Botox Cost, Side effects, and Dosing for Migraines, Sweating, and Incontinence. | Omudhome Ogbru, PharmD | RxEconsult
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Botox (onabotulinumtoxinA) Uses, Side Effects, Dosage Category: Pain Management by - November 4, 2011 | Views: 37502 | Likes: 0 | Comment: 0  

What are interesting facts about Botox?

  • Botox is considered the “fountain of youth”.
  • It is used for adults between the ages of 18 and 65 years for medical and cosmetic treatments.
  • Chronic headache and chronic musculoskeletal pain are other growing uses of Botox.
  • It is also used for sialorrhea (excessive salivating), spasmodic dysphonia (vocal spasms), anal fissures, reducing vaginismus (spasms of the vaginal muscles), and diabetic neuropathy (diabetic foot pain).

What is the dosage of Botox?

Botox is administered by injection. 

  • Cervical dystonia: 189-300 units divided among affected muscles; 50 units maximum injected per site.
  • Blepharospasm: An initial dose of only 1.25-2.5 units. The dose can be repeated. Doses over 5 units have no additional benefit.
  • Axillary hyperhidrosis: 50 units in each arm pit. This can be repeated after the effect diminishes.
  • Chronic migraine: 155 units (31 sites) injected every 12 weeks.
  • Upper limb spasticity: 75-360 units divided over selected sites; 50 units maximum per site; may be repeated when needed but no sooner than every 12 weeks.
  • Strabismus: An initial dose of 1.25 to 5 units per muscle. The maximum dose is 25 units per muscle.
  • Urinary incontinence: 200 units per treatment.

What are the side effects of Botox?

Common: Rash, itching, nausea, weakness, dry mouth, pain and tenderness at injection site, flu-like syndrome and fatigue, drooping of eyelids (ptosis), headache, neck pain, muscle weakness.

Serious: Allergic reactions, difficulty in swallowing (dysphagia), shortness of breath, inflammation of the cornea (keratitis), double vision, difficulty urinating, dryness in the eyes, tearing and sensitivity to light in patients treated for blepharospasm.

Botox drug interactions 

  • Muscle relaxants
  • Drugs that block acetylcholine (anticholinergic drugs)
  • Aminoglycosides

What is the cost of Botox?

Costs about $800 for 100 units.

How to obtain prescription assistance for Botox

For prescription assistance for Botox visit Allergan Patient Assistance Program.

Also Read

Cefaly and Zecuity for Treatment and Prevention of Migraine Headaches

Cefaly The First Migraine Prevention Medical Device

Is it a Sinus Headache or a Migraine

Is Caffeine a Pain Killer

References

Botox FDA Prescribing Information and Medication Guide.

 


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