HEALTH GUIDE REFERENCE FROM A.D.A.M
Botulinum Toxin Type B (BOT-yoo-li-num TOX-in type B)
Treats symptoms of stiffness or uncontrolled muscle movements in the neck that are caused by a condition called cervical dystonia.
There may be other brand names for this medicine.
When This Medicine Should Not Be Used
You should not use this medicine if you have had an allergic reaction to any type of botulinum toxin.
How to Use This Medicine
- Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot into the muscles that you are having trouble with.
- A nurse or other trained health professional will give you this medicine. It may also be given by a home health caregiver.
- This medicine works slowly. Improvement often starts within 2 weeks after the injection. The effects usually last 12 to 16 weeks.
If a dose is missed:
- Call your doctor or pharmacist for instructions.
Drugs and Foods to Avoid
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
- Make sure your doctor knows if you are also using amikacin (Amikin®), atracurium (Tracrium®), gallamine (Flaxedil®), gentamicin (Garamycin®), kanamycin (Kantrex®), neomycin, netilmicin (Netromycin®), pancuronium (Pavulon®), streptomycin, tobramycin, tubocurarine (Tubarine®), or vecuronium (Norcuron®).
- If you need to receive an injection of any other type of botulinum toxin within 4 months after receiving this medicine, tell your doctor when you last received a dose of botulinum toxin type B.
Warnings While Using This Medicine
- Make sure your doctor knows if you are pregnant or breastfeeding.
- Make sure your doctor knows if you have a nerve or nerve-muscle disorder, such as myasthenia gravis, ALS (Lou Gehrig's disease), Lambert-Eaton syndrome, or Parkinson's disease. Tell your doctor if you have trouble swallowing.
- This medicine is made from donated human blood. Some human blood products have transmitted certain viruses to people who have received them. The risk of getting a virus from medicines made of human blood has been greatly reduced in recent years. This is the result of required testing of human donors for certain viruses, and testing during manufacture of these medicines. Although the risk is low, talk with your doctor if you have concerns.
- If you have been inactive, be careful to resume your activities slowly.
- Rarely, serious reactions have been reported within days or weeks after receiving this medicine. If you start to have muscle weakness or trouble swallowing, talking, or breathing, call your doctor right away. In some situations, these problems could be life-threatening.
Possible Side Effects While Using This Medicine
Call your doctor right away if you notice any of these side effects:
- Sudden vision changes, trouble speaking, muscle weakness, or inability to move.
- Trouble swallowing or breathing.
- Unusual muscle weakness or paralysis (may occurs several weeks after you receive this medicine).
If you notice these less serious side effects, talk with your doctor:
- Dry mouth.
- Pain where the shot is given.
- Stomach upset.
Source Doc: 45_1095