Possible Side Effects Of Botox Injections For Migraine
Although Botox cosmetic has already been approved by the FDA for treating chronic migraines, it still comes with different common and serious side effects. Patients need to get the injectable from a trusted provider to avoid serious complications.
Mild and Common Side Effects
Botox might cause mild side effects for patients too, just like other medications used for preventing headaches. Most of these common side effects are temporary, lasting only for a few days up to weeks. But if the symptoms worsen or last much longer, its better to consult a doctor about the situation so that they may alter the medication plan. Some of the most common mild side effects of Botox injections are drooping eyelid, muscle spasm, neck pain, and pain at the injection site.
Serious and Long-Term Side Effects
Although theyre rare cases, patients might also have an allergic reaction to the Botox injection. The neurotoxin might cause life-threatening complications that prevent them from breathing and swallowing. Blindness might also occur if the Botox is incorrectly injected around the eye area. Remember to contact a physician right away if the patient develops serious side effects after getting Botox injections for migraines.
Read more: Using Botox for Migraine: Side Effects of the Treatment
How Does This Product Compare To Botox
While these products are similar, Botox is used more widely to treat dynamic wrinkles in various areas of the face, while Dysport is used primarily to correct glabellar lines in the brow region. This treatment is proven to deliver results slightly faster than Botox, which often takes 1-2 weeks to fully restrict muscle movement.
In addition, this treatment offers results lasting 1-2 months longer than Botox on average due to slight differences in the product formulation. Our doctor can help you decide which product will best meet your needs during your initial consultation at our professional practice.
What Can You Expect
Botox injections should only be done in the office of a doctor. Botox injections can be given by a dermatologist, plastic surgeon, or a physician or doctor who has received special training in Botox injections.
Your doctor may use an anesthetic to numb the injection location first. This aids in the relief of any pain or discomfort. After that, a small dose of Botox will be injected.
One of the most appealing aspects of Botox is the lack of downtime following injections. You can resume your normal activities right away because this isnt surgery.
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Safe And Effective Botox Therapy For Migraine At Anu Aesthetics
Looking for a trusted Botox provider around Kansas? aNu Aesthetics is the premier wellness and aesthetics clinic in Kansas City that offers safe and effective Botox injections for both cosmetic and medical purposes. Our team of highly trained staff led by Dr. Cristyn Watkins has a good reputation for delivering quality results and providing the best preventive treatment for every chronic migraine patient.
Here at aNu Aesthetics, we want to promote self-care, well-being, and optimal health among our patients through personalized care and services. Find out if youre a good candidate for Botox therapy for migraines by calling us at to book an appointment.
With just a few simple injections, our providers can erase your wrinkles and fine lines in no time with Botox. Call us today to book your appointment.
Who Is Not A Good Candidate For Botox Treatment
There are some people who should not get Botox for migraine attacks or for any other reason.
You arent a good candidate for Botox if any of the following apply to you:
- known sensitivity or allergy to botulinum toxin
- signs of infection at or near the injection site
- neurological conditions that make you more prone to muscle weakness, such as amyotrophic lateral sclerosis or myasthenia gravis
- youre pregnant or breastfeeding
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Is There A Needle Size And Saline Dilution That You Find Most Useful
The ideal needle to use is a 30G or 31G, half-inch needle. Longer needles are problematic as they encourage deeper injections, which can increase the risk of muscle weakness, and most of the side effects such as neck pain stem from muscle weakness. Perseverative-free normal saline is the only diluent that should be used. There is a case study of a patient who died when onabotulinumtoxinA was mixed with a local anesthetic agent. The pivotal trial established an effective dose using 2 mL/100 units of onabotulinumtoxinA. A fact that is often overlooked is that the mean dose in the trial was 165 units. The patients all received 155 units with a fixed dose, fixed-site injection protocol, and an option of an additional 40 units to follow the pain. This resulted in a mean dose of 165 units, which is the standard that should be used to achieve the efficacy results reviewed above.
Is Using Botox Better Than Reliance On Oral Medications
Botox is an excellent treatment option for patients for whom oral pain medication has previously been the only option. Botox injections are extremely localized and do not have many of the more serious implications as consistent reliance on pharmaceuticals. Botox injections are not associated with fatigue, dizziness, sedation, or addiction. If you have previous relied on prescription medications to manage your chronic neck pain, Botox may be the better answer to your pain management needs.
If you live in the Mesquite, Frisco and DeSoto, TX areas and are suffering with chronic neck pain, contact OmniSpine Pain Management today to schedule an appointment with one of our experienced pain specialists. We are proud to offer Botox injections as a safe and minimally invasive treatment option for people suffering from chronic neck pain or spasticity.
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Will I Have Side Effects If I Stop Using Botox
Stopping Botox treatment doesnt cause unique side effects. But as the amount of the drug in your body decreases, symptoms of the condition you were using Botox to treat may develop.
