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Botox injections are the best known of a group of medications that use various forms of
botulinum toxin to temporarily paralyze muscle activity. This toxin is produced by the microbe
that causes botulism, a type of food poisoning.
Noted primarily for the ability to reduce the appearance of some facial wrinkles, Botox
injections are also used to treat such problems as repetitive neck spasms (cervical dystonia),
excessive sweating (hyperhidrosis), overactive bladder and some causes of crossed eyes.
Botox injections may also help prevent chronic migraines in some people.
While Botox was the first drug to utilize botulinum toxin, newer products include Dysport,
Myobloc and Xeomin. Each product is a little different, particularly when it comes to dosage
units, so they aren't interchangeable.
Why it's done
Botulinum toxin injections block certain chemical signals from nerves, mostly signals that cause
muscles to contract. The most common use of these injections is to temporarily relax the facial muscles
that underlie and cause wrinkles, such as:
Risks
Botox injections are relatively safe when performed by an experienced doctor. The most common side
effects include swelling or bruising at the injection site, headache or flu-like symptoms. If the injections
aren't placed correctly, the medication may spread into adjacent tissues and cause problems such as:
Eyelid droop
Cockeyed eyebrows
Crooked smile
Dry eye or excessive tearing
Although very unlikely, there is a possibility that the effect of botulinum toxin may spread to other parts
of the body and cause botulism-like signs and symptoms. Call your doctor right away if you notice any
of these effects hours to weeks after receiving Botox:
Muscle weakness all over the body
Vision problems
Trouble speaking or swallowing
Trouble breathing
Loss of bladder control
Doctors generally recommend against using Botox when you're pregnant or breast-feeding, since the
effects on the baby aren't known.
Select your doctor carefully
Botox must be used only under a doctor's care. It can be dangerous if it's administered incorrectly. Ask
for a referral from your primary care doctor or look for a doctor who specializes in your condition and
who has experience in administering Botox treatments. A skilled and properly certified doctor can
advise you on the procedure and can help determine if it best suits your needs and health.