Can Botox cause seizures in someone who has epilepsy?

There is no contraindication for someone to have Botox who has well controlled epilepsy.  It is best to seek out a board certified plastic surgeon or derm.

Hey Zapcat thanks for your question- 



I've never heard of any issues with epilepsy or any other systemic illness with botox. The cosmetic usage of botox is such a small amount that it's not absorbed systemically at any real concentration. 

Make sure that's it's real botox or dysport and not fake products as these have been known to cause some issues. 

Hope this helps and God Bless!

Dr. Robb

I am not aware of Botox, when used for cosmetic purposes, causing seizures in someone who has epilepsy.  You could also contact Allergan, the producer of Botox, to see if they have have ever heard of any issues with using Botox in people with epilepsy.    

Thank you for your question! There is no contraindication to getting Botox if you have epilepsy. I recommend having a consultation with an expert injector. Best of Luck! 

To my knowledge there are no reports of any relation between Botox and seizures or any contraindications.

From the literature, there is no contraindication for using botox in someone that has epilepsy.

Thanks for sharing your question. I can appreciate your concern.





there is no data demonstrating contraindications of botox and seizures. Finally, make sure that you have a consultation with a board certified plastic surgeon.



Wishing you the best in your journey

This is not a side effect from Botox. I am not saying it can't happen around the time of getting injected, but it will be completely unrelated to Botox.

To my knowledge, there is no contraindication to getting Botox if you have epilepsy. That being said, you could always discuss the possible treatment with your neurologist. 

The short answer is yes, that seizures have been reported after treatment with Botox.  Both newly diagnosed and in those with history of epilepsy.  As to how these seizures happened is not clear.   The risk would be considered exceedingly small.  Botox is a protein that cannot cross the blood brain barrier easily.

But also keep in mind that epilepsy affects 1% of the population and Botox treatment for different conditions such as cosmetic, excessive sweating, headaches, etc. are very commonly done.   Millions of such procedures have been done.  The two may happen in the same person is a matter of time.   

As far as a seizure happening soon after Botox injection in someone with epilepsy, it would be difficult to prove if it happened as a reaction to botox or that it may have happened on its own.   It seems prudent to be aware of the fact seizures have been reported after getting Botox in someone with epilepsy.