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BOTOX GLASGOW - BOTOX

BOTOX CLINIC IN GLASGOW

All Botox procedures are carried out by a qualified doctor, Dr Carole McAlister.

The Botox treatment takes around 15 minutes. After the treatment the area may be slightly red and swollen, however you can resume normal activities and drive yourself home or return to work immediately after the treatment.

It uisually takes 5-10 days before you notice the effects. The results typically last for 3-4 months or longer (up to about a year after several repeated treatments).

The procedure can sometimes be performed on the same day, but for those new to the procedure or that have medical issues, a “cooling-off period” is generally recommended, followed by another scheduled appointment.

See HERE

Botulinum Toxin side effects are rare, but can include mild local pain and tenderness. Immediately after the injection there may be mild swelling at the injection site which usually subsides within 48 hours. Slight bruising is also possible.

Side effects of these treatments are extremely rare. Occasionally, the treatment may relax nearby muscle groups causing temporary drooping of the eyebrow or eyelids. This may last for a few weeks but will resolve with time.

As with any medicine an allergic reaction may occur, this is however quite rare. Conversely there may be some unintended benefits in some people such as easing of tension type headaches as the muscles in the forehead relax.

- Botox 1 area - £150
- Botox 2 areas - £200
- Botox 3 areas - 250

- Botox for Underarm Sweating - £450
- Botox for Head Sweating - £300

- Botox for Migraines - £250

- Botox for Gummy Smile - £150

- Botox for Jaw Line Reduction - £250 

Botox Glasgow
Private GP Glasgow - Dr Carole McAlisyter

Dr Carole McAlister

Medical Director & Founder
MBChB DRCOG MRCGP
Private GP and Aesthetics Doctor
GMC Reg number: 3275151

In 2008 she undertook the “Facial Aesthetics in General Practice” course and subsequently she studied for the “Advanced Facial Aesthetics and Dermal Fillers” certificate for Doctors.

Dr Carole McAlister is fully qualified and experienced as an advanced practitioner and she has been treating patients for over 15 years with botulinum toxin for both cosmetic and clinical conditions such as hyperhidrosis (excessive sweating), migraine and teeth grinding. 

Read more about Dr McAlister
BOTOX

from £150

  • 1 area - £150
  • 2 areas - £200
  • 3 areas - £250
BOTOX

from £150

 

  • Gummy Smile - £150
  • Jaw Line - £250
  • Teeth Grinding - £250
HYPERHIDROSIS

£450

  • Underarm Sweating - £450
  • Head & Neck Sweating - £300
MIGRAINES

£250

  • Botox for migraines - £250
Mobirise

A professional treatment carried out by a qualified Doctor, not a nurse or beautician.

  • Registered Doctor / Clinic (GMC, HIS)
  • Qualified Doctor - Over 15 years experience
  • Free consultation /  best brands in the market
  • 2 week review appointment if clinically indicated
  • Fixed price for men or women
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BOTOX TREATMENTS

A wide, square jaw in women can be seen as a masculine or unattractive trait. Some women are born with a large jaw bone, others develop a square jaw over time by over-developing their masseter (chewing) muscle through habits such as teeth grinding or excessive chewing gum. When a wide jaw is caused by an oversized masseter, we can use Botox to relax this muscle and create a softer, less square look to the jaw.


Crow’s feet, also known as 'smile lines', are wrinkles that form around the corners of the eyes. They are one of the first signs of ageing, but factors such as sun damage and smoking play a large part too. Crow’s feet begin to form when collagen levels decline with age.



Skin is less able to ‘bounce back’ as it moves, and repeated expressions like laughing and squinting eventually turn into permanent fine lines and wrinkles. Targeted Botox injections can be extremely effective for this area. They relax the muscles that cause crow’s feet, allowing these lines to smooth out.

A gummy smile is often caused by overactive elevator muscles in the upper lip which pull the lip up in an extreme fashion when a person is smiling or speaking. This can make the sufferer feel self-conscious, but fortunately it is an issue that can be effectively addressed with Botox.

Targeted injections by our Doctor can temporarily relax the muscles that cause the lip to lift up to an exaggerated degree, reducing the appearance of a gummy smile. 

Teeth grinding, also called bruxism, is unconscious clenching of the teeth. This may occur during both waking and sleeping hours, and can cause physical pain such as jaw soreness and headaches. It is also a source of dental problems including tooth sensitivity, chipped teeth and worn enamel.

At GP Matters we treat this condition by using Botox to relax the specific muscles responsible for teeth grinding. This provides relief from the constant teeth grinding, and also softens the look of a jaw widened by persistent clenching. Treatment takes around 15 minutes, and results last approx 2-4 months.

