Night sweats can cause you to sweat so profusely when sleeping that you wake up with drenched pajamas or sheets. Treatment for night sweats may include environmental and behavioral changes, cognitive behavioral therapy (CBT), and medications.
Often, night sweats are harmless, cause no other symptoms, and can be effectively treated with changes in sleeping habits and stress reduction.
If night sweats are interfering with your life, you should seek additional therapy, such as nutritional support, weight loss programs, or menopausal treatment.
Stopping night sweats with lifestyle changes
- Sleep in natural fibers: Wear natural fiber pajamas and dress in layers so that you may remove a garment if you get too hot. Wearing tight clothes made from synthetic materials will prevent you from cooling down and may cause you to sweat more.
- Use breathable sheets: Make sure your sheets are made of cotton or a light, breathable material. Consider purchasing a cooling mattress or cushion that is designed to transport heat away from the body.
- Cool down your room temperature: While a warm bedroom is not the primary cause of night sweats, it can worsen them. Lowering the thermostat in your room can help prevent heat from building up around the body throughout the night.
- Avoid spicy, fatty foods: Acidic foods can aggravate acid reflux, which contributes to night sweats. Similarly, eating a protein-rich diet can cause excessive perspiration, which is commonly called meat sweats. Protein makes the body work harder to break down foods, which can raise your body temperature. Avoid spicy, fatty, citrusy, and acidic foods before bedtime.
- Reduce caffeine intake: Caffeine stimulates the heart and increases blood flow to the skin, causing you to sweat and feel flushed. Some evidence suggests that caffeine can aggravate body temperature. Switch to non-caffeinated alternatives, such as herbal teas.
- Limit alcohol intake: Alcohol has an impact on your central nervous system, circulatory system, and nearly every other aspect of your body. It raises your heart rate, which causes your blood vessels to dilate. Night sweats are also a symptom of alcohol withdrawal. If you drink heavily on a daily basis, consult a specialist before making any drastic changes in your lifestyle.
- Exercise regularly: Exercise regularly may help reduce night sweats. A recent study found that women with sedentary lifestyles experienced a significant reduction in hot flashes after incorporating 45 minutes of cardio exercises 4-5 times per week.
- Perform relaxation techniques: Studies have suggested that controlled breathing techniques can significantly reduce hot flashes in menopausal women. Meditation, mindfulness, and other stress management techniques have also been shown to alleviate stress and night sweats.
- Diet and supplements: According to some studies, foods containing isoflavones, which are estrogen-like plant chemicals, may help alleviate hot flashes and night sweats. Women who eat a diet high in these foods report fewer menopausal symptoms. Foods that contain isoflavones include soy, beans, lentils, and pulses. If you want to try an isoflavone supplement, you should seek the opinion of your doctor.
Stopping night sweats with cognitive behavioral therapy
Cognitive behavioral therapy (CBT) is often used to treat mental health issues, such as depression, anxiety, and insomnia. Although it is usually done by a psychiatrist or counselor, there are a variety of self-directed programs available.
Evidence suggests that CBT is useful in the treatment of hot flashes and night sweats in women and can also help improve mood, sleep, and overall quality of life.
Stopping night sweats with medications
Hormonal therapy
Women who reach menopause or who undergo hysterectomy often suffer from hot flashes and night sweats. Women who undergo hysterectomy may only be prescribed estrogen as hormone replacement therapy to reduce these symptoms. However, women who still have their uterus may be prescribed a combination of estrogen and progesterone to prevent endometrial cancer, which is one of the side effects of estrogen therapy.
Antidepressants
The only non-hormonal FDA-approved medication for hot flashes is a low-dose version of paroxetine. Hot flashes are treated with the following antidepressants as well:
- Venlafaxine
- Paroxetine
- Escitalopram or citalopram
Although these medications are not as effective as hormone therapy for severe hot flashes, they can benefit women who are not able to use hormones.
