Frequently Asked Questions (FAQ)

Expand All +

BOTOX® and Chronic Migraine

What is BOTOX®?

BOTOX® (onabotulinumtoxinA) is part of a group of drugs known as biologics—biologic medicines are made from living things. BOTOX® is a purified protein that is made from a type of bacteria called Clostridium botulinum type A.¹

MORE
Who makes BOTOX®?

BOTOX® therapy is made only by Allergan—a US-based specialty drug and medical device company offering innovative products in approximately 100 countries. Allergan is committed to significant and ongoing investment in research and development to pursue discoveries and treatments.

How to be sure I am receiving authentic BOTOX®?

Allergan takes many steps to ensure that the distribution of BOTOX® (onabotulinumtoxinA) is safe and effective for patients.

MORE
How is BOTOX® treatment given to appropriate Chronic Migraine patients?

BOTOX® is injected by a doctor into 7 specific areas in the head and neck with very fine needles. A complete injection pattern has 31 total injections.¹ Learn more about getting started with BOTOX®.

What are the side effects with BOTOX®?

The most common side effect seen in Chronic Migraine clinical trials was neck pain, experienced by approximately 9% of people in the BOTOX® group vs 3% in placebo group.

MORE
What serious and/or immediate allergic reactions have been reported?

These reactions include itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you experience any such symptoms; further injection of BOTOX® should be discontinued.

How often will I need BOTOX® treatment?

BOTOX® injections are given every 3 months by your doctor. Your doctor will decide if you need an ongoing therapy.¹

Can I still take acute medication for my migraines once I begin BOTOX® treatment?

BOTOX® is a preventive medication for headaches in adults with Chronic Migraine.

MORE

Chronic Migraine

What’s the difference between chronic migraines and Chronic Migraine?

Frequent or re-occurring migraines may often be referred to as chronic, or “chronic migraines.”

MORE

Patient assistance programs

Am I able to get assistance for costs associated with BOTOX®?

Allergan, the maker of BOTOX®, is committed to helping you receive timely and appropriate treatment.

MORE

NEXT:  Watch Patient Stories

Indication
BOTOX® is a prescription medicine that is injected to prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older.

It is not known whether BOTOX® is safe or effective to prevent headaches in patients with migraine who have 14 or fewer headache days each month (episodic migraine).

IMPORTANT SAFETY INFORMATION
BOTOX® may cause serious side effects that can be life threatening. Call your doctor or get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX®:

  • Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are pre-existing before injection. Swallowing problems may last for several months

  • Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms including: loss of strength and all-over muscle weakness, double vision, blurred vision and drooping eyelids, hoarseness or change or loss of voice (dysphonia), trouble saying words clearly (dysarthria), loss of bladder control, trouble breathing, trouble swallowing. If this happens, do not drive a car, operate machinery, or do other dangerous activities

There has not been a confirmed serious case of spread of toxin effect away from the injection site when BOTOX® has been used at the recommended dose to treat chronic migraine.

Do not take BOTOX® if you: are allergic to any of the ingredients in BOTOX® (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc®(rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

The dose of BOTOX® is not the same as, or comparable to, another botulinum toxin product.

Serious and/or immediate allergic reactions have been reported. These reactions include itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Tell your doctor or get medical help right away if you experience any such symptoms; further injection of BOTOX® should be discontinued.

Tell your doctor about all your muscle or nerve conditions such as amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects including severe dysphagia (difficulty swallowing) and respiratory compromise (difficulty breathing) from typical doses of BOTOX®.

Human albumin and spread of viral diseases. BOTOX® contains albumin, a protein component of human blood. The potential risk of spreading viral diseases (eg, Creutzfeldt-Jakob disease [CJD]) via human serum albumin is extremely rare. No cases of viral diseases or CJD have ever been reported in association with human serum albumin.

Tell your doctor about all your medical conditions, including if you: have or have had bleeding problems; have plans to have surgery; had surgery on your face; weakness of forehead muscles, such as trouble raising your eyebrows; drooping eyelids; any other abnormal facial change; are pregnant or plan to become pregnant (it is not known if BOTOX® can harm your unborn baby); are breastfeeding or plan to breastfeed (it is not known if BOTOX® passes into breast milk).

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 serious 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 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (be sure your doctor knows exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take anti-platelets (aspirin-like products) or anti-coagulants (blood thinners).

Other side effects of BOTOX® include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, and eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, and dry eyes.

For more information refer to the Medication Guide or talk with your doctor.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see BOTOX® full Product Information including Boxed Warning and Medication Guide.

References:

  1. BOTOX® Prescribing Information, January 2013.
  2. Lipton RB. Chronic migraine, classification, differential diagnosis, and epidemiology. Headache. 2011;51(suppl 2):77S-83S.

®marks owned by Allergan, Inc.   APC57DN13

Dysport is a registered trademark of Ipsen Biopharm Limited.
Myobloc is a registered trademark of Solstice Neurosciences, Inc.
Xeomin is a registered trademark of Merz Pharma GmbH & Co. KGaA.

Allergan

©2013 About Allergan | Sitemap | Other BOTOX® Uses | Privacy and Terms | Contact Us | Unsubscribe

This site is intended for US consumers only. No information on this site is provided with the intention to give medical advice or instructions on the accurate use of Allergan products. Allergan cannot answer unsolicited emails requesting medical advice; visitors should always consult a healthcare professional. Please visit the Allergan site for your country of residence for information concerning Allergan products and services available there.