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As long as your rheumatologist does not object, there shouldn't be a problem in a patient having Botox because they have rheumatoid arthritis. The risk of temporary (less than two weeks) bruising may be more because of the medicine that is often prescribed for pain.
Botox is not contraindicated while taking Methotrexate, and is safe to have injected if you have rheumatoid arthritis.
Dear Susan, there are no known adverse events due to interaction between Botox injections and rheumatoid arthritis medications such as methotrexate. Moreover, it is safe for patients with rheumatoid arthritis to undergo Botox injections as we have treated patients with Botox and Dysport with the same condition. Best of luck.
Having RA does not mean that you can not have Botox injections, however, if you are on NSAID or steroid, these tend to cause bleeding and thinning of the skin, respectively,w hich may result in a little more bruising than usual. You may also want to consider other options for skin-tightening and wrinkle removal, such as dermabrasion and/or lasers.
Rheumatoid arthritis does not contraindicate the use of Botox. However, if you have any concerns, since you are under the care of a rheumatologist, you should feel free to discuss it with him. See a board certified plastic surgeon or dermatologist who is experienced in the use of injectibles.