I'm so scared of the side effects I got from botox, can I die? Please help! I had 4 units above the lip.

You need to talk to your doctor about your symptoms as soon as possible. 4 units is a very small dose of Botox and will not cause toxicity.  Some of what you describe sounds like an allergic reaction.  With this things such as swelling, hives and itching are possible.  You should see your doctor to express your concerns. 

It is pretty much impossible for you to suffer from the symptoms you are describing after 4 units of botox.  You may be having a reaction to one of the preservatives used in BOTOX, or this could be a reaction to something completely different - a food you had, new detergent, or virtually anything else.  

Thank you for your
question.If you are experiencing these type of symptoms, return immediately to see your injector or go to the nearest emergency room. You may also call your regular doctor's office, but seeing the specialist who injected you is probably best.4 units of Botox should not cause what you are describing.

I hope this helps.

Dear AnnaSweden,You need to talk to your doctor about your symptoms as soon as possible.  4 units of Botox is an extremely small dose of Botox and will not cause toxicity of your body.  Signs of an allergic reaction such as swelling, hives and itching is a possible side effect, but it should not be dangerous if your doctor treats it appropriately.  Numbness is not a side-effect of Botox usually.

Thank you for your question. 4 units of Botox could not cause this, Botox is a localized injection and at most you would see a allergic reaction at the injection site. It sounds like you either have something else serious going on and need to see a doctor or you have allowed yourself to experience such anxiety from the injection that you are causing yourself to develop symptoms. Please consult with a doctor right away to help with your symptoms. Best Wishes,Pablo Prichard

Botox and other like muscle relaxers are a pharmacological
grade purified protein made from the fermentation of the bacteria clostridium. There
are 7 different types but only 2 are used for cosmetic and therapeutic purposes.
There has been no reports of the small cosmetic doses of these medications traveling
to areas farther than injected causing the symptoms or concerns of botulism. In
fact, Botox, Dysport, Xeomin and Myobloc, are used 1000’s of times daily around
the world.



Botulism is the growth of live bacteria in the body
producing and dispersing this molecule within hours of exposure. It is found in soil and water and can occur by
a using a contaminated “street” injection, consuming improperly prepared food
or getting it into a wound. Onset is within hours so this is certainly not your
case.



Many drugs are now made in similar fashion by fermentation
and purification including antibiotics, antibodies and other life-saving uses
from bacteria and fungus. The purified protein may be a cause for allergy
formation from prior or serial exposure of this drug. Like the rare
side-effects of Botox, flu-like symptoms and swelling or redness can occur.
This sound more like your description and may or may not have been caused by a
flu or Botox.



It is best to be evaluated and treated by your primary care
physician or seen in the Emergency Department of a hospital if the symptoms and
concerns are progressing. If there is concern that this maybe an allergy
related to the Botox molecule, you may be sent to a allergist to diagnose this.




All the best!

Please be reassured that nothing bad is happening to you because of the Botox.  It is impossible for 4 units to cause any of the symptoms you are reporting whatsoever.  See your PCP to find out if you have a viral syndrome and in the meantime you can use an over-the-counter antihistamine.  A dermatologist or allergist can help you with the hives.

I strongly recommend making an appointment as soon as possible with your primary care physician to discuss your full medical and pharmacologic history as well as your current anxiety and somatic signs and symptoms you are describing. I also advise against any future treatment with cosmetic, elective injectables.

Botox could not cause all of the symptoms you are having.   Go and see your family doctor.  I do not know what you have but it is not from 4 units of Botox.    MY BEST,  DR C