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Health Canada is informing that BOTOX can kill
Health Canada is informing Canadians and Canadian health care professionals that the labelling information of
BOTOX ® and BOTOX Cosmetic ® will now include the risk of the toxin spreading to other distant parts of the
body. Possible symptoms of “distant toxin spread,” which can kill, include muscle weakness, swallowing
difficulties, pneumonia, speech disorders and breathing problems.
This review comes in light of Health Canada's recent safety review of distant toxin spread from Botox and Botox
Cosmetic products. Health Canada has worked with the manufacturer, Allergan, to revise the labelling of these
products on the Canadian market. It is important to note that there are no medically confirmed cases of distant
toxin spread related to Botox or Botox Cosmetic in Canada.
Health Canada would also like to advise Canadians using Botox and Botox Cosmetic products to seek immediate
medical care if swallowing, speech or breathing disorders arise. Canadians with a history of underlying
neurological disorders, swallowing difficulties and/or breathing problems should use these products with extreme caution.
Botox and Botox Cosmetic products should only be used under specialist supervision in those patients and should only be
used if the benefit of treatment is considered to outweigh the risk.
Botox and Botox Cosmetic, manufactured by Allergan Inc., is the only botulinum toxin products marketed in Canada. Botox
is indicated for the treatment of muscle spasms in the neck, eye and foot, muscle pain, and excessive sweating. Botox
Cosmetic is indicated for cosmetic purposes, to treat facial wrinkling.
Patients using Botox and Botox Cosmetic products should consult with their physician if they have any questions or concerns.
Health Canada will continue to monitor the safety of Botox and Botox Cosmetic products and Canadians will continue to be informed if new safety information arises.
More information on Botox and Botox Cosmetic products, including prescribing and patient information,
can be found in Health Canada's
Drug Product Database.
Health Canada's
previous advisory on Botox is also available on the Health Canada Web site.
Consumers requiring more information about this advisory can contact Health Canada's public inquiries line at (613) 957-2991, or call toll free at 1-866-225-0709.
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