Anti wrinkle treatment for lines was the original use of Botox and remains one of its most popular applications today. Frown lines, also called glabellar lines or 'bunny lines', are the vertical furrows between the eyebrows, typically shaped like the number 11.

These expression lines turn into permanent static lines when the skin loses its ability to spring back after frowning, leaving people with an angry or worried look. Skin loses its natural elasticity with age, as collagen and elastin break down, but sun damage, smoking, poor diet and a highly expressive face all contribute to the formation of frown lines. Treatment for frown lines involves, careful placement of Botox is able to relax the muscles used for frowning, smoothing out the furrows and creating a happier, more relaxed looking expression reducing the appearance of wrinkles.

Botox is perhaps best known for treating lines on the forehead. It is extremely effective on horizontal furrows (vertical lines) across the forehead, which can form dynamic wrinkles by repeated raising of the eyebrows. Age, genetics, a highly expressive face, sun damage and smoking all affect how soon these lines develop, and how deep they become. Botox works by relaxing the frontalis muscle responsible for forehead wrinkles, creating a smoother, more youthful appearance.



BOTOX FAQ

Botulinum Toxin (often called Botox ®) when injected into a muscle temporarily relaxes the muscle by blocking nerve impulses. As the nerve impulses are blocked the muscle is temporarily unable to contract so that dynamic wrinkles are not formed. This gives the overlying facial skin a softer, smoother and more youthful appearance.


Most people find that the injections cause only mild local pain and tenderness. Immediately after the injection there may be mild swelling at the injection site which usually subsides within 48 hours. Slight bruising is also possible.

Botox side effects are rare. Occasionally, the treatment may relax nearby muscle groups causing temporary drooping of the eyebrow or eyelids. This may last for a few weeks but will resolve with time.

As with any medicine an allergic reaction may occur, this is however quite rare. Conversely there may be some unintended benefits in some people such as easing of tension type headaches as the muscles in the forehead relax.

Botox has been used for over 20 years and does not appear to cause any negative long-term effects.

We use Azzalure by Galderma

- People with infection at the proposed injection site.
- People who have previously had an allergic reaction to Botulinum toxin type A injections.
- People with muscle problems or chronic diseases affecting the muscles, such as Myasthenia Gravis, Eaton Lambert syndrome.
- Children under the age of 18 years.
- Women who are pregnant or breast feeding.

- People at risk of bleeding as there is an increased risk of bruising post procedure. These include people who have blood clotting disorders such as Haemophilia, those who are taking treatments with anticoagulant medicines such as Warfarin, Heparin, Aspirin and Anti-Inflammatory medicines. Certain herbal remedies such as Gingiko Bilboa, St John’s Wort and Vitamin E
- People with excessive weakness or wasting in the muscle to be injected, such as those patients with history of Strokes or Bell’s Palsy
- People with Chronic Breathing difficulties

Botox injections generally have an onset action of 5 to 10 days to fully develop, with the average longevity of roughly 3 to 4 months.

Botox injections are relatively painless as the injections are performed using a very fine needle. Patients therefore and do not require any anaesthesia. The full treatment takes about 15 minutes to perform and you are able to drive and go to work the same day.


The Botox effects can last up to six months but typically range from three to four months. Eventually most people require re treatment as the wrinkles reappear.
However in some treated areas (such as frown wrinkles), the wrinkles may return less severe after repeated treatments as the unconscious muscle contraction habit is broken.

Botox treatments are designed to smooth dynamic wrinkles in the forehead and around eyes, they do not affect your facial expression.
The final result can be tailored to each patient and can be discussed at the initial free consultation.

Try to contract the treated muscle areas for up to four hours after treatment, by frowning and lifting eyebrows to allow the toxin to reach all of the treated muscle.

Avoid rubbing or touching the injected areas and avoid having facials and massage for 48 hours this is to ensure that the treatment remains at the site of injection.

Avoid vigorous exercise and alcohol-based products on the area treated for 48 hours.

If bruising develops then you can apply Arnica cream

Paracetamol can be taken for mild pain post procedure

Reduce excessive alcohol consumption or medically necessary blood-thinning medication before the treatment to prevent bruising.

Botulinum Toxin injections consist of a safe, naturally purified protein. A course of treatment has little impact on usual day-to-day activity and will not affect your sleeping patterns. To allow the BOTOX® injectables to settle, you should avoid putting pressure on the treated area or laying on your front for around four hours.

Please send us an email to info@gpmatters.com or phone the clinic on 0141 7373 289 if you have any concerns regarding the aesthetic outcome of your treatment.

