I used Xeomin and found out I'm pregnant. Should I be worried?

Question

I see posts online supporting that women that got botox shouldn't be too worried if they unknowingly got botox, but I see nothing on xeomin. I've actually seen things that say xeomin may spread since it lacks the protein of botox. This makes me so worried! Any info is appreciated...

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about Xeomin. Congratulations on your pregnancy.It is very unlikely to have caused any harm.To be sure, follow up with your obstetrician or see two or more licensed and board-certified providers in your area for a complete evaluation.Best Wishes.

Mathew A. Plant, MD, FRCSC · Answer

Congratulations on your pregnancy! Although the general recommendations for Xeomin, Botox and Dysport are to not treat pregnant women, there is no evidence that shows it is harmful to the baby. These contraindications are more related to the fact that there is also no evidence to show it is safe, but the only reason for this is that it would be unethical to perform a study like this on pregnant women. In general, there is no reason to think that these drugs would cause any harm to your baby as they are administered in relatively small doses and do not tend to travel from the area in which they are injected. Enjoy your pregnancy and do not worry, it is highly unlikely that there would be any effect on the child.

Brian S. Biesman, MD · Answer

I would not be worried.  While it is impossible to perform studies on Xeomin or any other neurotoxin in pregnant patients, the dose used is tiny and I would not expect it to have any ill effects on your baby whatsoever.  Congratulations!

Bruce E. Katz, MD · Answer

Thank you for your question. Neuromodulators are not approved during pregnancy however there is no adverse effect from the use of injectables. For more information, I recommend getting a in person consultation from a board-certified dermatologist.

Kristin J. Tarbet, MD, FACS · Answer

Although it is discouraged to have Neuromodulators during pregnancy, it is because there are no studies on the safety. Not because there have been negative consequences.

Melvin Elson, MD · Answer

Although nothing is approved for use during pregnancy there is a lot of support that there is no adverse effect from any of the botulinum toxin injectables so you need not worry.  The face that Xeomin lacks some of the extra [protein of Botox does not contribute to any greater diffusion and the diffusion of these is very small in the area of injection not throughout the body

Edward E. Dickerson, IV, MD · Answer

Dr. Edward Dickerson discusses risks and safety regarding the use of wrinkle blockers before or during pregnancy.

Robert S. Bader, MD, FAAD · Answer

Congratulations! You  just found out that you are pregnant. There have been no studies for the safety of the use of these toxin in pregnancy, nor will there be. The good new is that is unlikely that you will have a problem. Treatment with these toxins during pregnancy is not recommended and should not be performed in patients who believe they are or might be pregnant.

Cody A. Koch, MD, PhD · Answer

Congratulations on your pregnancy.  While Botox, Xeomin and Dysport are not recommended for pregnant women or women who are trying to get pregnant they are not likely to cause any complications during your pregnancy.  The recommendations against the use of these medications during pregnancy is due to the fact that conducting studies to determine their safety during pregnancy is extremely expensive, full of regulations and difficult to perform.  You should be just fine.  Best of luck to you with your pregnancy.I wish you the best,Cody Koch, MD PhD

Michael H. Gold, MD · Answer

I agree with Dr.
Biesman’s post as well – there should be no concerns if you are receiving
Botox, Dysport, or Xeomin for cosmetic reasons and then become pregnant that
anything will happen to your child, as a result of the injections. These
medicines are being used in extremely small doses and nothing should happen. Do
not have injections purposefully if you know you are pregnant – that is just
common sense, but if you become pregnant after receiving injections, you will
be fine.

I used Xeomin and found out I'm pregnant. Should I be worried?

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