I have read that Botox can cause severe insomnia, especially in older people. Is this true? (Photo)

Question

I am 73 years old. The clinic where I had Juvederm injections has recommended Botox for the lines between my eyebrows. I'm interested but insomnia is something I cannot risk due to a heavy workload. I have fibromyalgia and must be careful to not over stress. Your help is appreciated.

Jerome Edelstein, MD · Answer

Insomnia resulting from Botox treatment is not a known side effect for you at your age.  I wouldn't worry about it.

Jason Emer, MD · Answer

This is not true and I have never seen this as a symptoms from botox injections.  Best, Dr. Emer.

Juan Carlos Fuentes, MD · Answer

I agree with Dr. Rueckl, your sleeping should not be affected by the Botox. I have not hear that insomnia is a side effect from the botox.

Darryl J. Blinski, MD · Answer

You need to reread the article there is a 1.5% relationship with insomnia and age female 40 - 49 (not older)....

Alan M. Engler, MD, FACS (retired) · Answer

I am unaware of this as a common or even rare side effect of neurotoxin treatments.  You should speak to your PS about this but I would most likely say that if you are otherwise a good candidate for the treatments, and want to proceed, you can do so confidently.By the way, that's a photo of you and you're 73?  You should share your secrets at some point for the benefit of others....I hope that this helps and good luck,Dr. Alan EnglerMember of RealSelf100

F. Victor Rueckl, MD (in memoriam) · Answer

I have never heard of this and cannot see any way it would be true. Botox affects muscles only and in no way would affect sleep. I inject people with Botox every day, and have done so for over 20 years. Many of these patients are in different age ranges, and not one person has ever come back to me and said they had any insomnia issues. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."

I have read that Botox can cause severe insomnia, especially in older people. Is this true? (Photo)

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