WARNING

AbobotulinumtoxinA injection may spread from the area of injection and cause symptoms of botulism, including severe or life-threatening difficulty breathing or swallowing. When using this drug, people who have trouble swallowing may not be able to stop for weeks at a time, require feeding tubes, or breathe food or liquids into their lungs. Abbotulinum toxica injections might cause symptoms to appear hours later or up to several weeks later. Individuals receiving treatment for any age may experience symptoms, but youngsters receiving treatment for spasticity (tight and stiff muscles) are likely at the highest risk. Inform your physician about any issues you are experiencing with swallowing, breathing, asthma, emphysema, or any condition affecting your muscles or nerves, such as motor neuropathy, myasthenia gravis, or Lambert-Eaton syndrome. Amyotrophic lateral sclerosis, also known as Lou Gehrig’s disease, is a condition in which the nerves that control muscle movement slowly die, causing the muscles to shrink and weaken. Give your doctor a call right away if you encounter any of the following symptoms: drooping eyelids; double or blurred vision; difficulty breathing, speaking, or swallowing; loss of strength or weakness in all bodily muscles; or inability to control urination.

When you start therapy with an injection of abobotulinumtoxinA and every time you get treatment, your doctor will give you the manufacturer’s patient information leaflet (Medication Guide). If you have any questions, make sure you thoroughly read the material and consult your physician or pharmacist.

Why is this medication prescribed?

The symptoms of cervical dystonia (spasmodic torticollis; an uncontrollably tightening of the neck muscles that may cause neck pain and aberrant head postures) are treated with an injection of botulinum toxin A. It’s also used to temporarily eliminate frown lines, which are lines that form between the eyebrows. For adults and children two years of age and older, injections of botulinum toxin A are used to treat spasticity, or the stiffness and tightness of the muscles in the arms and legs. Neurotoxins are a group of drugs that includes injectable botulinum toxin A. It functions by obstructing the nerve signals that result in uncontrollably tense and move the muscles.

How should this medicine be used?

Doctors can inject botulinum toxin A injection, which is a powder that they mix with liquid and inject into the afflicted muscles. The optimal location for administering the medication to treat your disease will be determined by your doctor. Depending on how you’re doing and how long the medication takes to take effect, you might need to get more injections of abobotulinumtoxinA every three to four months.

In the event that your doctor prescribes abobotulinumtoxinA injections for cervical dystonia, your dose will likely be adjusted gradually based on how your body reacts to the drug.

Botulinum toxin cannot be replaced with a different brand or variety.

An injection of botulinum toxin A might help manage your illness, but it won’t heal it. The full effects of an abobotulinumtoxinA injection may not be felt for up to two weeks if you are using it to treat cervical dystonia.

Other uses for this medicine

Botulinum toxinAdults with blepharospasm, an uncontrollably tightening of the eyelid muscles that can result in irregular motions of the eyelids, squinting, and blinking, may also occasionally receive an injection. Discuss the risks of using this medication for your illness with your doctor.

Ask your doctor or pharmacist for more information if you think this medicine could be recommended for something else.

What special precautions should I follow?

When considering or undergoing AbobotulinumtoxinA injection, it’s essential to follow specific precautions to ensure safety and maximize the effectiveness of the treatment. Here are some special precautions to keep in mind:

• If you have an allergy to any of the following: cow’s milk protein, abobotulinumtoxinA injection ingredients, onabotulinumtoxinA (Botox), prabotulinumtoxinA-xvfs (Jeuveau), incobotulinumtoxinA (Xeomin), rimabotulinumtoxinB (Myobloc), any other medications, or any combination of these, let your doctor and pharmacist know. For an ingredient list, consult the Medication Guide or ask your pharmacist.
• When using abobotulinumtoxinA, let your doctor and pharmacist know about any other prescription and over-the-counter drugs, vitamins, nutritional supplements, and herbal items you are taking or intend to use. Your doctor might need to carefully monitor you for any negative effects or adjust the dosages of your medications.
• AbbotulinumtoxinA may interact with the nonprescription allergy and cold products (such as diphenhydramine, loratadine, fexofenadine, chlorpheniramine, or cetirizine). Before obtaining abobotulinumtoxinA, make sure your doctor and pharmacist are aware that you are taking these drugs. While taking abobotulinumtoxinA, do not begin taking any of these medications without first talking to your doctor.
• If you experience any swelling or other infection-related symptoms near the injection site of abobotulinumtoxinA, let your doctor know. The drug will not be injected by your doctor into an infected region.
• Inform your physician about any prior facial or eye surgery, any side effects from using botulinum toxin products, any changes in your facial features, bleeding issues, diabetes, or a sluggish or irregular heartbeat.
• Your doctor will check you to determine whether abotulinumtoxinA is a good fit for you if it is going to be used to cure wrinkles. If you have severely scarred, thick, or oily skin; drooping eyes; difficulty raising your eyebrows; excess skin on your eyelids; or if your wrinkles are not smoothed by spreading them apart with your fingers, Abotulinum Toxin A may not smooth your wrinkles or may create additional issues.
• Inform your physician if you are nursing a baby, intend to get pregnant, or are already pregnant. Contact your doctor if you become pregnant after receiving an injection of abobotulinumtoxin A.
• Inform the physician or dentist that you are receiving an injection of abobotulinumtoxin A if you are undergoing surgery, including dental surgery.
• As you are aware, abbotulinumtoxinAn injection can result in drooping eyelids, blurred vision, or a loss of strength or weakening in all of the body’s muscles. Do not operate machinery, drive a car, or engage in any other risky activity if you have any of these symptoms.

