Ask a doctor

Is it safe to have botox for hyperhidrosis if I am on Plavix (75mg/day) and aspirin (75mg / day)?

I have undergone a procedure a month back to have a flow diverter stent placed in my carotid artery. Everything has gone well and I feel fine. I am on Plavix and Aspirin for the next 6 months. Is it still ok to have my annual botox treatment for hyperhidrosis? I hope so!

Doctor Answers 7

August 11th, 2014

Safety of Botox in someone on blood thinners

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
There is no concern in having Botox treatments for hyperhidrosis/excessive sweating, even if you are on blood thinners such as Plavix or Aspirin. You may bruise a bit more after your procedure, but that's about it.


Toronto Dermatologic Surgeon

April 20th, 2014

Botox and Hyperhidrosis

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Botox works very well for hyperhidrosis providing relief from underarm sweating for up to 6 months.  However, you should be cleared by your cardiologist before receiving Botox.  The Plavix and aspirin will make you bruise more.  Please find a board certified dermatologist with experience in Botox for the best results.
Michele S. Green, MD
April 11th, 2014

Botox after carotid stent.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
  • My concern is why you had the stent. 
  • You should ask the doctors who treated you for the condition that caused the stent and those that placed the stent - they may want you to wait a few more weeks.
  • Then you can have the injections; expect some bruising as the result of aspirin and Plavix. Best wishes. 
Elizabeth Morgan, MD, PhD
March 25th, 2014

Botox for Hyperhidrosis

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Yes, being on blood thinners are not an issue when getting injections for neuromodulation anywhere.  I wish you the best of luck, Dr. Emer.
Jason Emer, MD

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 203 reviews

March 25th, 2014

Botox and Plavix/Aspirin

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
It should not be problem. However, you are at a higher risk to have more bleeding/bruising at injection site. Remember to always inform your provider of any medications and/or any medical history before having any injections/treatments done.

George T. Boris, MD, FRCS - Account Suspended
Los Angeles Facial Plastic Surgeon

March 24th, 2014

Botox while on Plavix and Aspirin

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Thank you for your question.

If you are worried about possible bleeding, it should probably be okay. The needle used for injection is very small. You can always have a test spot first in a small area to see how you do.

To be sure, see two or more board certified and experienced plastic surgeons in your area for a full and complete evaluation.

I hope this helps.

Learn more: http://www.drjjwendel.com/botox

J. Jason Wendel, MD, FACS
March 24th, 2014

Is it safe to have Botox for hyperhidrosis if on Plavix and aspirin?

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I believe that it would be okay to be treated with Botox for hyperhidrosis while on Plavix and aspirin.  Ultimately, the decision would be up to the physician treating you though.  I would be sure to mention that you are taking Plavix and aspirin and it is possible that you might get more bruising than usual.  The needle used to inject the Botox is very small and unlikely to cause much in the way of bleeding.  
Michael I. Echavez, MD

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.