Generous sweating can also be cured at home using pharmaceutical preparations. Doctors recommend combining both methods. Traditional recipes are also used to prevent local hyperhidrosis.

Medications

For medications, doctors prescribe acid-containing medications: Teymurov’s paste, tannic acid. The latter's properties are close to an antiperspirant, but natural. Reduces sweating, relieves itching and inflammation. Teymurov's paste is a well-known, effective preparation with boric acid. The ointment is rubbed into the skin and washed off with water. Provides long-lasting bactericidal effect.

Lassara paste inhibits the work of the sweat glands. Based on boric acid. The course of treatment is from 2 to 4 weeks. The paste is intended for the treatment of bedsores and ulcers, so it can be applied to injured hands.

Lassara paste affects the functioning of the sweat glands

Lotions with tanning agents are convenient because they do not have a strong odor. Therefore, they are ideal for men and women: “Hygienic”, “Finish”.

A course of sedatives, alkaloids, and calcific channel blockers is recommended. Solutions of chloride, aluminum, gutaraldehyde, and formaldehyde (the popular Formidron) help, but the dosage and course are important (risk of burning the skin). Vitamins A, B and E will not hurt. If you sweat from stress, it is enough to spend money on prescription antidepressants.

Galvanin powder with zinc and salicylic acid blocks the ducts of the glands on the hands. Sometimes causes allergies, but is mobile for use outside the home.

Galmanin powder can be carried with you for use outside the home

Lines of drugs “DryDry”, “Maxim”, “Klima” and “Odaban”. They contain metal salts of aluminum or zinc, which block the sweat glands.

Drug treatment of hyperhidrosis in adults involves cycles of remission and exacerbation. The drugs help for a certain period of time. When your palms sweat a lot again, you will have to repeat the course.

Traditional medicine against hyperhidrosis

Traditional recipes paired with pharmaceutical preparations are a great solution to the problem of wet hands.

Homemade cream

Grind identical dry bunches of calendula, plantain, dandelion and nettle into powder with a coffee grinder. Pour a tablespoon of boiling water and leave for half an hour. Mix warm infusion (2 tbsp.) with a spoon of honey, 2 tsp. castor oil and 50 gr. pork fat (can be replaced with homemade chicken fat). Rub into dry and clean hands twice a day. Store the ointment in the refrigerator.

Calendula will help get rid of sweating

Baths

A liter of boiling water is poured into 3 tbsp. l. bark and let it brew for about 20 minutes. Clean, steamed hands are placed in a bath with oak bark. Keep until the water cools. In addition to oak bark, sage or green and black teas will save the situation. Yarrow, string, chamomile help get rid of wet hands. In the hot season, infants are bathed in succession for prickly heat.
Pour 5 tsp into half a liter of hot water. vinegar (table or apple). Hold for 5-10 minutes. You can alternately do it with sea salt and two types of vinegar, lemon juice, and ammonia.
20 large leaves are brewed with boiling water (1.5-2 l). Steam your palms in hot water.

A vinegar bath is an effective remedy for sweaty hands.

Bath course – 20 applications. Repeat when the problem returns, or with a week break. Make different decoctions for enhanced effect.