Is Non-cosmetic Botox (For Migraines) Safe During Breastfeeding?

Question

I have discontinued use during pregnancy (and have been very ill since it wore off). Breastfeeding is a priority to me, however it would be very challenging to have daily migraines while caring for an infant. Is it safe to resume Botox after the baby is born and still breastfeed?

Sam Naficy, MD, FACS · Answer

Botox treatment is not indicated during pregnancy and/or breast-feeding. There are no studies or research proving it's safety during this time period, so considering other options for your migraines is the best choice for you and your child.

Paul S. Nassif, MD · Answer

I would recommend avoiding Botox both during pregnancy and while breastfeeding. There is just no research to confirm this is safe. It would be best to speak to your provider about other ways you may relieve migraine pain. I hope this helps, and best of luck.

Michael I. Echavez, MD · Answer

Botox treatments are not recommended during pregnancy and breast feeding. There have been no human studies examining the effect of Botox during pregnancy and breast feeding but Botox should be avoided during those periods because of any potential harm.

Arie Benchetrit, MD · Answer

Botox treatments are not recommended during pregnancy or breastfeeding because there are no studies showing its safety. You should ask your physician to recommend other safe medications for migraine treatments until you finish breastfeeding. I hope this was helpful.

Sean Doherty, MD, FACS · Answer

Botox and Dysport are safe and FDA approved treatments. There is not, however, any evidence that inejctions with either medicine is safe or not while pregnant. Pregnancy is a contrindication for injections that are done for cosmetic or non cosmetic purposes. I hope this was helpful. best of luck.

Jeffrey Zwiren, MD · Answer

The Black Box warning on Botox will state not tested on pregnant or lactating women.  The answer is no, do not use Botox under these conditions.

Benjamin Barankin, MD, FRCPC · Answer

Botox is a very safe and effective treatment, but has not carefully been studied in pregnancy or nursing and so the recommendation must be to avoid it, just to be safe...why take any risk? Dr. Benjamin Barankin, Toronto Dermatology Centre.

Elizabeth Kim, MD · Answer

Botox is not recommended during pregnancy or breastfeeding.   Ask your physician to recommend other safe therapeutics during this time.

Stephen Weber MD, FACS · Answer

You should avoid Botox during both pregnancy and breast feeding. The safety has not been proven for your baby. You are actually receiving a higher dose for migraine treatment than you would for wrinkle treatment. Thus, you should use other, proven medications for migraine treatment until you finish breast-feeding. I hope this information is helpful.Stephen Weber MD, FACS

Hratch Karamanoukian, MD, FACS · Answer

No Botox during breastfeeding. A neurologist with expertise for migraines will help you in this process. It is not cosmetic Botox - it is therapeutic Botox.

Is Non-cosmetic Botox (For Migraines) Safe During Breastfeeding?

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