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Botox, Myobloc Linked to Serious Side Effects, Deaths

In February 2007, the Food & Drug Administration (FDA) announced that Botox, Botox Cosmetic and Myobloc would undergo a safety review following reports of serious side effects, including the deaths of some children.  Botox, Botox Cosmetic and Myobloc are injectable drugs that contain botulinum toxin.  According to the FDA, most of the severe reactions occurred in children treated for limb spasticity associated with cerebral palsy, an off-label use of the drugs. 

Botox, which is made with botulinum toxin type A, is approved for treatment of conditions such as blepharospasm (spasm of the eyelids), cervical dystonia (severe neck muscle spasms), and severe primary axillary hyperhydrosis (excess sweating).  Botox Cosmetic, which also uses botulinum toxin Type A, is approved for temporary improvement in the appearance of moderate to severe facial frown lines. Myobloc, which is made from botulinum toxin Type B, is approved for the treatment of adults with cervical dystonia.

Botox, Botox Cosmetic, and Myobloc Side Effect Reports

In January 2007, the consumer advocacy group Public Citizen petitioned the agency two weeks ago to strengthen warnings on the products' labels because of serious adverse reactions. An analysis conducted by Public Citizen of FDA data found that between Nov. 1, 1997, and Dec. 31, 2006, the makers Botox, Botox Cosmetic and Myobloc had reported 180 U.S. cases of people developing serious conditions after receiving injections. Those 180 cases included 16 deaths, four of which occurred in children.

According to the FDA the Botox, Botox Cosmetic and Myobloc reactions reported resemble botulism.   The reactions have occurred when botulinum toxin spreads beyond the site where it was injected. The most serious cases had outcomes that included hospitalization and death, and occurred mostly in children treated for cerebral palsy-associated limb spasticity. Use of botulinum toxins for treatment of limb spasticity (severe arm and leg muscle spasms) in children or adults is not an approved use in the U.S. The FDA said that the adverse reactions may be due to overdosing

The reports of adult botulism cases described symptoms including patients experiencing difficulty holding up their heads, dysphagia and ptosis.  Some reports described systemic effects that occurred distant from the site of injection and included weakness and numbness of the lower extremities.  Among the adult cases that were serious, including hospitalization, none required intubation or ventilatory support. No deaths were reported. 

Legal Help

If you or a loved one has been seriously injured as a result of Botox, Botox Cosmetic or Myobloc, you have valuable legal rights.  Please fill out our online form for a free case evaluation by a qualified drug side effects attorney.

 

Botox Study Shows Migration to the Brain

Apr 3, 2008 | Parker Waichman Alonso LLP
A new Botox study indicates that the antiwrinkle treatment could actually migrate from a recipient's face to the brain.  Botox is made with botulism toxin, one of the world's most poisonous substances, which can lead to a paralyzing illness.  Word of this latest Botox study - published in the latest issue of the Journal of Neuroscience - comes just weeks after the Food & Drug Administration (FDA) announced that it was beginning a safety review of Botox and other similar...

Botox Study Finds Toxin Can Invade Other Muscles

Mar 11, 2008 | Parker Waichman Alonso LLP
Botox can migrate to other parts of the body, placing patients at risk for developing symptoms of the paralyzing illness botulism, a news study says.  The study contradicts assurances made by the maker of Botox, and comes just weeks after the Food & Drug Administration (FDA) announced that it was beginning a safety review of Botox and other similar drugs. Botox, which is made with botulinum toxin type A, is approved in the US for treatment of conditions such as blepharospasm (spasm of...

Allergan Subpoenaed Over Botox

Mar 4, 2008 | Parker Waichman Alonso LLP
The maker of Botox is facing heat over off-label use of the product.  Yesterday, Allergan Inc. said it received a subpoena from the US Department of Justice investigating the promotion of Botox.  The drugmaker said authorities were seeking documents regarding promotional, educational, and other activities relating to Botox and said it believes the subpoena is related to alleged off-label promotion of Botox to treat headaches.  Botox, best known for smoothing facial wrinkles, is...

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