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Drugs reference index «Botox»



Generic Name: onabotulinumtoxinA (BOT-ue-li-num)Brand Name: Botox

Botox may spread from the injection site to other areas of the body causing symptoms of a serious condition called botulism. These symptoms may occur hours to weeks after you receive Botox . Symptoms may include loss of strength; muscle weakness; double or blurred vision; drooping eyelids; hoarseness; loss of voice; loss of bladder control; or trouble speaking, breathing, or swallowing. The risk may be greater in children being treated for spasticity (muscle spasms) but these symptoms may also occur in adults. Contact your doctor immediately if these symptoms occur.

Severe and sometimes fatal breathing or swallowing problems have been reported. The risk may be greater in patients who already have breathing or swallowing problems. Tell your doctor if you have or are at risk of developing breathing or swallowing problems.

Botox is used for:

Reducing the severity of abnormal head position and neck pain associated with neck problems. It may be used to reduce armpit sweating that does not respond to treatment with other medicines. It may also be used to treat certain focusing problems and eye spasms, as well as other conditions as determined by your doctor.

Botox is a neurotoxin. It works by blocking nerve impulses to the muscles or sweat glands, temporarily paralyzing the muscle or gland.

Do NOT use Botox if:

  • you are allergic to any ingredient in Botox or another botulinum product
  • you have an infection at the injection site

Contact your doctor or health care provider right away if any of these apply to you.

Before using Botox :

Some medical conditions may interact with Botox . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have nerve problems or disease (eg, amyotrophic lateral sclerosis, motor neuropathy), muscle problems or disease (eg, myasthenia gravis, Lambert-Eaton syndrome), bleeding disorders, seizures, or severe weakness or wasting of the muscles at the injection site
  • if you have a history of heart problems (eg, irregular heartbeat, recent heart attack); swallowing or breathing problems (eg, asthma); eye problems (eg, glaucoma); or an overactive thyroid
  • if you have a skin infection; or inflammation, scarring, or other skin disorders at the injection site
  • if you plan to have surgery or if you have received Botox or any other botulinum toxin in the past 4 months

Some MEDICINES MAY INTERACT with Botox . Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Aminoglycosides (eg, gentamicin), anticholinesterase medicines (eg, neostigmine), lincosamides (eg, clindamycin), magnesium, neuromuscular blockers (eg, atracurium), polymyxin, or quinidine because the risk of toxic effects may be increased
  • Anticoagulants (eg, warfarin) because the risk of bleeding at the injection site may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Botox may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Botox :

Use Botox as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Botox comes with an extra patient information sheet called a Medication guide. Read it carefully. Read it again each time you get Botox refilled.
  • Botox is usually given as an injection at your doctor's office, hospital, or clinic.
  • If you miss a dose of Botox , contact your doctor right away.

Ask your health care provider any questions you may have about how to use Botox .

Important safety information:

  • Botox may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Botox with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • Do not switch brands of Botox . Contact your doctor if you have any questions.
  • Botox contains albumin, which comes from human blood. There is a very rare risk of getting a viral disease or a central nervous system disease called Creutzfeldt-Jakob disease from products with albumin. No cases of these problems have been found in patients who have used Botox .
  • To prevent injury, resume normal activities gradually after using Botox .
  • Botox should be used with extreme caution in CHILDREN younger than 12 years old; safety and effectiveness in these children have not been confirmed.
  • Botox should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Botox while you are pregnant. It is not known if Botox is found in breast milk. If you are or will be breast-feeding while you use Botox , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Botox :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Anxiety; back pain; dizziness; drowsiness; dry mouth; dry or irritated eyes; eye irritation; facial pain; flu-like symptoms; headache; inability to focus the eyes; increased cough; indigestion; nausea; neck pain; pain, redness, swelling, or tenderness at the injection site; runny nose; sensitivity to light; stiff or weak muscles at or near the injection site; sweating.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; unusual hoarseness); bleeding at the injection site; chest pain; difficulty swallowing or breathing; double or blurred vision, or other vision changes; drooping of the upper eyelid; eyelid swelling; fainting; fever, chills, or persistent sore throat; irregular heartbeat; loss of bladder control; loss of strength; paralysis; seizures; severe or persistent muscle weakness or dizziness; shortness of breath; speech changes or problems.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include body weakness; paralysis.

Proper storage of Botox :

Botox is usually handled and stored by a health care provider. If you are using Botox at home, store Botox as directed by your pharmacist or health care provider. Keep Botox out of the reach of children and away from pets.

General information:

  • If you have any questions about Botox , please talk with your doctor, pharmacist, or other health care provider.
  • Botox is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Botox . If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

  • Botox Consumer Overview
  • Botox Prescribing Information (FDA)
  • Botox Advanced Consumer (Micromedex) - Includes Dosage Information
  • Botulinum Toxin Type A Professional Patient Advice (Wolters Kluwer)
  • Dysport Prescribing Information (FDA)
  • Dysport Advanced Consumer (Micromedex) - Includes Dosage Information
  • Dysport Consumer Overview

See Also...

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