Botox mild side effects: could I be developing an allergy?

Question

I have had Botox multiple times for crows feet, and between the brows. This last time, I noticed mild side effects within 10 minutes such as: dry mouth, flushing/warm skin, and tiredness. I had an overall uneasy feeling which led to a panic attack. I only had 15 units for crow's feet. I did not experience hives. I did not end up in the hospital for any other complication. My question is - could this be the start of an allergy? Is there danger of these effects worsening each time I have Botox?

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question.  The symptoms described are not likely associated with an allergy to Botox.  Best to discuss your anxiety with your injector prior to your next appointment.   Good luck.

Alexander Rivkin, MD · Answer

Hello and thank you for your question.  I understand your concern, however there doesn't seem to be any cause for concern.  What you experienced it more consistent with anxiety than an allergy.  Although unlikely, if you are concerned about reacting again, you can always ask to stay at your doctor's office for a  little while after your next treatment just for piece of mind.  Best of luck!

Camille Cash, MD · Answer

Allergy to Botox is very rare.  It is much more likely that the symptoms you experienced were coincidental, and not related to your treatment.  The symptoms you mentioned are not typically related to Botox.

Monika Soni, MD · Answer

Thank you for your question! You did not have an allergic reaction to Botox. You had what you described yourself as a panic attack. You should be able to have botox without any problems whatsoever. Best of luck!

Leonard Grossman, MD · Answer

You did not have an allergic reaction to Botox. You had what you described yourself as a panic attack. You should be able to have botox without any problems whatsoever. Good luck from New York City

Botox mild side effects: could I be developing an allergy?

Answers (5)