Why Cant I have Botulinum?

You may have finally decided to take the plunge and make 2018 the year that you give Botulinum a try.  You’ll be glad you did-Botulinum (Btx) injection is a safe and effective procedure and over the last number of decades, thousands of people around the world have used it to successfully treat wrinkles and a number of medical conditions.

Unfortunately, however, Btx isn’t for everyone.  Some people are just not suitable for Btx.  When you attend for Btc, your doctor will go through a list of questions with you to make sure that Btx is the right option for you and, most of all,. to make sure it’s safe for you.  Some of the reasons you might not be allowed to have Btc are listed below:

  • Age:  Although Btx can, and has, been used for medicinal purposes in young people and even in small children, we don’t administer Btx injections to anyone under the age of 25 years.
  • Neuro-muscular disorders: Btx is contra-indicated in people who have certain neuro-muscular disorders.  These include Myasthenia Gravis, Amyotrophic Lateral Sclerosis, Multiple Sclerosis and Eaton-Lambert Syndrome.
  • Allergy:  Known allergy to Btx or any of the components of the Btx injection is a contra-indication to its use.
  • Pregnancy:  There are no reliable data about the safety of Btx in either pregnant women or the unborn child.  There have been instances where Btx has been administered to women in the very early stages of pregnancy (sometimes even before they were aware that they pregnant) and in these cases, no harm to mother or child has been reported.  Nonetheless, Btx is absolutely contra-indicated in pregnant women and in breastfeeding mothers.
  • Medications:  Btx could possibly interact with certain drugs.  You must always tell your physician about any  medications you are taking, even over-the-counter medications.  Some medications can potentially increase the effect of Btx such as amino-glycosides, cyclophosphamides, d-penicillamine, some muscle relaxants, amino-quinolones and chloroquine can inhibit, or decrease, its effect.
  • Bleeding disorders: Btx is injected.  Therefore, if you have a bleeding disorder or if you are taking medications that can increase your risk of bleeding, Btx may not be for you.  Talk to your physician about this; it may be that the medication you are taking would merely cause a small amount of extra bruising and you may be willing to accept this.  Bruising, if it occurs, typically tends to be worse around the crows feet area so this area may be best avoided if you are taking aspirin, warfarin or other anti-coagulants.
  • Body dysmorphism: Body dysmorphism is an illness that causes sufferers to be obsessively pre-occupied with real or imaginary defects in their appearance.  Usually, such defects appear relatively minor to others but to the sufferer they are very disfiguring. Btx cannot treat this disorder, which requires specialist intervention.

This information is not a substitute for medical advice.  Always consult your doctor.