Can Anyone Tell Me Why 12 Units of Botox in my Frontalis Takes Effect Within 20 Minutes?
I have had botox in my frontalis muscles 3x. Approximately 20 minutes after each time, my frontalis muscles are paralyzed. The prescribing information indicates effect takes 3+ days on average. I am of Basque origin, a population that has a higher than normal rate of pseudocholinesterase deficiency (PD). Could this be the reason even though botox mechanism of action is presynaptic and the literature that I found speaks to PD complications occurring w drugs that act @ the neuromuscular junction?