Indication :
- The medicine contains an active ingredient, Clostridium botulinum toxin type A, which causes muscles to relax. It works at the junction between nerves and muscles, preventing the release of a chemical messenger called acetylcholine from the nerve endings. This prevents the muscles from contracting. The muscle relaxation is temporary and gradually decreases.
- For some people, the appearance of wrinkles on the face is stressful. The product can be used in adults under 65 years of age to temporarily improve the appearance of moderate to severe glabellar lines (vertical wrinkles on the forehead between the eyebrows) and side eye wrinkles (crow’s feet). become.
Dosage :
- The medicine may only be used by doctors with appropriate qualifications who have the appropriate experience in this treatment and have the necessary equipment.
- The recommended dose is
- for glabellar wrinkles: 50 units; 10 units of this are injected into each of the 5 injection sites on your forehead in the area above the nose and eyebrows.
- for side eye wrinkles: 60 units; 10 units of this are injected into each of the 6 injection sites in the crow’s feet areas of both eyes.
- The units used for different botulinum toxin preparations are not the same.
- These units cannot be transferred to other botulinum toxin preparations.
- The effects of the treatment should be noticeable within a few days after injection.
- The interval between treatments is determined by your doctor. You should not have the treatment more often than every 12 weeks.
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- The product is not indicated for patients under 18 years of age.
- If you received more than you should
- If you have received more than you need, muscles other than those that received the injection will begin to show weakness. This does not happen immediately. If this occurs, please speak to your doctor immediately.
- If you have any further questions about using the medicine, ask your doctor or pharmacist.
Way :
- Your doctor will prepare and give you the injections. One vial may only be used for you and for a single treatment session.
Side effects :
- Like all medicines, this can cause side effects, although not everyone gets them.
- See a doctor urgently,
- if you have difficulty breathing, swallowing or speaking,
- if your face swells or your skin becomes red, or if you get an itchy, lumpy rash. This may mean you are having an allergic reaction.
- Tell your doctor if you notice any of the following side effects:
- For glabellar wrinkles:
- Very common (affects more than 1 in 10 people)
- Redness, swelling, irritation, rash, itching, tingling, pain, discomfort, stinging or bruising at the injection site
- Headache
- Common (affects 1 to 10 people in 100)
- Tired eyes or blurred vision, drooping of the upper eyelid, swelling of the eyelid, watery eyes, dry eyes, twitching of muscles around the eyes
- Temporary facial paralysis
- Uncommon (affects 1 to 10 people in 1,000)
- Visual disturbances, blurred or double vision
- dizziness
- Itching, rash
- Allergic reaction
- Eye movement disorder
- Rare (affects 1 to 10 people in 10,000)
- Itchy and nodular rash
- Very common (affects more than 1 in 10 people)
- For side eye wrinkles:
- Common (affects 1 to 10 people in 100)
- Headache
- Swelling of the eyelid
Bruising, itching and swelling around the eyes - Drooping of the upper eyelid
- Temporary facial paralysis
- Uncommon (affects 1 to 10 people in 1,000)
- Dry eyes
- Common (affects 1 to 10 people in 100)
- Most often, these side effects occurred within the first week after the injections and did not last long. They were usually mild to moderate.
- Very rarely, side effects occurring in muscles other than those treated have been reported following the use of botulinum toxin. These included excessive muscle weakening and difficulty swallowing due to coughing and choking when swallowing (if food or liquid gets into your airways when you swallow, respiratory illnesses such as pneumonia may occur). If this happens, please inform your doctor immediately.
- For glabellar wrinkles:
- If you notice any side effects, contact your doctor. This also applies to side effects that are not specified.
Interactions :
- Use together with other medicines
- Tell your doctor if you are taking, have recently taken or might take any other medicines, as the preparation may affect other medicines, especially
- Antibiotics for an infection (e.g. aminoglycoside antibiotics such as gentamicin or amikacin) or
- other muscle relaxants.
- Tell your doctor if you are taking, have recently taken or might take any other medicines, as the preparation may affect other medicines, especially
- Use with food and drinks
- You can receive the injections before or after eating and drinking.
Contraindications :
- The medicine must not be used
- if you are allergic to Clostridium botulinum toxin type A or any of the other ingredients of this medicine,
- if you have inflammation at the intended injection site,
- if you have myasthenia gravis, Eaton-Lambert syndrome or amyotrophic lateral sclerosis.
Pregnancy and breastfeeding :
- If you are pregnant, trying to become pregnant or breastfeeding, ask your doctor for advice before taking any medicine.
- pregnancy
- You should not receive the product during pregnancy.
- lactation
- Treatment is not recommended if you are breastfeeding.
Patient information :
- Warnings and Precautions
- You must inform your doctor before the injection
- if you have neuromuscular diseases,
- if you often have difficulty swallowing when eating (dysphagia),
- if you often have problems with food or drink getting into your windpipe, causing you to cough or be unable to breathe
- if you have inflammation at the intended injection site,
- if the muscles at the intended injection site are weak,
- if you have a blood clotting disorder, e.g. B. you have hemophilia (hereditary bleeding disorder caused by clotting factor deficiency), which means you bleed for longer than normal,
- if you have had facial surgery or are likely to have facial surgery or another type of surgery soon,
- if you have already had other botulinum toxin injections,
- if you have not experienced any significant improvement after your last treatment with botulinum toxin.
- This information will help your doctor make an informed decision about the risks and benefits of your treatment.
- Special warnings
- Very rarely, the effects of botulinum toxin can cause weakness in muscles distant from the injection site.
- When botulinum toxins are used at intervals of more than 12 weeks or in higher doses to treat other diseases, antibody formation has been observed in rare cases in patients. The formation of neutralizing antibodies may reduce the effectiveness of treatment.
- If you consult a doctor for any reason, please be sure to inform them that you have been treated with this product.
- Children and young people
- the medicine is not indicated for use in people under 18 years of age.
- You must inform your doctor before the injection
- Ability to drive and use machines
- After treatment you may experience temporary blurred vision or muscle weakness. If this happens to you, do not drive or use machines.
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