By following these precautions and guidelines, you can help ensure a safe and successful experience with abbotulinumtoxinAn injections. Always consult with a qualified healthcare professional for personalized advice and recommendations based on your individual circumstances.

What special dietary instructions should I follow?

Regarding special dietary instructions for abbotulinumtoxinAn injections, there are typically no specific dietary restrictions associated with this treatment. However, it’s always a good idea to maintain a balanced and healthy diet to support overall well-being.

What should I do if I forget a dose?

If you forget a dose of abbotulinumtoxinAn injections, it’s important to contact your healthcare provider for guidance. The frequency of abbotulinumtoxinAn injection varies depending on the condition being treated, so missing a dose may affect the effectiveness of the treatment. Your healthcare provider can advise you on the best course of action, which may involve rescheduling the missed dose or adjusting your treatment plan accordingly.

What side effects can this medication cause?

AbbotulinumtoxinAn injections, commonly known as Botox injections, can cause several side effects, although not everyone experiences them. These side effects can vary in severity and may include:

• Pain, bruising, redness, or tenderness in the place where you received the injection
• Headache
• Dry mouth
• Bone or muscle pain
• Pain in arms or legs
• Tiredness
• Nausea
• Depression
• Difficulty falling asleep or staying asleep
• Cough, sneezing, fever, nasal congestion, or sore throat

Certain adverse effects may be dangerous. Contact your physician right once if you encounter any of the following symptoms, as well as those mentioned in the IMPORTANT WARNING section:

• Vision changes
• Sensitivity to light
• Reduced blinking or eye dryness
• Eyelid swelling, irritation, or pain
• Itching
• Rash
• Hives
• Swelling of the hands, feet, ankles, or lower legs
• Shortness of breath
• Dizziness
• Fainting
• Falling or problems with coordination
• Blood in urine
• Seizures

It’s essential to discuss the potential side effects of abbotulinumtoxinAn injections with your healthcare provider before undergoing the procedure. They can provide personalized advice and recommendations based on your individual medical history and circumstances. Additionally, report any unusual or concerning symptoms to your healthcare provider promptly.

What should I know about storage and disposal of this medication?

Storage and disposal of AbobotulinumtoxinA injections:

• Storage:
  • Store AbobotulinumtoxinA Injection in the refrigerator at 2°C to 8°C (36°F to 46°F).
  • Keep it in its original container to protect it from light.
  • Do not freeze it.
  • Do not use the medication if it has been frozen or if it appears cloudy, discolored, or contains particles.
• Disposal:
  • Dispose of any unused or expired AbobotulinumtoxinA Injection properly.
  • Follow your local regulations for disposal of medical waste.
  • Do not dispose of medications in wastewater or household waste unless specifically instructed to do so.

In case of emergency/overdose

• In case of overdose or emergency, contact your healthcare provider, emergency medical services, or a poison control center immediately.
• Symptoms of overdose may include muscle weakness, difficulty swallowing, difficulty speaking, difficulty breathing, and vision problems.
• Do not attempt to treat an overdose without medical guidance.

What other information should I know?

• Inform your healthcare provider about any allergies you have, especially to botulinum toxin products or any other medications.
• Inform your healthcare provider about all the medications you are currently taking, including prescription and over-the-counter medications, vitamins, and herbal supplements.
• Follow your healthcare provider’s instructions carefully regarding dosage, administration, and any precautions or warnings.
• Avoid touching or rubbing the treated area after injection to prevent the spread of the toxin to other muscles.
• It may take several days to see the full effects of AbobotulinumtoxinA Injection, and results typically last for several months.
• Common side effects may include temporary bruising, swelling, pain, redness, or itching at the injection site. Notify your healthcare provider if these side effects persist or worsen.
• Serious side effects such as difficulty breathing, speaking, or swallowing, loss of bladder control, muscle weakness away from the injection site, or vision changes should be reported to your healthcare provider immediately.

Always follow your healthcare provider’s instructions and consult them if you have any questions or concerns about AbobotulinumtoxinA Injection or its use.