This medication is an injectable neuro-toxin, indicated for spasms (involuntary muscle contractions) of neck, upper arm, eye or eyelid, as well as increased sweating in the armpits. 

Hypersensitivity to any ingredient in the formulations.

Intradermally - Inject 50 units (2 mL of reconstituted solution) intradermally into defined hyperhidrotic area in 0.1 to 0.2 mL aliquots to each axilla evenly distributed in multiple sites (10 to 15) approximately 1 to 2 cm apart. Administer repeat injections when clinical effect of previous injection diminishes.

This injection comes as a powder to be mixed with a liquid and injected into the muscle or into the skin by healthcare provider.

• Use same brand of botox.

• Caution should be exercised in patients with history of eye or face surgery, bleeding problems, seizures, hyperthyroidism, heart disease.

• It may cause loss of strength or muscle weakness. Do not drive a car, or operate machinery, or other dangerous activities while taking this medication.

•  Central Nervous System: Headache, discomfort, unusual tiredness and fear.
•  Miscellaneous: Body aches or pain, chills, cough, fever, sneezing, joint pain and itching skin.

Caution needed in patients who are taking anticoagulants or with bleeding disorders.

Botox is usually handled and stored by a health care provider.