What’s BOTOX
treatment like?

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BOTOX® treatment is injected by a healthcare provider – one who is experienced in treating Chronic Migraine with BOTOX®.

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Injections take about 15 minutes, are done in your doctor’s office, and you can go home right after. It’s a small needle; injections feel like tiny pinpricks.

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You start with 2 treatments, 12 weeks apart—a proven way to see how well BOTOX® works for you. (You may feel results as soon as 4 weeks after treatment.)

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You continue with one treatment session every 12 weeks thereafter (or as recommended by your doctor).

What’s an appointment like?

Hear from people like you:

“It’s totally worth the 15 minutes of going in and getting the injections knowing that the treatment lasts for 12 weeks.”

Why is seeing a headache specialist important?

  • Experts recommend seeing a specialist because he or she is experienced in injection techniques
  • You may be thinking: why 31 injections? It’s because there are proven sites on the neck and head where BOTOX® is injected to make its full impact. Remember, it’s a very fine needle and injections are into shallow muscles of the head and neck (just beneath the skin)
  • A specialist injects BOTOX® into 7 key muscle areas of the head and neck (31 injections total), once every 12 weeks.
  • With proper injections, you could have fewer headaches and migraines. On average, BOTOX® prevents 8 to 9 headache days and migraine/probable migraine days a month (vs 6 to 7 for placebo)

What do injections feel like?

Hear from people like you:

“Getting my injections…it feels like a tiny pinch or pinprick.”

The difference between a BOTOX® Specialist and a headache specialist

BOTOX® SPECIALIST

A BOTOX® Specialist understands the full nature of Chronic Migraine. They are doctors who are experienced in using BOTOX® as a treatment to prevent headaches and migraines before they even start

HEADACHE SPECIALIST

Headache specialists can be neurologists, pain doctors, or even primary care physicians. Some, but not all, headache specialists have experience using BOTOX® for the treatment of Chronic Migraine

IMPORTANT SAFETY INFORMATION

BOTOX® may cause serious side effects that can be life threatening. 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 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, trouble saying words clearly, loss of bladder control, trouble breathing, trouble swallowing.
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.

BOTOX® may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of taking BOTOX®. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Do not receive BOTOX® if you: are allergic to any of its ingredients (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, including itching, rash, red itchy welts, wheezing, asthma symptoms, or dizziness or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX® should be discontinued.

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

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; 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 (it is not known if BOTOX® passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® with certain medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you received BOTOX® in the past.

Tell your doctor if you 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 (tell your doctor exactly which product you received); have recently received an antibiotic injection; take muscle relaxants; take allergy or cold medicines; take sleep medicine; take aspirin-like products or blood thinners.

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

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.

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).

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