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Known interactions

No interactions found.

Application of Botox

Brand Name(s): Botox

Generic Name Botulinum Toxin Type A

What is botulinum toxin type A injection?

BOTULINUM TOXIN TYPE A (Botox®, Botox® Cosmetic) is used to treat crossed eyes (strabismus), twitching of the eyelids (blepharospasm), and a neurologic movement disorder known as cervical dystonia. People with cervical dystonia have contractions of the neck and shoulder muscles. This causes abnormal and sometimes painful positions. Botulinum toxin relaxes these muscles and relieves the pain. The drug also can help persons who suffer from excessive underarm perspiration. Dermatologists also use this toxin for cosmetic purposes, such as smoothing facial wrinkles. Generic botulinum toxin type A injections are not yet available.

What should my health care professional know before I receive botulinum toxin type A?

They need to know if you have any of these conditions:

  • eye infection, irritation, or damage
  • infection
  • muscle disease
  • myasthenia gravis or other neurologic disease
  • an unusual or allergic reaction to botulinum toxin type A, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I use this medicine?

Botulinum toxin type A is only for injection by a health care professional in a clinic or hospital setting.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

This does not apply.

What drug(s) may interact with botulinum toxin type A?

  • aminoglycoside antibiotics (examples: gentamicin, neomycin, tobramycin)
  • muscle relaxants

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from receiving botulinum toxin type A?

Side effects that you should report to your prescriber or health care professional immediately:

  • difficulty breathing
  • difficulty swallowing
  • speech problems
  • unusual bleeding, bruising, or swelling in or around the injection site

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

If receiving for crossed eyes or eyelid twitching:

  • drooping eyelid
  • dry eyes
  • eye irritation
  • eye pointing down or up
  • keratitis
  • sensitivity to light
  • skin rash
  • tearing
  • temporary muscle weakness or discomfort at injection site
  • trouble closing eyelid completely

What should I watch for while taking botulinum toxin type A?

It will take several days before you see the effects of botulinum toxin type A. The maximum benefit is reached in 1—2 weeks depending on the condition being treated. Effects of the injection generally last 3—4 months and then repeat treatments may be given.

After receiving the injection, resume your normal activities slowly.

If you are going to have surgery, tell your health care professional that you receive botulinum toxin injections.

Where can I keep my medicine?

Botulinum toxin type A is given only by a health-care professional in a hospital or clinic setting.


(Note: The above information is not intended to replace the advice of your physician, pharmacist, or other healthcare professional. It is not meant to indicate that the use of the product is safe, appropriate, or effective for you.)

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