These answers are for informational purposes and do not replace a physician head-to-head visit. A patient-physician relationship is not established.
Thank you for your interesting question.
The medical name for your problem is bromhidrosis ( or bromihidrosis...same thing).
This is due to the production of chemicals from the bacteria that inhabit your axillae. The best treatment for this is to change the bacteria (flora) of the armpits. Either topical erythromycin or topical clindamycin can do this. If you want to try something over the counter before consulting with your doctor again, cleanse the area with Hibiclens 4% wash. Be sure to rinse well. Try might also try Bacitracin. Controlling the sweat will also help to a Degree and I would recommend Cert-N- Dri which is over the counter. Drysol is better but is a prescription product. Botox will also work well. Laser hair removal will also work since the bacteria is often growing among the hair.
Bacitracin is an over the counter antibiotic cream or ointment.
In the US Botox is generally covered by insurance plans, do not know whether it is with the NHS.
Did your dermatologist place you on an oral or topical antibiotic?Also, to be sure, the odor does not have a fishy smell does it?
It does not have a fishy odor?
If it does not I would recommend either Botox and an oral antibiotic such as Tetracycline 500 mg. twice a day or Pro=Banthine 15 mg. twice a day for years, and Tetracycoine 500 mg. twice a day.
The reason I bring that up is that there is a condition in which there is an enzyme defect called Trimethylammuniuria ( fish odor condition). The diagnosis is often missed in this and since it most often affects young women it would be important to diagnosis. Fairly unusual but I have seen two cases of it. A simple blood test will detect it.
Otherwise, I would recommend the above course of treatment.
i.e. a topical and oral antibiotic and something else to slow down the swweating.
In the US?
Dr. Atilli is an excellent dermatologist and practices in the UK
Are you there now?
You can ask the Site Monitor and she can contact him.
You can speak to him that way.
I think he can help since he practices in London.
I can contact him if you wish...but it would be later.
You are welcome. He is off line know, but I will reach him later for you.
Off line now.
Good...and good luck.