Suni E. Common Causes of Night Sweats and How to Fix Them. Sleep Foundation. https://www.sleepfoundation.org/night-sweats
Cleveland Clinic. Menopause: Non-Hormonal Treatment & Relief for Hot Flashes. https://my.clevelandclinic.org/health/articles/15223-menopause-non-hormonal-treatment--relief-for-hot-flashes
Rodriguez D. Night Sweats Keeping You Up? Everyday Health. https://www.everydayhealth.com/sleep/night-sweats.aspx
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Natural Remedies for Hot Flashes
Hot flashes are experienced by many women, especially at night. However, not all women undergoing menopause experience hot flashes. What causes hot flashes? A hot flash is a feeling of warmth that spreads over the body. Treatment for hot flashes include hormone replacement therapy and alternative prescription medications such as:- SSRIs (Effexor, Paxil, Prozac),
- clonidine (Catapres),
- megestrol (Megace),
- and gabapentin (Neurontin).
aluminum chloride topical
Aluminum chloride topical is a medication used as an antiperspirant to manage excessive sweating (hyperhidrosis) and to control minor bleeding and/or growth of excessive new tissue (granulation tissue) in the wound healing process, after a nail or callus debridement. Common side effects of aluminum chloride topical include skin irritation, burning sensation, prickling sensation, transient stinging, and itching (pruritus). Consult your doctor if pregnant or breastfeeding.aluminum hydrochloride
Aluminum hydrochloride is sold in solution or in over-the-counter deodorants and antiperspirants. Aluminum hydrochloride is used to prevent excessive sweating (hyperhidrosis) by reducing the activity and perhaps shrinking the sweat glands. The most common side effects of aluminum hydrochloride are irritation of the skin, itching, and tingling of the skin. Consult your doctor if pregnant or breastfeeding.Dehydration in Adults & Children
Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. Symptoms of dehydration include headache, lightheadedness, constipation, and bad breath. Treatment for dehydration is to replace lost fluids and electrolytes.How Do I Know If My Night Sweats Are Serious?
You’ll know that your night sweats are serious if your night sweats occur regularly, keep you from sleeping well, and come along with a fever, or if you experience weight loss for no apparent reason.Excessive Sweating (Hyperhidrosis)
Hyperhidrosis is excessive sweating of the underarms, palms, or soles of the feet. Treatment may involve over-the-counter antiperspirants, prescription antiperspirants, iontophoresis, medications, surgery, and Botox.Sweating: Why We Sweat, What’s Normal, and What’s Excessive (Hyperhidrosis)?
Read about hyperhidrosis (excessive axillary, palmar, plantar sweating) treatment (antiperspirant, Botox, surgery), a sign of, and causes. Find out how to put a stop to sweaty palms (hands), feet, and underarms.Night Sweats
Night sweats are severe hot flashes that occur at night and result in a drenching sweat. The causes of night sweats in most people are not serious, like menopause in women, sleep apnea, medications, alcohol withdrawal, and thyroid problems. However, more serious diseases like cancer and HIV also can cause night sweats. Your doctor will treat your night sweats depending upon the cause.
You may experience other signs and symptoms that are associated with night sweats, which depend upon the cause, but may include, shaking, and chills with a fever caused by an infection like the flu or pneumonia; unexplained weight loss due to lymphoma; women in perimenopause or menopause may also have vaginal dryness, mood swings, and hot flashes during the day; and low blood sugar in people with diabetes.
Other causes of night sweats include medications like NSAIDs (aspirin, acetaminophen, ibuprofen (Motrin, Advil), and naproxen (Aleve, Naprosyn), antidepressants, sildenafil (Viagra), and abuse of prescription or illegal drugs and drug withdrawal; hormone disorders like pheochromocytoma and carcinoid syndrome; idiopathic hyperhidrosis; infections like endocarditis, AIDs, and abscesses; alcoholism and alcohol withdrawal; drug abuse, addiction, and withdrawal; and stroke.
A doctor or other health care professional can treat your night sweats after the cause has been diagnosed.
Sleep Quiz
Take our Sleeping Quiz to learn which sleep disorders, causes, and symptoms rule the night. Trouble falling or staying asleep? Find out which medical treatments fight sleep deprivation, apnea, insomnia, and more!What Causes Hot Flashes?
Menopause isn't the only thing that causes flushing (hot flashes). Find out what else can trigger these sudden waves of heat as your body tries to cool down.When Should I Be Worried About Night Sweats?
Night sweats may be cause for concern if they occur regularly, disrupt your sleep, or are accompanied by symptoms such as fever, chills, or unintended weight loss.When to Be Concerned About Night Sweats?
An individual should be concerned about night sweats when they have been ongoing for two weeks or longer.