Safety Issues

Avoid use of BOTOX® Cosmetic if you:

• have an infection where BOTOX® Cosmetic will be injected

• are allergic to any of the ingredients in BOTOX® Cosmetic

• are or think you might be pregnant.

You doctor should know all the medicines you are using including:

• antibiotics such as lincomycin, clindamycin and gentamicin,

• medicines for heart problems, e.g. quinidine

• medicines for other conditions, such as myasthenia gravis or Alzheimer’s disease.

• over-the-counter medicines or herbal products

Manufacturer Warnings

BOTOX® Cosmetic injections should not be given to people who have an infection where the physician proposes to inject. They should not be given to people who are known to be sensitive to any ingredient in BOTOX® Cosmetic.

Serious heart problems and serious allergic reactions have been reported rarely. If you think you’re having an allergic reaction or other reactions, such as difficulty swallowing, speaking or breathing, call your doctor immediately. The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection. Patients with certain neuromuscular disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects.

BOTOX® Cosmetic is a pharmaceutical drug administered by physicians and is available only by prescription.

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