Ask your doctor about stelara, I’ve been on it and it helps

I get botox injected in my armpits ~2x a year and then if I have a flare I wash with benzoyl peroxide and apply clindamycin

I use it for both prevention/to help hyperhidrosis and HS

I’ve just started using clindamycin within the last two months and it helps a lot. I’ve been using a gel but I’m so glad I have it. I’m also on doxycycline which has helped tremendously.

My doctor told me if everything fails that Botox can help prevent them because it shuts down the sweat glands

Hey, sorry that this is such a delayed response to your post - i started taking lymecycline and it’s really helped my flares. I was diagnosed with Hurley Stage 3 and although i do still flare the amount of spots i get are reduced by about 75%, hope this helps 😊

I cant do antibiotics frequently because of my crohns, but I take doxycycline if I'm in a massive flare. I wash with Hibiclens at least once a day as infection prevention. I do Clindamycin cream if it gets infected (usually doesn't because of the hibiclens). I do steroid injections into masses that don't heal on their own. And when I have the money for it, I have my chiropractor use his Grade 4 Medical Laser on areas of active inflammation. I've had golf ball sized cysts, that would normally take 6+ months to fully heal with steroids & antibiotics, treated with that laser and had them fully heal in 2 weeks. Its a freaking miracle light of something, I swear

Spironolactone has been my absolute savior. It has seriously taken my flares from constant angry Yellowstone chambers to one or two individual boils a month. The caveat is you can only take it if you were AFAB and not trying to get pregnant.