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There are certain antibiotics called aminoglycosides that can cause nerve damage such as gentamycin or streptomycin and for these reasons there combined interaction with Botulinum Toxin (Dysport and Botox) is generally discouraged. I am citing from the Botox package insert here: "Co-administration of BOTOX® Cosmetic and aminoglycosides1 or other agents interfering withneuromuscular transmission (e.g., curare-like nondepolarizing blockers, lincosamides, polymyxins, quinidine, magnesium sulfate, anticholinesterases, succinylcholine chloride) should only be performed with caution as the effect of the toxin may be potentiated." I hope that definitively answers your question.
The majority of antibiotics used today can be safely consumed while patients undergo Botox treatment. There is a caution about using aminoglycoside antibiotics but these are rarely used.
A certain class of antibiotics called the aminoglycosides, ( Tobramycin, Kanamycin, Streptmycin, can interfere with neuromuscular transmission. Since BOTOX essentially has the same action, the affect can be accumulate and create toxicity. There are some other medications which are reported to do the same thing: polymyxins, quinidine and a few others. Be sure to tell your physician about any medications you might be taking.
Thank you for your question about botox. Botox does not start working for at least 10-14 days post treatment. However, the benefits should last 3-4 months. The amount of units needed differs from person to person. The reconstitution of botox varies from office to office. You may hear term...
I would recommend that you seek evaluation by an oculoplastic surgeon who in familar with the technique for Botulinum Toxin (Dysport and Botox) for strabismus
There may be two reasons for the observed findings: 1) swelling due to the immediate injection which may resolve by 7-10 days or 2) muscle imbalance which may take 4-6 months to resolve.