Botoxs effects usually wear off by about 12 weeks after your last dose. Sometimes this can result in your condition coming back. For example, chronic migraine headaches may get worse than they were prior to Botox treatment after you stop the drug.
If you have questions about stopping Botox, talk with your doctor. They can discuss how stopping treatment may affect your condition.
Learn more about some of the side effects that Botox may cause.
How Many Injections Do You Need
Botox appointments are typically performed inside a doctors office for about 30 minutes. Patients dont need to prepare anything, but theyre often asked to avoid taking certain medications that might affect the migraine treatment a few days before the appointment.
The physician might apply a topical anesthetic on the skin to numb the area if the patient requests it. The Botox is injected using a small needle on different parts of the neck and head where the patient feels headache pain. The exact number of units injected varies per patient, but the average dosage is 155 units divided into 31 injections across 7 specific head and neck areas.
Each botulinum toxin injection feels like a slight pinch on the skin, but its tolerable for most patients. Theyre also allowed to return home immediately after the appointment, but they might need assistance from a friend or family member.
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Botox Fatalities: Is An Overdose Possible
In 2009, the U.S. Food and Drug Administration issued a warning that the effects of the botulinum toxin may spread from the area of injection to other areas of the body, potentially causing life-threatening swallowing and breathing difficulties.
These symptoms have mostly been reported in children with cerebral palsy being treated with botulinum toxin for muscle spasticity, a use of the drugs that has not been approved by FDA.
Rest assured that no one has ever died from Botox for cosmetic purposes. The amount of neurotoxin administered is measured in units, with one unit being calculated as the dose required to be toxic for 50% of medical mice.
The estimated lethal dose in humans is approximately 2,500-3,000 units, which obviously would never be administered in clinical practice. Typical doses for clinical application vary from 4 to 25 units for cosmetic purposes, and up to 300 units for therapeutic purposes muscle spasticity, nerve overactivity, chronic migraine headaches, TMJ Pain, and so forth.
Even at a higher dose of over 360 cumulative units within a 3 month period, research has shown that patients undergoing therapeutic treatment for nerve over activity and lower limb spasticity experienced no life-threatening complications. The most adverse complications shown were general muscle weakness and leg pain that subsequently dissipated on its own.
Can Botox Make Cervical Dystonia Worse
Its unlikely. In a clinical trial, worsening cervical dystonia wasnt reported as a side effect.
However, between Botox injections, you may notice cervical dystonia symptoms coming back, especially the longer it is from your last dose.
In the trial, most people who received Botox injections reported that their cervical dystonia returned to pretreatment status about 3 months after their last dose. Botox treatment seemed to be most effective at easing symptoms of cervical dystonia 6 weeks after the injections were given.
If Botox injections dont seem to be easing your cervical dystonia symptoms, talk with your doctor. Theyll help determine the best treatment for your condition.
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How Well Botox Works
A clinical study showed the effectiveness of Botox injections as a treatment for cervical dystonia.
People in this study received injections of either Botox or a placebo into the affected muscles. The researchers wanted to see if Botox was better than the placebo at improving peoples scores on the Cervical Dystonia Severity Scale. This is a 54-point scale on which a higher score indicates more severe problems with head position.
The researchers found that people who received Botox injections had more significant decreases in their scores than people who received placebo injections.
Guidelines from the American Academy of Neurology recommend Botox as a first-line treatment for cervical dystonia. This means that Botox would be the first treatment that a doctor would prescribe for the condition.
Botox is approved by the Food and Drug Administration to treat cervical dystonia in adults.
Learn How Botox Can Help With Your Neck Pain
by HPI® Staff | Feb 8, 2021 | Pain Relief
More than just erasing brow furrows, a shot of Botox may be able to help you reduce pain specifically, neck pain. Used in combination with physical therapy, it may be possible to significantly reduce chronic neck pain through the use of Botox injections. It is, in fact, successfully accomplished on a frequent basis.
Long used to treat uncontrolled muscle contractions and to relax muscles, a form of botulinum toxin type A therapeutic Botox has been used. Any number of medical conditions can cause these types of muscle contractions. Most people are already familiar with cosmetic Botox to reduce wrinkles as a facial treatment.
Past research strongly suggested that, to help treat chronically contracted muscle pain, in addition to physical therapy, therapeutic Botox would be extremely useful. Today, numerous types of pain are being successfully treated through the use of Botox.
Below, we are going to explore Botox for neck pain.
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How To Avoid Neck Pain And Other Botox Side Effects
Botox has made a world of difference for many chronic migraine patients when it comes to reducing the severity and frequency of migraine attacks. Only a handful of patients experience side effects, but its possible to avoid these complications altogether by following a few precautions. Here are some of the best ways to prevent neck pain and other Botox side effects for migraine patients:
Will Botox Work To Treat My Migraines
Individual results may vary, so theres no way to know for sure. But theres strong reason to believe that it might.
