Systemic Iatrogenic Botulinum Poisoning after Botox?

Question

I have been a regular cosmetic facial Botox customer for over 10 years. In August 2023, I had facial Botox injections and, for the first time, had Botox in my neck to treat tension headaches. Five days later I developed debilitating migraines. I became progressively weak and suffered bone-crushing fatigue. Lost my voice, couldn't eat, couldn't drive, couldn't leave the house. At the 3-4 month mark I started to get better. Does this sound like Botulinum Poisoning?

Mats Hagstrom, MD (license on probation) · Answer

In many ways, any Botox treatment is a botulinum toxin experience since that is what the product is made out of.
The outcome of your treatment was more likely related to how the treatment was performed. Without having more information including the number of units injected it’s hard to give you any type of assessment. I’ve not heard of people developing migraines after Botox treatments, but voice changes are in documented. Complication of neck injections of the Botox.
What was the background of your provider and how much experience did they have doing these treatments?
Best,
Mats Hagstrom, MD

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