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Can I Have a Reaction to Dysport but Not to Botox?

asked 1 year ago by Lagotto in Portland, CT
Latest answer by Ronald Shelton, MD
Question viewed 311 times
Tags: blurry vision, headache, nausea, neck pain, reaction

I had used Botox (amazing response) for a short while then changed to Dysport. I had some reaction to the Dysport..severe headache and neck ache blurred vision and some nausea.

This lasted a good two weeks. Also, the end of my eyebrow is raised up. I had non of these reactions with Botox. Can I switch back to Botox for future treatments or to address the raised eyebrow issue? I wasnt sure if they were that similar. Thank you for your assistance.

12 answers to Can I Have a Reaction to Dysport but Not to Botox?

You are describing a systemic reaction to the Dysport.

The issues you are describing represent a systemic reaction to Dysport. Was this treatment done by the same physician? Was there a reason your Doctor decided to switch you to Dysport. While the two drug are both Botulium toxin A, they are not bioequvalent. It sounds like you got too much Dysport. This happens when physician first start working with Dysport. They may start with a "recommended" formula for converting between Botox and Dysport. However because each physician injects in a... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Reaction to Dysport vs Botox

Both Botox and Dysport are botulinum toxin A but have different formulations. So if the reaction is to the botulinum toxin, then you would react to both, if to one of the accompanying ingredients, then to one and not the other. The symptoms you describe sound more like the flu or another viral illness than a reaction to the injection. Perhaps these two were just coincidental. The raised eyebrow can be corrected with an injection of a unit or two of Botox about 2 cm above... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox and Dysport are very similar

It is possible that the reaction you had to Dysport was from some product entering a blood vessel, which can happen. The same could happen with Botox. Either Botox or Dysport might be needed in the forehead above the raised eyebrow to help bring it down further. see video

Ronald Shelton, MD
Manhattan Dermatologist

Dysport/Botox - Can I Have a Reaction to Dysport but Not to Botox?

You can, but it may be hard to figure out exactly what's happening without experimenting a bit. Botox and Dysport are similar products but they're not exactly the same and so, at least in theory, you could have a "reaction" to one but not the other. But there are many other factors that could play into it, such as how strong a dose you got from each of them. That's normally counted in the number of units, and it's about 2 or 2.5 units of Dysport per... more

Alan Engler, MD
New York Plastic Surgeon

Dysport v. botox : coke v. pepsi

Dysport and botox are similar but not exactly the same. you can easily switch between the two, but some patients significantly prefer one over the other.

Josh Korman, MD
Monterey Plastic Surgeon

Unlikely to have a reaction to Dysport but not Botox

Botulinum toxin type A is the active molecule in both Botox and Dysport. They are both purified from natural sources, but the molecule is encased in other protein molecules, some of which have been removed in Dysport, while the entire natural "complex" is present in Botox. Because these proteins must dissolve away to release the active one, Dysport may do this a bit sooner. There is nothing in Dysport that isn't in Botox though so a reaction to one and not the other seems very... more

Richard Baxter, MD
Seattle Plastic Surgeon

Botox and Dysport are Quite Similar

Both Botox and Dysport are comprised of botulinum neurotoxin type A. They reduce wrinkles by the temporary and reversible paralysis of treated muscles. While they are very similar in composition and effect, there are some differences. The symptoms you describe may be coincidental to a viral illness and not be related to your Dysport treatments. I recommend that when the time comes for your next treatment, you should request Botox since that gave you such a nice result. It is not likely you... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

Is Dysport different than Botox?

Dysport and Botox both contain the same "active ingredient"- botulinum toxin type A. You are describing symporotms that my be related to the dose of the drug administered rather than a problem with the drug itself. It is difficult to make direct comparisons, but knowing the dose of each drug used would be helpful when trying to sort out why you may have responded well to one but had problems with the other.

Brian Biesman, MD
Nashville Oculoplastic Surgeon

Botox and Dysport

It is very unlikely that you had a systemic reaction to Dysport - it is much more plausible that your symptoms were caused by something like a virus. Dysport and Botox are similar but not identical molecules which, if used correctly, should give equivalent results. The therapeutic dose of each is different, and an experienced injector should be well versed in both (or should only offer the one he/she is most comfortable with). I have achieved some very elegant results with... more

James Bartels, MD
Manchester Facial Plastic Surgeon

www.entspecialistsnh.com

Dysport and Botox

Dysport and Botox are both botulinum toxin A but they are slightly different molecularly. Dysport units are different then Botox units, and hence the dose you received for Botox would have to be converted or titrated to Dysport units to achieve the same results. The conversion to Dysport units is based on a formula, but there may be some titration required to give you the same effect. The reaction you describe may potentially be from too high a Dysport dosage from... more

Thomas T. Le, MD
Baltimore Facial Plastic Surgeon

Botox and Dysport

Although Botox and Dysport are Botulinum toxi A. They are totally different molecules. They vary with the number of protein attached to the molecule. Therefore the dilution is different and the amount of units is different and the reaction to the proteins are different. You can go back to what works for you. Discuss the issue with your doctor who is administering the toxin.

Samir Shureih, MD
Baltimore Plastic Surgeon

BOTOX® & Dysport® are similar but not the same

BOTOX® & Dysport® have the same active ingredient, but are formulated differently, with different non-medicinal ingredients, so it they behave somewhat differently from each other. "severe headache and neck ache blurred vision and some nausea" that you describe do not sound like symptoms of problems that would result from either BOTOX® or Dysport® -- sounds more like a viral illness. The raised eyebrow could have happened with either BOTOX® or... more