Multiple studies have shown that treating chronic migraines with Botox means fewer headache days each month when compared with placebo. It may take 10 to 14 days for the result of the Botox to start to take effect.
Some people dont respond to this type of treatment for migraine, and it typically takes two treatment cycles to figure out if youre one of them.
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Who Are Appropriate Candidates For Botox Treatment
OnabotulinumtoxinA is the only treatment approved by the United States Food and Drug Administration for the prevention of headaches in adult patients with chronic migraine . CM assessment involves a detailed history to rule out secondary sources of headache, establish migraine features, and assess the total number of headache days. In order to diagnose migraine, the patient should have had at least five attacks that involve migraine features, as outlined below. In adults, untreated attacks usually last 4 or more hours.
A migraine requires only two of the following headache features: a unilateral distribution , pulsatile quality , moderate or severe pain , and aggravation by physical activity . In addition, to diagnose migraine, only one of the following is required: nausea or vomiting or sensitivity to light and noise.
Migraine can be subdivided depending on whether there is an aura or not and also on the frequency of the headaches.
Serious Side Effects Of Botox
Botox may cause serious side effects. The list below may not include all possible reported serious side effects of the drug. For more information, you can refer to Botoxs prescribing information.
If you develop serious side effects while taking Botox, call your doctor right away. If the side effects seem life threatening or if you think youre having a medical emergency, immediately call 911 or your local emergency number.
Serious side effects and their symptoms can include:
- Corneal ulceration .* Symptoms can include:
Botox is commonly prescribed to prevent headaches caused by chronic migraine. Botox also has other uses, which are summarized at the beginning of this article.
More common side effects in people taking Botox to prevent chronic migraine in clinical trials included:
Other side effects included neck pain, muscle stiffness, muscle weakness, and pain or redness at injection sites.
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Pain Swelling And Bruising
Botox is injected into the target area using very small, fine hypodermic needles, and while it doesnt always occur, bruising can result from the needle trauma to the skin. This usually resolves itself within a few days.
Some medications and supplements should be avoided to reduce the chances of bruising. Aspirin and nonsteroidal agents, such as Advil and Motrin, should not be taken for ten days prior to the treatment, says LaTrenta. Nonsteroidal anti inflammatory drugs, aspirin, ginkgo biloba, St Johns wort, ginseng, and vitamin E should also be avoided. These can be restarted several days after your Botox treatment, he adds.
Conversely, taking oral arnica or bromelain on the day of the injection can help to avoid bruises. If any bruising does occur, topical arnica can be used on the affected areas. Applying cold packs can also help alleviate any pain, swelling, or bruising.
The amount and duration of swelling depends on where the Botox injection is performed, as well as individual tolerance. For example, some patients are just more likely to bruise, says Katz. In my experience, swelling is rare, but if it does occur, it goes away in a few hours.
Is Botox The Right Treatment For Your Migraine
While there are enough studies to prove the safety and effectiveness of Botox for relieving chronic headache and migraine, it might not be the best procedure for everyone. Chronic migraine sufferers arent qualified for Botox injections if:
- Theyre allergic to botulinum toxin.
- They have a history of botulism.
- Theres an active infection near or on the injection site.
- Theyre diagnosed with a medical condition that causes muscle weakness like myasthenia gravis or amyotrophic lateral sclerosis .
- Theyre pregnant or nursing.
Its also important for patients to be aware of the important pieces of information about Botox before trying the treatment. Here are some questions to ask yourself before considering Botox for migraine:
Learn more: The Pros and Cons of Botox for Migraines
With just a few simple injections, our providers can erase your wrinkles and fine lines in no time with Botox. Call us today to book your appointment.
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More Common Side Effects Of Botox
Botox can cause certain side effects, some of which are more common than others. These side effects may be temporary, lasting a few days or weeks. But if the side effects last longer than that, bother you, or become severe, be sure to talk with your doctor or pharmacist.
These are just a few of the more common side effects reported by people who took Botox in clinical studies. These side effects can vary depending on which condition the drug is being used to treat.
More common side effects in people taking Botox for overactive bladder include:
- upper respiratory tract infection
- headache
More common side effects in people taking Botox for strabismus include:
More common side effects in people taking Botox for urinary incontinence caused by a neurological disorder include:
- UTI
More common side effects in people taking Botox for blepharospasm associated with dystonia include:
- drooping eyelids
- eye inflammation
More common side effects in adults taking Botox for spasticity of the bladder include:
- pain in the extremities, such as hands or feet
More common side effects in children taking Botox for spasticity of the bladder include:
- upper respiratory tract infection
More common side effects in people taking Botox for chronic migraine include:
- neck pain
- headache
For more information about the conditions that Botox can be used to treat, see this article.
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