I received several vials of Botox at my office. They were not cold and there was no dry ice in the plastic?

Can it still be used any effectiveness lost,anyone else have this experience It was ordered the prior day and I opened it with in 24 hr of the shipping from Allergan

Doctor Answers 10

Botox shipment

Botox should only be used by qualified and experienced physicians. This is important for public safety. Any physician qualified and experienced in this matter would have knowledge on safety and proper use of Botox.

Winchester Facial Plastic Surgeon
4.4 out of 5 stars 20 reviews

I received several vials of Botox at my office. They were not cold and there was no dry ice in the plastic?

Thank you for your question.

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Botox not cold

I am guessing you are not a physician if you are asking this question on this forum and not calling Allergan or your rep directly.  Are you sure you ordered it from Allergan and not an internet site selling "fake" Botox?  If you are not a physician then you would not be able to order from Allergan yourself.  If this is true, this is how people get into serious trouble.  If you are a licensed physician and did order it from Allergan, you should call them.

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
4.9 out of 5 stars 211 reviews

Botox not on ice

Hello, and thanks for your question. I recommend contacting Allegan in order to determine how best to proceed. Best of luck, Dr. Frucht.  

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews


Contact Allergan for how to proceed with this situation.  I would not use the product before first speaking to them.

Camille Cash, MD
Houston Plastic Surgeon
5.0 out of 5 stars 28 reviews

Botox not on dry ice

Thank you for your question.  You should contact Allergan and let them know how your shipment came and ask them how to proceed.  Best of luck

Michael Sullivan, MD
Columbus Facial Plastic Surgeon
4.9 out of 5 stars 76 reviews

Botox shipment

Thank you for your question zodi. Botox is a purified protein used to address wrinkles associated with facial expressions. Botox is shipped from Allergan with dry ice and should be refrigerated on arrival. Please contact Allergan for further questions.  Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 1 review

I received several vials of Botox at my office. They were not cold and there was no dry ice in the plastic?

Thank you for sharing your question.  I would recommend calling Allergan's customer service support line and report how your package arrived.  I would not recommend reconstituting the Botox as its effectiveness has likely been compromised.  Hope this helps. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 38 reviews

Botox not cold

You need to report this to Allergan and see how they want you to proceed. The shipment should of been on dry ice to keep the product frozen. I would not use the product until you speak with the company to determine if it will even be able to be used on patients.

Francis Johns, MD
Greensburg Plastic Surgeon
4.8 out of 5 stars 53 reviews

Botox shipment not cold

This needs to be reported to Allergan customer service immediately upon receiving the shipment. It will be replaced by them. Not storing it cold can negatively affect it's efficacy. The dry ice usually lasts more than 24 hours. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.