Is it safe to have Botox with Sjogrens syndrome?

Question

I have blood markers for autoimmune possibly sjogren. Is it safe to have botox.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for the question. Prior to considering Botox injections, you should have a comprehensive evaluation by an experienced Oculoplastic Surgeon. It is quite possible that you can be treated with Botox, but first have a detailed discussion with the oculoplastic surgeon about any risks for your specific situation. Good luck.

Gail Nield, MD, FRCPC · Answer

Hello. This a a good question. Botox , when injected into the crows feet area, can cause dry eyes. I have found that with patients with Sjogrens disease, I usually use less Botox to this area. In addition, Sjogrens can affect salivary gland function, and if patients wish to have their masseter muscles injected with Botox, this can also be a concern. Other areas are usually OK.

Benjamin C. Paul, MD · Answer

Thanks for your question. The major concern is the health of your eyes. Both Sjorgrens and Botox can affect the hydration of your eyes. You want to make sure your eyes stay moisturized and hydrated. The more dry your eyes are, the more cautiously you should proceed with choosing botox, as it is elective.  Though it is probably safe to proceed, you should discuss your concern your physician doing the injection and possibly a rheumatologist.  Best of luck from Manhattan.

Melvin Elson, MD · Answer

Most likely there are no issues at all but there is no reason not to consult with your primary care doctor or rheumatologist just to be sure and keep them in the loop

Michael Bublik, MD · Answer

Thank you for your question.  It should be safe, but it doesn't hurt to ask your Rheumatologist just in case.  Dr. Bublik.

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