Botox Cosmetic

Botox Cosmetic is used for:

Temporarily improving the appearance of moderate to severe lines between the eyebrows in patients 65 years old or younger. It may also be used for other conditions as determined by your doctor.

Botox Cosmetic 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 Cosmetic if:

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

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

Before using Botox Cosmetic :

Some medical conditions may interact with Botox Cosmetic . 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, Lambert-Eaton syndrome, myasthenia gravis), bleeding disorders, seizures, or severe weakness or wasting of the muscles at the injection site (eg, trouble raising your eyebrows, drooping eyelids)
• if you have a history of heart problems (eg, irregular heartbeat, recent heart attack); swallowing or breathing problems (eg, asthma); or eye problems (eg, glaucoma)
• if you have a skin infection; or inflammation, scarring, or other skin disorders at the injection site
• if you plan to have surgery, especially surgery on your face, or if you have received Botox Cosmetic or any other botulinum toxin in the past 4 months

Some MEDICINES MAY INTERACT with Botox Cosmetic . 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 Cosmetic 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 Cosmetic :

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

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

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

Important safety information:

• Botox Cosmetic may cause dizziness or drowsiness. These effects may be worse if you take it with alcohol or certain medicines. Use Botox Cosmetic 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 Botox Cosmetic more often than every 3 months without checking with your doctor.
• Do not switch brands of Botox Cosmetic . Contact your doctor if you have any questions.
• Botox Cosmetic 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 Cosmetic .
• Botox Cosmetic should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: Do not use Botox Cosmetic if you are pregnant. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Botox Cosmetic while you are pregnant. It is not known if Botox Cosmetic is found in breast milk. If you are or will be breast-feeding while you use Botox Cosmetic , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Botox Cosmetic :

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:

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 of overdose may include paralysis; severe muscle weakness; trouble swallowing; weak or shallow breathing.

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

General information:

• If you have any questions about Botox Cosmetic , please talk with your doctor, pharmacist, or other health care provider.
• Botox Cosmetic 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 Cosmetic . 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.