Unable to sleep and have increased anxiety post Botox. Is this normal?

Question

Hello I just first got 36 units of botox I'm my forehead the past two night I couldn't sleep and have bad anxiety I do have pre-existing anxiety and I take celexa is there anything I can do to keep calm I'm worried about everything at this point why is this happening

Jason Emer, MD · Answer

It is unlikely that Botox is causing your anxiety or insomnia. If it persists, I recommend following up with your Doctor for a formal evaluation. Best, Dr. Emer

Jessica H. Kim, MD, FAAD · Answer

Anxiety and sleep disturbances are not typically associated with botox.  I would recommend following up with your primary care doctor to properly evaluate and treat.

Faiyaaz Kalimullah, MD, FAAD · Answer

I'm sorry to hear that you have been experiencing anxiety and insomnia recently.  It is unlikely that Botox is directly causing these symptoms.  I would recommend following-up with your primary care physician to discuss your concerns if your symptoms persist.  I hope you feel better soon.

Melvin Elson, MD · Answer

Botox is not causing your difficulty with your anxiety and something must be going on to make this worse. Please check with your psychiatrist or family doctor

Leonard Grossman, MD · Answer

I'm sorry to hear about your troubles, but most likely your condition is related to the issue more than the botox itself. If this continues for the for the next 48 hours I would most definitely contact your treating Physicians so that they can help you. Good luck from New York City

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