Side Effects

    Read the Medication Guide that comes with BOTOX® or BOTOX® Cosmetic before you start using it and each time it is given to you. There may be new information that is important to you. This information does not take the place of talking with your doctor about your medical condition or your treatment. You should share this information with your family members and caregivers. BOTOX is not recommended for use in children younger than 18 years of age.

    Who should not take BOTOX® ?

    Do not take BOTOX® if you:

  • are allergic to any of the ingredients in BOTOX®. See the end of the Medication Guide for a list of ingredients in BOTOX? and BOTOX® Cosmetic.
  • had an allergic reaction to any other botulinum toxin product.
  • have a skin infection at the planned injection site.
  • What should I tell my doctor before taking BOTOX®?

    Tell your doctor about all your medical conditions, including if you have:

  • a disease that affects your muscles and nerves
  • had any side effect from any botulinum toxin product in the past
  • a breathing problem, such as asthma or emphysema
  • swallowing problems
  • bleeding problems
  • plans to have surgery
  • had surgery on your face
  • weakness of your forehead muscles, such as trouble raising your eyebrows
  • drooping eyelids
  • any other change in the way your face normally looks
  • are pregnant or plan to become pregnant.
  • are breast-feeding or plan to breastfeed.
  • Tell your doctor about all the medicines you take, including prescription and nonprescription medicines, vitamins and herbal products. Using BOTOX® with certain other medicines may cause side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® in the past.

    Especially tell your doctor if you:

  • have received any other botulinum toxin product in the last four months
  • have recently received an antibiotic by injection
  • take muscle relaxants
  • take an allergy or cold medicine
  • take a sleep medicine