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

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.

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.

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