WHO IS A CANDIDATE FOR BOTOX INJECTIONS

BOTOX® is for adults with Chronic Migraine with 15 or more headache days a month, each lasting 4 hours or more. BOTOX® therapy is not approved for adults with migraine who have 14 or fewer headache days a month.

WHAT TO EXPECT ON YOUR FIRST INJECTION VISIT

Prior to the procedure you will be asked to sign a consent agreeing to two initial treatments. This is because clinical trials indicate that patients may not see benefit until after the second treatment. The second portion of the consent will agree to covering the portion of the Botox that insurance does not cover. You will then sign consent for the treatment itself.

THE PROCEDURE

  • Botox® treatment is injected into 7 key areas of the head and neck for a total of 31 injections1
  • The FDA-recommended dose for each BOTOX® treatment session is 155 Units1
  • The needles used are small and feel like tiny pinpricks; you may experience mild discomfort.
  • It may take several weeks to see a response with BOTOX.®1
  • In clinical trials, after 2 treatments (at 24 weeks), BOTOX® was proven to reduce headache days each month compared to placebo-injection1,6
  • Following the injections you will be given a headache diary to fill out for the next 3 months. THIS MUST BE RETURNED ON THE DAY OF YOUR NEXT INJECTION OR YOU WILL HAVE TO RESCHEDULE.

 

POST PROCEDURE INSTRUCTIONS AND SIDE EFFECTS

  • Do not lie on your stomach, rub your face, drink alcohol, or exercise for 6 hours to avoid some of the complications.
  • The most common side effect patients experienced in Chronic Migraine clinical studies was neck pain, experienced by 9% of BOTOX® patients (vs 3% in   placebo).1
  • Other mild side effects may 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.

 

WHEN TO CALL US

  • Please call if you have problems swallowing, speaking, or breathing, This can be 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
  • Please call if you notice 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

 

FOLLOW UP VISIT

  • Your follow up visit will be scheduled about 6-8 weeks after your second injection. This will allow us to adequately assess the efficacy of the therapy.