Is It OK to Take Codeine for Pain Relief Before a Botox Appointment?

Taking codeine to minimize pain associated with Botox treatment will not be necessary. Pain is minimal, and can be even further minimized by using ice and numbing cream prior to injections. I would recommend speaking with your provider ahead of time. I hope this helps, and I wish you the best of luck.

It wouldn't be necessary to take a narcotic such as Codeine prior to your Botox injections. If you're having treatment by a well-trained and experienced provider, you should be fine!

I agree with the suggestions of the other doctors, but also recommend ice just before the injections. Ice is a great local anesthetic and can also reduce the chances of bruising by constricting blood vessels. 

There usually should not be so much pain that narcotics are needed.  Our office uses topical numbing medicine.  We use small needles as well.  Best to talk to a couple of experienced injectors and see how they do their Botox.

There have been great comments already. I
have five strategies that help to minimize pain with Botox or other neurotoxin
injections:

1. Pretreat with a topical numbing medicine for
5-10 minutes.

2. Use vibration, either manually or, better, with one
of the new devices on the market that minimize pain with injection. There is a
gate theory of pain, the body can only sense a certain number of things from a
certain area at time. Thus, vibration can mask or crowd out some of the
pain sensation of an injection.

3. Use a cool pack for 5-10 seconds prior to
treatment of an area.

4. Inject with small-bore needles. I usually use a
32-gauge needle.

5. An
injector’s technique makes a difference. Quickly performed, 90-degree
injections to minimize the amount of pain sensation fibers encountered can
decrease pain.

I try to use all of the above to minimize
discomfort during injections.

Pretreating
with a narcotic is probably overkill. Especially if there is aspirin or
ibuprofen in the pill, which can exacerbate bleeding and bruising.