Lupus and Excessive Sweating: Causes, Symptoms, and Management

Excessive sweating, hot flashes, overheating, and sudden temperature changes are common challenges for people living with lupus. Many individuals describe it as an overwhelming and unpredictable experience. For example, one person with lupus shared, “I go from freezing to burning and dripping sweat.” Another remarked, “One moment, I feel like fire is surging through my veins, and the next, I’m shivering cold.”

This article will explain why excessive sweating occurs in lupus, its connection to other symptoms, and practical ways to manage it. Whether you’re living with lupus or supporting someone who is, this guide will help you understand and address these temperature-related issues.


What Is Excessive Sweating?

What causes excessive sweating?

Sweating is the body’s natural way of cooling down when it’s hot or after physical activity. However, excessive sweating—also called hyperhidrosis—is different. This condition involves intense sweating unrelated to heat, exercise, or stress.

Excessive sweating can happen in specific areas like the hands or underarms or affect the entire body. For people with lupus, this can result in soaked clothing, dripping hands, and frequent discomfort.

Why Is Excessive Sweating a Problem?

How to stop excessive sweating from lupus

  • Sleep Disruption: Night sweats can make restful sleep difficult, leaving you tired during the day.
  • Skin Issues: Constant sweating increases the risk of rashes and skin infections, a common concern for people with lupus.
  • Emotional Strain: Sweating through clothes can be embarrassing and may affect your social life or confidence.

lupus causing hot flashes

Why Does Lupus Cause Excessive Sweating?

Does lupus cause night sweats and hot flashes?

Excessive sweating is a symptom of lupus, but it can also result from related factors such as medication, hormonal changes, or co-occurring conditions. Let’s explore the main reasons behind this symptom.

1. Lupus Symptoms and Flares

Lupus symptoms sweating
Lupus is an autoimmune disease that affects different parts of the body, including the nervous system. When lupus flares (gets worse), it can cause:

  • Increased body heat
  • Sweating during the day or at night
  • Changes in how the nervous system controls body temperature
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2. Immune System and Inflammation

Lupus and overheating
Lupus often causes inflammation in the body. During flare-ups, inflammation increases nitric oxide levels, making blood vessels expand and bringing heat to the skin. This can lead to:

  • Hot flashes
  • Overheating
  • Excessive sweating

3. Hormonal Changes

Can lupus cause hot flashes?
Lupus is more common in women, and hormonal changes like menopause or menstruation often cause hot flashes and sweating. Even in men, hormonal imbalances related to lupus may trigger similar symptoms.

4. Side Effects of Medications

Does lupus medication cause sweating?
Many medications used to treat lupus, such as corticosteroids or antidepressants, list sweating as a side effect. These drugs affect hormone levels or body temperature regulation, which can result in excessive sweating.

5. Co-Occurring Conditions

Lupus night sweats causes
Lupus often occurs alongside other conditions that affect sweating, such as:

  • Thyroid disorders: Can increase body heat and sweat production.
  • Infections: Night sweats may indicate your body is fighting an infection, which is more likely in people with lupus.

Managing Excessive Sweating and Temperature Changes

How to manage lupus overheating

Although excessive sweating can feel overwhelming, there are steps you can take to reduce discomfort and regain control.

1. Stay Cool and Comfortable

Tips for staying cool with lupus

  • Wear loose, breathable clothing made of natural fabrics like cotton.
  • Use fans or air conditioners to keep your living space cool.
  • Take cool showers or use a cold compress when you feel overheated.

2. Avoid Triggers

Lupus hot flashes triggers
Identify and avoid things that make your symptoms worse, such as:

  • Direct sunlight
  • Stress or anxiety
  • Caffeine and alcohol

3. Stay Hydrated

Does hydration help lupus sweating?
Drinking plenty of water helps regulate body temperature and replaces fluids lost through sweat.

