Call Us: 1.800.873.5297

By

Botox and Similar Botulinum Products to Get Black Box Warning

The FDA announced yesterday that all botulinum toxin products will now require a black box warning for safety purposes. The agency decided to require a stronger warning due to interchangeability problems among the 3 main botulinum drugs and serious adverse events that were being reported. Many of the adverse events reported concerned that the botulinum toxin could spread from the injection site to other areas of the body, causing symptoms similar to those of botulism. Some of these symptoms include: unexpected loss of strength or muscle weakness, trouble talking and saying words clearly, loss of bladder control, trouble breathing, trouble swallowing, double/blurred vision, and droopy eyelids. Most of these symptoms have been reported in children that take botulinum drugs for cerebral palsy, but some symptoms have been reported by adults that use botulinum for both FDA approved and unapproved uses.

The products that the FDA is requiring to adopt a new label are:

  • Botox and Botox Cosmetic
  • Myobloc
  • Dysport

All three drugs are FDA approved to treat cervical dystonia, a condition where the muscles in the neck constantly contract. Botox Cosmetic and Dysport are used to temporarily treat “frown lines” between the eyebrows. Also Botox is used for severe underarm sweating, crossed eyes, and abnormal tics of the face. Treatment of muscle spasticity for cerebral palsy is not an FDA approved use of any of the three botulinum drugs.

The FDA wants healthcare professionals to understand that that dosage strength is not interchangeable between the three drugs. A dose in one of the botulinum drugs may be more potent than a dose of another botulinum drug. Also, adverse events have been reported as little as a few hours after the drugs were administered to as long as several weeks after the drugs have been administered.

Anyone who has experienced adverse experiences from the use of the drug should report it to the FDA.

For more information, see the FDA warning page:
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm149574.htm

See also the FDA’s response to the Citizen Petition at:
http://www.fda.gov/cder/drug/early_comm/botulinum_CP_response.pdf

000-017   000-080   000-089   000-104   000-105   000-106   070-461   100-101   100-105  , 100-105  , 101   101-400   102-400   1V0-601   1Y0-201   1Z0-051   1Z0-060   1Z0-061   1Z0-144   1z0-434   1Z0-803   1Z0-804   1z0-808   200-101   200-120   200-125  , 200-125  , 200-310   200-355   210-060   210-065   210-260   220-801   220-802   220-901   220-902   2V0-620   2V0-621   2V0-621D   300-070   300-075   300-101   300-115   300-135   3002   300-206   300-208   300-209   300-320   350-001   350-018   350-029   350-030   350-050   350-060   350-080   352-001   400-051   400-101   400-201   500-260   640-692   640-911   640-916   642-732   642-999   700-501   70-177   70-178   70-243   70-246   70-270   70-346   70-347   70-410   70-411   70-412   70-413   70-417   70-461   70-462   70-463   70-480   70-483   70-486   70-487   70-488   70-532   70-533   70-534   70-980   74-678   810-403   9A0-385   9L0-012   9L0-066   ADM-201   AWS-SYSOPS   C_TFIN52_66   c2010-652   c2010-657   CAP   CAS-002   CCA-500   CISM   CISSP   CRISC   EX200   EX300   HP0-S42   ICBB   ICGB   ITILFND   JK0-022   JN0-102   JN0-360   LX0-103   LX0-104   M70-101   MB2-704   MB2-707   MB5-705   MB6-703   N10-006   NS0-157   NSE4   OG0-091   OG0-093   PEGACPBA71V1   PMP   PR000041   SSCP   SY0-401   VCP550  

Legal Disclaimer & Privacy Policy
This web site is designed for general information only. The information presented should not be construed as legal advice and does not form the basis for an attorney/client relationship.

The choice of a lawyer is an important decision and should not be based solely on advertisements.
This web site is not intended to be advertising, and Schlichter Bogard & Denton LLP does not desire to represent anyone desiring representation based upon viewing this web site in a jurisdiction where this web site fails to comply with all laws and ethical rules of that jurisdiction. Materials on this web site may only be reproduced in their entirety (without modification) for the individual reader's personal and/or educational use and must include this notice.

We will not disclose, sell, or rent any of your identifiable personal information to any third party, unless approved by you, or required by law.