What is Botulinum Toxin Type A?

Category: Prescription Drugs

Most popular types: Botox Botox Cosmetic

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Botulinum Toxin Type A is a neuromuscular blocker agent. It is used to treat various types of dystonia (neurological movement disorders); for blepharospasm and strabismus; for primary axillary hyperhidrosis (excessive perspiration); and it is also used for cosmetic purposes.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Migraine headaches 201 95
Dystonia 147 55
Stiffness/spasticity 105 79
Torticollis 51 14
Cerebral palsy 43 3
Excess saliva 33 14

Show all 127 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations Percentage
Severe 18
Moderate 40
Mild 101
None 195

Commonly reported side effects and conditions associated with Botulinum Toxin Type A

Side effect Patients Percentage
Injection site pain 10
Pain 8
Drooping eyelid (ptosis) 7
Swallowing difficulty (dysphagia) 6
Muscle weakness 5
Neck pain 5

Show all 93 reported side effects

Dosages

Based on patients currently taking Botulinum Toxin Type A

Dosage Patients Percentage
1 app every 3 months 2
50 units every 3 months 2
50 units every 12 weeks 2
200 mg every 12 weeks 2
1 other every 3 months 1
2 other every 3 months 1
1 other every 6 weeks 1
3 app every 3 months 1
3 mL every 3 months 1
32 other every 3 months 1

See all 24 dosages

Why patients stopped taking Botulinum Toxin Type A

Multiple reasons could be selected

Reason Patients Percentage
Did not seem to work 71
Course of treatment ended 32
Other 27
Expense 22
Side effects too severe 17
Doctor's advice 16
Personal research 8
Change in health plan coverage 3
See all 159 patients who've stopped taking Botulinum Toxin Type A

Duration

Currently taking Botulinum Toxin Type A

Duration Patients Percentage
6 months - 1 year 3
1 - 2 years 3
2 - 5 years 10
5 - 10 years 9
10 years or more 4

Stopped taking Botulinum Toxin Type A

Duration Patients Percentage
Less than 1 month 61
1 - 6 months 32
6 months - 1 year 20
1 - 2 years 11
2 - 5 years 26
5 - 10 years 4
10 years or more 8
Adherence
Adherence Evaluations Percentage
Always 275
Usually 29
Sometimes 19
Never taken as prescribed 31
Burden
Burden Evaluations Percentage
Very hard to take 32
Somewhat hard to take 72
A little hard to take 108
Not at all hard to take 142
Cost per month
Cost per month Evaluations Percentage
$200+ 38
$100-199 20
$50-99 13
$25-49 8
< $25 101
Not specified 174

What people switch to and from

Patients started taking Botulinum Toxin Type A after stopping:

Treatment Patients Percentage
Topiramate (Topamax) 14
Sumatriptan (Imitrex) 9
Butalbital-acetaminophen-caffeine (Fioricet) 4
Oxybutynin (Oxybutynin ER) 4
Rizatriptan (Maxalt) 3

Show all 33 treatments patients report switching from

Patients stopped taking Botulinum Toxin Type A and switched to:

Treatment Patients Percentage
Baclofen (Mylan-Baclofen) 2
Clonazepam (Klonopin) 2
Cortisone Injection 2
Erenumab (Aimovig) 2
Medical marijuana (Cannabidiol/Tetrahydrocannabinol Balanced Mixture) 2

Show all 20 treatments patients report switching to

Last updated:

28 patient evaluations for Botulinum Toxin Type A

Apr 11, 2018 (Started Jul 16, 2008)

  • Effectiveness
    Major (for disordered muscle tension (dystonia))
  • Effectiveness
    Major (for dystonia)
  • Effectiveness
    Major (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: same as above
Cost: < $25 monthly

Nov 4, 2017 (Started Jul 16, 2008)

  • Effectiveness
    Major (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Major (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: I receive the injections every three months. It is well worth it. It stings for a second or two, and the area is sore (nothing I can't handle) for a couple of days. The dystonia pain is extremely painful. I thank God that Botox is a wonder drug, for me. My shows t's ugly face about 2 weeks before the injections are due.dystonia
Cost: < $25 monthly

Aug 10, 2017 (Started Jul 16, 2008)

  • Effectiveness
    Major (for disordered muscle tension (dystonia))
  • Effectiveness
    Major (for foot dystonia)
  • Effectiveness
    Major (for dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: Best thing for me.
Cost: < $25 monthly

May 25, 2017 (Started Jul 16, 2008)

  • Effectiveness
    Major (for disordered muscle tension (dystonia))
  • Effectiveness
    Major (for dystonia)
  • Effectiveness
    Major (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: I don't have as many dystonia problems. I have a new doctor, injection site is a little sore for a day or two. It is worth it so I am not in agony with dystonia.
Cost: < $25 monthly

Jan 17, 2017 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: Some breakthroughs a couple of weeks before the next schedule injections.
Cost: < $25 monthly

Dec 14, 2016 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: Some breakthroughs a few weeks before scheduled dosage but it is tolerable
Cost: < $25 monthly

