Botox for non-cosmetic reason (hyperhidrosis) while pregnant?

Question

I’ve been getting dysport injections for armpits since 2010 every year, it's not optional in my case and its time for me now to have it and I just found out that im 3 weeks pregnant.. i wasn't planning for this but im thankful.. I have an appointment this week for the procedure please let me know if this is safe as its crucial for me during this hot weather. Thanks

Falguni Patel, MD, FACOG · Answer

As a rule in our practice, and many others, we do not inject patients who are pregnant with any form of Botulinum. The reason being is that there is no clinical data, trials or study ever proving that this is safe. Therefore, as medical providers who pledge to do no harm to our patients, we cannot safely and ethically encourage treatment during pregnancy or breast feeding. It is better to be safe rather than sorry and most educated providers will do the same, only following evidence-based practices.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question, and congratulations on the pregnancy. Most Physicians do not prescribe medicines for pregnant women unless really necessary. Our office has a policy to not administer Botox or Fillers in pregnant patients. Always best to let your Board Certified Plastic Surgeon know about what is going on with your health. Congratulations again.

Jeffrey J. Roth, M,D,, F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Jeffrey J. Roth, M,D,, F.A.C.S.

Board Certified Plastic Surgeon

Las Vegas Plastic Surgery

Anna Chacon, MD, FAAD · Answer

Congratulations on your pregnancy! It's understandable that managing hyperhidrosis is important for your comfort, especially during hot weather. However, when it comes to the use of Botox (or similar botulinum toxin products like Dysport) during pregnancy, there are several important considerations:

1. **Safety Data**: There is limited data on the safety of botulinum toxin injections during pregnancy. Most of the available information comes from case reports and small studies, which do not provide enough evidence to guarantee safety. The manufacturers of Botox and Dysport generally advise against their use during pregnancy due to the lack of comprehensive safety data.

2. **FDA Classification**: Botulinum toxin products are classified as Category C by the FDA for use during pregnancy. This means that animal studies have shown some adverse effects on the fetus, and there are no well-controlled studies in humans. The drugs should only be used if the potential benefits justify the potential risks to the fetus.

3. **Risk vs. Benefit**: Given the lack of definitive safety data, most healthcare providers recommend avoiding elective procedures and medications during pregnancy unless absolutely necessary. You and your healthcare provider need to weigh the benefits of the treatment against the potential risks to your pregnancy.

4. **Alternative Management**: Discuss with your healthcare provider possible alternative ways to manage your hyperhidrosis during pregnancy. There may be other non-invasive treatments or lifestyle adjustments that can help reduce your symptoms.

5. **Consult Your OB/GYN**: It is crucial to consult your obstetrician or healthcare provider who is managing your pregnancy before proceeding with any treatment. They can provide personalized advice based on your medical history and the specifics of your pregnancy.

While managing hyperhidrosis is important for your comfort, the use of botulinum toxin injections during pregnancy is generally not recommended due to the lack of sufficient safety data. Please discuss your situation with your OB/GYN and the healthcare provider who administers your Dysport injections to determine the best course of action for you and your baby.

Eric M. Joseph, MD · Answer

The reason for this is that there is no data to show whether or not it's harmful for the baby. So in that regard, it's always best to air on the side of safety for the unborn. Thank you for your question. Sincerely, Dr Joseph

Stefan Weiss, MD · Answer

The short answer is no - you should not have treatment with Botox/Dysport/Xeomin during pregnancy. The U.S. Food and Drug Administration (FDA) classifies Botox as a Category C drug for pregnancy. This means that risk to the fetus cannot be ruled out, and Botox should only be used if the potential benefits justify the potential risks to the fetus.

Leonard Grossman, MD · Answer

The issue of using Botox early in the pregnancy has not been studied and there is no consensus on whether or not Botox can be used safely during pregnancy. At this point in time it is strictly up to you to make this choice. You have to decide what’s more important, I hope this helps and good luck from Leonard Grossman MD Organic Plastic Surgery

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