Botox

Botox is used for:

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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
• 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), heart problems, bleeding disorders, seizures, or severe weakness or wasting of the muscles at the injection site
• if you have inflammation, scarring, or other skin disorders at the injection site

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 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.
• 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 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 eyes; dry mouth; eye irritation; facial pain; flu-like symptoms; headache; inability to focus eyes; increased cough; nausea; neck pain; pain, redness, swelling, or tenderness at the injection site; runny nose; sensitivity to light; sweating; upset stomach; weakness of the muscles at or near the injection site.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bleeding at the injection site; chest pain; difficulty swallowing; drooping of the upper eyelid; eyelid swelling; fever; irregular heartbeat; paralysis; pneumonia; seizures; shortness or breath; speech changes or problems; unusual weakness; vision changes.

This is not a complete list of all side effects that may occur. If you have questions or need medical advice about side effects, contact your doctor or health care provider. You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or 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/findyour.htm), or emergency room immediately. Symptoms may include body weakness; paralysis.

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.

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