Oct 10, 2016 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: soreness in injection areas, but nothing compared to dystonia. It is worth having some soreness.
Cost: < $25 monthly

Sep 14, 2016 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: no changes
Cost: < $25 monthly

Jul 13, 2016 (Started Jul 16, 2008)

  • Effectiveness
    Major (for disordered muscle tension (dystonia))
  • Effectiveness
    Major (for dystonia)
  • Effectiveness
    Major (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: Same dosage. No changes from my last report
Cost: < $25 monthly

May 11, 2016 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    Somewhat hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: Very helpful. My dystonia generally shows itself around 2-3 weeks before the injections are due.
Cost: < $25 monthly

Jan 20, 2016 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for foot dystonia)
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips:  I receive the injections every three months. It is well worth it. It stings for a second or two, and the area is sore (nothing I can't handle) for a couple of days. The dystonia pain is extremely painful. I thank God that Botox is a wonder drug, for me. My shows t's ugly face about 2 weeks before the injections are due.dystonia
Cost: < $25 monthly

Nov 18, 2015 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: I receive the injections every three months. It is well worth it. It stings for a second or two, and the area is sore (nothing I can't handle) for a couple of days. The dystonia pain is extremely painful. I thank God that Botox is a wonder drug.
Cost: < $25 monthly

Sep 16, 2015 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Side effects
    Mild (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Cost: < $25 monthly

May 11, 2015 (Started Jul 16, 2008)

  • Effectiveness
    Moderate (for dystonia)
  • Effectiveness
    Moderate (for foot dystonia)
  • Effectiveness
    Moderate (for disordered muscle tension (dystonia))
  • Side effects
    Moderate (pain in injection area of calves, injection site pain, pain in leg muscle, injection site soreness)
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: I don't have as many dystonia problems. I have a new doctor, injection site more pain in leg muscle, It is worth it so I am not in agony with dystonia.
Cost: < $25 monthly

  • 0 helpful marks

Sep 15, 2017 (Started Jul 01, 2007)

  • Effectiveness
    Moderate (for migraine headaches)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 200 intl units Every 12 Weeks
Cost: < $25 monthly

Jun 7, 2017 (Started Jul 01, 2007)

  • Effectiveness
    Major (for migraine headaches)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 intl units Every 12 Weeks
Advice & Tips: Back at the 200 units every 10 weeks! Last two rounds have gotten the migraines back in control beautifully!
Cost: < $25 monthly

Jan 17, 2017 (Started Jul 01, 2007)

  • Effectiveness
    Slight (for migraine headaches)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 units Every 12 Weeks
Advice & Tips: I had been receiving 200 units for the last 4 years prior to Jan 2017. The dose got decreased to 155 units which has proven to be minimally effective. Currently the new headache clinic that I'm seeing due to an insurance change, is checking into if an exception can be offered to see if they can dose at 200 units or not.
Cost: < $25 monthly

Nov 12, 2016 (Started Jul 01, 2007)

  • Effectiveness
    Major (for migraine headaches)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 units Every 12 Weeks
Advice & Tips: I actually receive my Botox injections every 10 weeks instead of every 12. I've been getting them that frequently since summer 2013. The medication seems to wear off quicker for me than it does others. They always say it takes roughly 7-10 days to kick in, however mine typically take about 3 weeks before it kicks in. 
Cost: < $25 monthly

Aug 4, 2016 (Started Jul 01, 2007)

  • Effectiveness
    Major (for migraine headaches)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 100 units Every 12 Weeks
Advice & Tips: Generally I am sore at the injection sites for a day or so. I usually take a dose of migraine medication prior to the injections, because I have found that most times I will end up with at least a mild migraine. Definitely avoid all NSAIDS for a couple days beforehand to avoid bruising at any of the site.
Cost: < $25 monthly

Dec 17, 2015 (Started Jul 01, 2007)

  • Effectiveness
    Major (for migraine headaches)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 100 units Every 12 Weeks
Cost: < $25 monthly

  • 0 helpful marks

Oct 15, 2016 (Started Sep 15, 2014)

  • Effectiveness
    Major (for muscle spasms)
  • Effectiveness
    Major (for difficulty staying asleep)
  • Side effects
    Mild (muscle weakness)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 3 other Every 3 months
Cost: < $25 monthly

Jul 20, 2015 (Started Sep 15, 2014)

  • Effectiveness
    Moderate (for muscle spasms)
  • Effectiveness
    Slight (for difficulty staying asleep)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    A little hard to take
Dosage: 3 other Every 3 months
Advice & Tips: This time around it does not seem to be working as effectively as it did last time.
Cost: < $25 monthly

Jan 2, 2015 (Started Sep 15, 2014)

  • Effectiveness
    Moderate (for muscle spasms)
  • Effectiveness
    Major (for difficulty staying asleep)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 3 other Every 3 months
Advice & Tips: When possible, I schedule injections at least a week before travel or other significant events. I takes 3-5 days for the injection to really offer noticeable relief from spasms.

  • 0 helpful marks
Last updated:
Showing 3 of 28 patient evaluations for Botulinum Toxin Type A