4. Adjust Your Diet

Foods that help with lupus symptoms
Certain foods, like spicy meals, can increase body temperature and worsen sweating. Focus on a balanced diet rich in fruits, vegetables, and lean proteins.

5. Manage Stress

Does stress cause lupus symptoms?
Stress can worsen lupus flares and sweating episodes. Techniques like meditation, yoga, or counseling can help you stay calm.


How Lupus Medications Affect Sweating

Lupus drugs sweating side effects

Medications are vital for managing lupus, but they can contribute to sweating. Some common lupus medications and their effects include:

  • Steroids (e.g., prednisone): May cause hot flashes or increased sweating.
  • Antimalarials (e.g., hydroxychloroquine): Can influence temperature regulation.
  • Immunosuppressants (e.g., methotrexate): May lead to overheating or night sweats.

If you think your medication is causing excessive sweating, talk to your doctor about adjusting your treatment.


Coping With Night Sweats

How to stop night sweats with lupus

Night sweats are particularly frustrating, but small changes can make a big difference:

  • Use cooling mattress pads or lightweight bedding.
  • Keep a fan by your bed for quick relief.
  • Avoid heavy meals or drinks before bedtime.

When to See a Doctor

Lupus and severe sweating

Excessive sweating can sometimes signal a serious issue, such as:

  • A lupus flare-up
  • An infection
  • A co-occurring condition like diabetes
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If you experience sudden or severe sweating, consult your doctor. Early treatment can help prevent complications.


Managing lupus overheating and sweating

Excessive sweating, overheating, and temperature swings are challenging but manageable symptoms of lupus. By understanding the causes, staying cool, avoiding triggers, and working closely with your doctor, you can reduce discomfort and improve your quality of life.

If you or someone you know is living with lupus, share this article to help others navigate the challenges of excessive sweating and overheating. Together, we can raise awareness and support those affected by this complex condition.

Additional Tips From People Living With Lupus

Keyword: How people with lupus manage hot flashes and sweating

People living with lupus often share valuable tips and tricks to manage symptoms like excessive sweating and temperature changes. Here are a few additional strategies that may help:

1. Cold Compresses or Ice Packs

Cooling methods for lupus sweating
Applying a cold compress or ice pack to your neck, forehead, or wrists can provide immediate relief from overheating. This helps cool the body down quickly and can also reduce inflammation and swelling.

2. Chill with Cold Treats

Cooling foods for lupus hot flashes
Cold foods like popsicles, smoothies, or frozen yogurt can help cool your body from the inside out. Not only do these treats feel refreshing, but they also hydrate you, which is essential for staying cool and maintaining proper fluid balance.

3. Cooling Mattress Pads and Sheets

Best cooling products for lupus sufferers
Investing in cooling mattress pads or moisture-wicking sheets can make a significant difference for people who experience night sweats. These products help regulate body temperature while you sleep and prevent you from waking up drenched in sweat.

4. Adjust the Temperature in Your Home

How to keep cool in your home with lupus
Creating a cool environment at home is essential. Lower the air conditioner or use fans to maintain a comfortable temperature in your living space. Cooling fans or portable air conditioners are a great way to create a more comfortable sleep environment.

5. Opt for Loose and Breathable Clothing

Clothing to manage lupus hot flashes and sweating
Wearing loose, light-colored clothing made from natural fabrics like cotton allows your body to breathe and helps sweat evaporate more easily. Avoid tight clothing that can trap heat and cause you to overheat.

6. Stay Cool During Exercise

Exercising safely with lupus sweating
While it’s important to stay active, those with lupus need to be cautious about overheating during exercise. Opt for cooler times of the day to work out, such as early mornings or evenings. Dress in breathable clothing, and take frequent breaks to prevent excessive sweating.

7. Hydration Is Key

Importance of hydration for lupus hot flashes
Drinking plenty of fluids is crucial, especially when experiencing hot flashes or excessive sweating. Hydration helps regulate body temperature and replace fluids lost through sweating. Water, coconut water, or electrolyte drinks can help keep your body cool and prevent dehydration.

