Insomnia and anxiety after Botox

I had Botox done 6 times. The first 3 times I had no side effects. The latest 3 times, I got a wicked sinus infection, and an insomnia that's so bad, even 6 over the counter sleeping pills can't do anything. I also have a general feelng of weirdness and anxiety. I've done about 18 units each time. I need to get it done again, but can't go through another month of that after these side effects subside. A lot of people on message boards have experienced the same thing. What are my options here?

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7 answers to “Insomnia and anxiety after Botox”

A: The liquid in which Botox was diluted could be a problem

Ronald Shelton, MD

Ask one of the doctors who has treated you to contact Allergan, the company who distributes the Botox Cosmetic. The doctor can ask the company if they are aware of similar reports and if they have any idea why you might be getting your side effects. There is always the chance that it is the liquid with which... more

A: Botox treatment does not cause sinus infections

Kenneth D. Steinsapir, MD

Botox treatment does not cause sinus infections.  On the other hand, a true sinus infection could account for you insomnia.  The general feelings of weirdness and anxiety are more interesting and I would be less likely to dismiss their association with the BOTOX treatment.  You did not tell us... more

A: Unusual response to Botox

Richard Baxter, MD

I am sorry to hear about your experience, it sounds very frustrating. I have to say that I have not seen that type of reaction though, and I have done more than a thousand botox injections. The pattern you describe sounds fairly consistent, which would imply that it isn't a coincidence, although that is of... more

A: Reloxin may be a better product for you once it's FDA-approved

Stephen A. Goldstein, MD

Your side effects are unusual. Personally, I have not observed your specific complaints in my patients. However, I realize that after 23 years in practice, everyone is different and responds differently to various medications. I do not think reducing the dosage or units of Botox would make a difference. What... more

A: Flu-like symptoms can occur with Botox

Lenore Sikorski, MD

Sometimes patients get a flu like feeling after Botox. Although I personally have not had any patients with the side effects you describe, I would suggest not to have Botox again.  Three times is unlikely to be a coincidence. Also, 18 units is a small dose. Why try a dose (i.e.) 6 units, that is not going... more

A: Sounds like an unusual hypersensitivity/immune reaction to Botox.

Bryan K. Chen, MD

I sympathize with you and would not wish to go through a month of those symptoms either.  Consider a trial of 3 units of Myobloc (Botulinum Toxin B) - it is a different protein than Botox.  Alternatively, if you are going to try Botox again, consider waiting 6 months before challenging with a... more

A: These are not typical side-effects

David Shafer, MD

Babalulu, The side effects that you are describing are not typical and I am curious about the causal association.  Also, you are using very little Botox.  If you are having these symptoms and are certain that they are from the Botox, then you should stop using it.  You should talk to your doctor... more

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