This medicine is a neurotoxin used to reduce the severity of abnormal head position and neck pain associated with neck problems. It is also used to temporarily improve the appearance of moderate to severe lines between the eyebrows in patients 65 years old or younger. It may also be used to treat other conditions as determined by your doctor.
Follow the directions for using this medicine provided by your doctor. This medicine has a MEDICATION GUIDE approved by the U.S. Food and Drug Administration. Read it carefully. Ask your doctor, nurse, or pharmacist any questions that you may have about this medicine. This medicine is usually administered as an injection at your doctor's office, hospital, or clinic. This medicine is usually handled and stored by a health care provider. If you are using this medicine at home, STORE THIS MEDICINE as directed by your pharmacist or health care provider. KEEP THIS MEDICINE out of the reach of children and pets. IF YOU MISS A DOSE OF THIS MEDICINE, contact your doctor right away.
WARNING: This medicine may spread from the injection site to other areas of the body causing symptoms of a serious condition called botulism. These symptoms may occur hours to weeks after you receive this medicine. Symptoms may include loss of strength; muscle weakness; double or blurred vision; drooping eyelids; hoarseness; loss of voice; loss of bladder control; or trouble speaking, breathing, or swallowing. The risk may be greater in children being treated for spasticity (muscle spasms) but these symptoms may also occur in adults. This medicine is not approved for use in children. Contact your doctor immediately if these symptoms occur. Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking aminoglycosides (eg, gentamicin), anticholinesterase medicines (eg, neostigmine), lincosamides (eg, clindamycin), magnesium, muscle relaxants (eg, cyclobenzaprine), neuromuscular blockers (eg, atracurium), polymyxin, quinidine, or anticholinergics (eg, scopolamine). DO NOT START OR STOP any medicine without doctor or pharmacist approval. Inform your doctor of any other medical conditions including nerve problems or disease (eg, amyotrophic lateral sclerosis, motor neuropathy); muscle problems or disease (eg, myasthenia gravis, Lambert-Eaton syndrome); bleeding disorders; diabetes; seizures; a history of heart problems (eg, irregular heartbeat, recent heart attack); swallowing or breathing problems (eg, asthma); eye problems (eg, glaucoma); allergies (including cow's milk), pregnancy, or breast-feeding. Tell your doctor if you have a skin infection, inflammation, scarring, or other skin disorders at the injection site; if you have severe weakness or wasting of the muscles at the injection site (eg, trouble raising your eyebrows, drooping eyelids);or if you have had a change in the shape of your face. Tell your doctor if you have had surgery on your face, or if you are planning to have any type of surgery; or if you have received this medicine or any other botulinum toxin in the past 4 months. Tell your doctor if you take allergy or cold medicine, or a medicine to help you sleep. USE OF THIS MEDICINE IS NOT RECOMMENDED if you have an infection at the injection site. Discuss with your doctor the risks and benefits of giving this medicine to your child. Contact your doctor or pharmacist if you have any questions or concerns about taking this medicine.
SIDE EFFECTS that may occur while using this medicine include dry mouth; fatigue; headache; nausea; neck pain; pain, redness, swelling, or tenderness at the injection site; sinus inflammation; sore throat; or stiff or weak muscles at or near the injection site. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience bleeding at the injection site; difficulty swallowing or breathing; dizziness; drooping of the upper eyelid; eyelid swelling; fainting; loss of bladder control; loss of strength; facial paralysis; seizures; severe or persistent muscle weakness; shortness of breath; slow heartbeat; speech changes or problems; vision changes or problems (eg, double or blurred vision, inability to focus the eyes, decreased vision); or wheezing. AN ALLERGIC REACTION to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; or unusual hoarseness. This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
IF OVERDOSE IS SUSPECTED, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe muscle weakness or paralysis. Symptoms may not occur for up to several weeks after an overdose.
DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. CHECK WITH YOUR PHARMACIST about how to dispose of unused medicine.