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. 2024 Jan 1;20(1):169–172. doi: 10.5664/jcsm.10842

Table 1.

Causes of sleep hyperhidrosis and proposed treatments.

Main Disorders Associated with Sleep Hyperhidrosis
  • Infectious: tuberculosis, brucellosis, bacterial pneumonia, human immunodeficiency virus, mononucleosis, cysticercosis, endocarditis

  • Tumor: Lymphoma, leukemia, mesothelioma, inflammatory prostatic cancer, pheochromocytoma, POEMS syndrome

  • Endocrinological/Metabolic: diabetes mellitus, hyperthyroidism, obesity, menopause, pheochromocytoma

  • Autoimmune: giant cell arteritis, Takayasu arteritis, rheumatoid arthritis, sarcoidosis

  • Neurological Disorders: cervical spinal cord lesion, hypothalamic lesion, brainstem stroke, synucleinopathy, peripheral neuropathy

  • Mental Disorders: panic disorder, anxiety disorder

  • Sleep Disorders: sleep apnea, insomnia, restless legs syndrome, narcolepsy type 1

  • Miscellaneous: gastrointestinal reflux, Prinzmetal angina, environmental heat

Drug Effects on Sleep Hyperhidrosis
Reduction of night sweats Increase of night sweats
  • Benzodiazepines: diazepam

  • Anticholinergic: oxybutynin, glycopyrrolate

  • Alpha-adrenergic agonists: clonidine

  • Calcium channels inhibitors: diltiazem

  • Carbonic anhydrase inhibitor: acetazolamide

  • Immunomodulator: thalidomide

  • Opioids: nabilone

  • Hormonal replacement therapy

  • Cholinesterase inhibitors

  • Cholinergic agents

  • Selective serotonin and noradrenalin reuptake inhibitors antidepressants: venlafaxine, serotonin

  • Antiviral: efavirenz

  • Hypoglycemic agents

  • Sodium oxybate

  • Opioids

POEMS = polyneuropathy, organomegaly, endocrinopathy, monoclonal plasma cell disorder, skin changes.