Botulinum Toxin Injections—Medical
(Botulinum Toxin Type A; Botulinum Toxin Type B; Botox Injections)
Reasons for Procedure
- Cervical dystonia—abnormal spasms of neck muscles
- Blepharospasm—spasm of eyelid muscles
- Strabismus—crossed eyes
- Hyperhydrosis—excessive sweating
- Migraine headaches and tension headaches
- Achalasia—spasm of esophageal muscles causing difficulties in swallowing
- Spasmodic dysphonia
- Muscle spasms due to cerebral palsy
- Spasticity associated with multiple sclerosis
- Spasticity in leg and arm muscles due to brain injury/stroke
- Focal limb dystonias
- Incontinence due to bladder problems
- Anal sphincter disorders
- Peripheral nerve pain
- Temporomandibular disorder (jaw disorder)
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What to Expect
Description of the Procedure
- Remain upright for several hours
- Avoid alcohol
How Long Will It Take?
Will It Hurt?
Call Your Doctor
- Difficulty breathing
- Difficulty swallowing
- Difficulty speaking
- Severe lower eyelid droop or obstructed vision
- Excessive weakness around the injection site
- Rash or any other sign of an allergic reaction
American Society for Dermatologic Surgery http://www.asds.net
American Society of Plastic Surgeons http://www.plasticsurgery.org
Canadian Dermatology Association http://www.dermatology.ca
Health Canada http://www.hc-sc.gc.ca
Allergan Physician Production Information. Botox cosmetic (botulinum toxin type A). Published April 2008.
Ondo WG, Gollomp S, Galvez-Jimenez N. A pilot study of botulinum toxin A for headache in cervical dystonia. Headache . 2005;45(8):1073-1077.
Ward A, Roberts G, Warner J, et al. Cost-effectiveness of botulinum toxin type A in the treatment of post-stroke spasticity. J Rehabil Med . 2005;37(4):252-257.
11/4/2009 DynaMed Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : FDA gives update on botulinum toxin safety warnings. US Food and Drug Administration website. Available at: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm175013.htm . Updated August 3, 2009. Accessed November 4, 2009.
3/19/2010 DynaMed Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : FDA approves Botox to treat spasticity in flexor muscles of the elbow, wrist and fingers. US Food and Drug Administration website. Available at: http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm203776.htm . Updated March 9, 2010. Accessed March 19, 2010.
5/17/2012 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Jackson JL, Kuriyama A, Hayashino Y. Botulinum toxin A for prophylactic treatment of migraine and tension headaches in adults: a meta-analysis. JAMA. 2012;307(16):1736-1745.
- Reviewer: Mervin Low, MD, PC; Michael Woods, MD
- Review Date: 05/2013 -
- Update Date: 05/24/2013 -