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

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!