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8. Avoiding Common Triggers

Managing lupus triggers
Certain foods, environmental factors, and activities can trigger hot flashes and excessive sweating in people with lupus. Here are some common triggers to watch out for:

  • Spicy foods: Can raise body temperature and cause sweating.
  • Caffeine and alcohol: Both can lead to hot flashes or overheating.
  • Stress: Emotional or physical stress can trigger sweating episodes and lupus flares.

Seeking Medical Advice: When Sweating Becomes a Concern

When to see a doctor for lupus sweating

While excessive sweating is a common symptom for many living with lupus, it’s important to monitor its intensity and frequency. If you find that your sweating is becoming uncontrollable, persistent, or is interfering with your daily life, it’s essential to consult your healthcare provider. There may be underlying issues or complications that need to be addressed.

Possible Complications Related to Sweating

Lupus complications and excessive sweating

  • Infections: People with lupus are more susceptible to infections due to an impaired immune system. Excessive sweating, especially night sweats, may indicate an infection or other underlying health issue.
  • Skin Issues: Persistent sweating can lead to skin problems, such as rashes, chafing, or fungal infections. If you experience frequent skin irritation, your doctor can recommend creams or treatments to help.
  • Flare-ups: Sweating may also be a sign that a lupus flare-up is on the way. Keep track of your symptoms, and talk to your doctor about how best to manage flare-ups and their effects on sweating.

Can Medications Make Sweating Worse?

Medications and sweating in lupus patients

Some medications used to treat lupus or its symptoms can cause excessive sweating as a side effect. If you’re on a new medication and notice an increase in sweating, it’s important to speak with your doctor to determine if it’s related to the treatment.

Common Medications That May Contribute to Sweating

  • Corticosteroids (e.g., prednisone): These medications are used to reduce inflammation and control lupus flare-ups but can cause symptoms like hot flashes and sweating.
  • Antimalarial drugs (e.g., hydroxychloroquine): Often prescribed to control lupus symptoms, these can affect body temperature regulation.
  • Immunosuppressants (e.g., methotrexate): These drugs lower the immune system’s activity but may increase body heat and sweating.
  • Antidepressants or antihypertensive medications: These drugs can interfere with normal temperature regulation and lead to sweating.

Managing Hormonal Changes with Lupus

Hormonal changes and sweating in lupus

Since lupus is more common in women, hormonal changes—such as those experienced during menstruation, pregnancy, or menopause—can worsen sweating. Menopausal hot flashes and sweating are often a symptom of hormonal shifts, and it can be difficult to tell if it’s menopause or lupus causing the problem.

Hormonal Imbalances in Lupus

  • Estrogen and progesterone: Fluctuating levels of these hormones during menopause can cause hot flashes and night sweats. Women with lupus may experience early menopause, which can complicate symptom management.
  • Testosterone: In men with lupus, low testosterone levels may cause sweating and hot flashes as well.

Discuss your symptoms with your healthcare provider, who can guide you on managing hormonal imbalances in conjunction with lupus.


Conclusion: Finding Relief from Lupus Sweating and Overheating

Lupus hot flashes management

While excessive sweating, overheating, and hot flashes are challenging symptoms of lupus, they can be managed with the right strategies. Understanding the causes—whether they are due to lupus, medication, or hormonal changes—helps you make informed choices about how to cope.

By staying hydrated, dressing appropriately, avoiding triggers, and managing stress, you can significantly reduce the discomfort associated with these symptoms. In addition, seeking advice from your healthcare provider can ensure that any underlying issues are addressed promptly.

If you or someone you know is struggling with excessive sweating due to lupus, share this article to raise awareness and encourage others to find relief through effective strategies and professional care.


This comprehensive guide to managing excessive sweating, hot flashes, and overheating with lupus is aimed at helping people understand their symptoms and take practical steps toward relief. The tips and insights offered here are designed to support individuals in their journey with lupus, making life with this condition more manageable.

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