I had 26 units of Botox between brow 6 days ago. How soon can I take muscle relaxers as to not increase Botox effects?

Question

I battled severe TMD 6 mos ago. Struggling again after Botox with all facial muscles extremely tight. 1. When could I start to take flexeril to help my other facial muscles not treated by Botox? Don't want to increase Botox’s effects. 2. When does Botox fully finish affecting the muscles so I know when it won’t get any worse? 3. What day is it strongest and when does the dissipation start? 4. Using warm moist heat on the non treated muscles in lower face and jaw for relaxation, that ok?

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question. As far as I'm aware, this medication will not negatively impact Botox. You can check with your treating physician for more information.

Anteneh Roba, MD · Answer

Botox effects can take up to 14 days to fully be realized and will last 3-4 months. You can take flexeril any time you want. It should not affect the Botox.

Jonathan Kulbersh, MD · Answer

You can take muscle relaxers after Botox. It takes 1-2 weeks for final results with Botox and results resolve in 3-4 months. Hope this helps.

Jason Emer, MD · Answer

You can take muscle relaxers now. Keep in mind, it will take 1-2 weeks for final results with Botox. Best, Dr. Emer

Scott Greenberg, MD · Answer

Flexeril should have no effect on your Botox treatment.  Typically, peak results of a Botox treatment may take as long as 30 days to see and lasts 3-4 months.

Robbins Plastic Surgery · Answer

Thank you for your question.  Sorry to hear you are having the tightness after your injection.  Muscle relaxers won't have any affect on your Botox treatment.  You can take the Flexeril as directed.  Botox can take up to 2 weeks to fully see the affect of it.  It will last approximately 3-4 months.  Good luck!

Leonard Grossman, MD · Answer

You can resume all forms of therapy for your tense muscles as soon as Botox is done. You don't have to wait for any prolonged period of time. Good luck from New York City

Christopher R. Macdonald, FRCS(Plast) · Answer

Thank you for the questions and I am sorry to hear that you are suffering with his problem.
Flexeril shouldn't have any impact on BOTOX.
Everyone is slightly different but it can take up to 14 days before the BOTOX has fully affected your muscles.
Its effects are usually at their strongest in the 2-4 week time frame and will then gradually start to wear off. It usually lasts 3-4 months but varies based on individuals and their lifestyles.
Finally, I tell my patients to avoid hot flannels, facials, saunas and steam baths etc for the first two weeks as BOTOX is temperature sensitive and can be denatured by heat. This may stop it working so effectively and so I would avoid it if you can.
I hope this helps.
Good luck!
Dr Christopher R Macdonald
CRM Aesthetics

I had 26 units of Botox between brow 6 days ago. How soon can I take muscle relaxers as to not increase Botox effects?

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