Before you begin using a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use Botox Cosmetic (Onabotulinumtoxin-a).
HEALTH CANADA ADVISORY
January 21, 2013
Health Canada has issued new restrictions concerning the use of Botox Cosmetic (botulinum toxin type A). To read the full Health Canada Advisory, visit Health Canada's web site at www.hc-sc.gc.ca.
Distant toxin spread: Very rarely, Botox Cosmetic (Onabotulinumtoxin-a) may spread to other parts of the body other than where it was injected, leading to muscle weakness, difficulty swallowing, pneumonia, speech difficulties, and breathing problems. Distant toxin spread can be fatal. If you develop severe difficulty swallowing, speaking, or breathing while using Botox Cosmetic (Onabotulinumtoxin-a), contact your doctor immediately.
Other medical conditions: People with amyotrophic lateral sclerosis, with disorders that produce a depletion of acetylcholine, or disorders that produce peripheral neuromuscular dysfunction should discuss with their doctor how Botox Cosmetic (Onabotulinumtoxin-a) may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Botox Cosmetic (Onabotulinumtoxin-a), and whether any special monitoring is needed.
Pregnancy: Botox Cosmetic (Onabotulinumtoxin-a) is not recommended during pregnancy. If you become pregnant while using Botox Cosmetic (Onabotulinumtoxin-a), contact your doctor immediately.
Breast-feeding: It is not known if Botox Cosmetic (Onabotulinumtoxin-a) passes into breast milk. If you are a breast-feeding mother and are using Botox Cosmetic (Onabotulinumtoxin-a), it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: Botox Cosmetic (Onabotulinumtoxin-a) is not recommended for children.