BOTOX®  IMPORTANT SAFETY INFORMATION

BOTOX® and BOTOX® Cosmetic may cause serious side effects that can be life threatening. Get medical help right away if you have any of these problems any time (hours to weeks) after injection of BOTOX® or BOTOX® Cosmetic:

Problems swallowing, speaking, or breathing, due to weakening of associated muscles, can be severe and result in loss of life. You are at the highest risk if these problems are preexisting before injection. Swallowing problems may last for several months

Spread of toxin effects. The effect of botulinum toxin may affect areas away from the injection site and cause serious symptoms, including loss of strength and all-over muscle weakness; double vision; blurred vision; drooping eyelids; hoarseness or change or loss of voice; trouble saying words clearly; loss of bladder control; trouble breathing; and trouble swallowing

There has not been a confirmed serious case of spread of toxin effect away from the injection site when BOTOX® has been used at the recommended dose to treat Chronic Migraine, severe underarm sweating, Blepharospasm, Strabismus, or when BOTOX® Cosmetic has been used at the recommended dose to treat frown lines, crow’s feet lines, and/or forehead lines.

Indications
BOTOX® is a prescription medicine that is injected into muscles and used:

To treat overactive bladder symptoms such as a strong need to urinate with leaking or wetting accidents (urge urinary incontinence), a strong need to urinate right away (urgency), and urinating often (frequency) in adults 18 years and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken
To treat leakage of urine (incontinence) in adults 18 years and older with overactive bladder caused by a neurologic disease who still have leakage or cannot tolerate the side effects after trying an anticholinergic medication
To treat overactive bladder due to a neurologic disease in children 5 years of age and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken
To prevent headaches in adults with Chronic Migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older
To treat increased muscle stiffness in people 2 years of age and older with spasticity
To treat the abnormal head position and neck pain that happens with Cervical Dystonia (CD) in people 16 years and older
To treat certain types of eye muscle problems (Strabismus) or abnormal spasm of the eyelids (Blepharospasm) in people 12 years of age and older
BOTOX® is also injected into the skin to treat the symptoms of severe underarm sweating (severe primary axillary hyperhidrosis) when medicines used on the skin (topical) do not work well enough in people 18 years and older.

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe forehead lines, crow’s feet lines, and frown lines between the eyebrows in adults.

It is not known whether BOTOX® and BOTOX® Cosmetic are safe and effective to prevent headaches in patients with migraine who have 14 or fewer headache days each month (episodic migraine).

BOTOX® has not been shown to help people perform task-specific functions with their upper limbs or increase movement in joints that are permanently fixed in position by stiff muscles.

It is not known whether BOTOX® and BOTOX® Cosmetic are safe and effective for severe sweating anywhere other than your armpits.

It is not known if BOTOX® Cosmetic is safe and effective for use more than 1 time every 3 months.

BOTOX® and BOTOX® Cosmetic may cause loss of strength or general muscle weakness, vision problems, or dizziness within hours to weeks of receiving BOTOX® or BOTOX® Cosmetic. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Do not receive BOTOX® or BOTOX® Cosmetic if you are allergic to any of its ingredients (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.

Do not receive BOTOX® for the treatment of urinary incontinence if you have a urinary tract infection (UTI) or cannot empty your bladder on your own and are not routinely catheterizing. Due to the risk of urinary retention (difficulty fully emptying the bladder), only patients who are willing and able to initiate catheterization posttreatment, if required, should be considered for treatment.

Patients treated for overactive bladder: In clinical trials, 36 of the 552 patients had to self-catheterize for urinary retention following treatment with BOTOX® compared to 2 of the 542 treated with placebo. The median duration of postinjection catheterization for these patients treated with BOTOX® 100 Units (n = 36) was 63 days (minimum 1 day to maximum 214 days), as compared to a median duration of 11 days (minimum 3 days to maximum 18 days) for patients receiving placebo (n = 2). Patients with diabetes mellitus treated with BOTOX® were more likely to develop urinary retention than nondiabetics.

Adult patients treated for overactive bladder due to neurologic disease: In clinical trials, 30.6% of adult patients (33/108) who were not using clean intermittent catheterization (CIC) prior to injection, required catheterization for urinary retention following treatment with BOTOX® 200 Units as compared to 6.7% of patients (7/104) treated with placebo. The median duration of postinjection catheterization for these patients treated with BOTOX® 200 Units (n = 33) was 289 days (minimum 1 day to maximum 530 days) as compared to a median duration of 358 days (minimum 2 days to maximum 379 days) for patients receiving placebo (n = 7).

Among adult patients not using CIC at baseline, those with MS were more likely to require CIC post injection than those with SCI.

The dose of BOTOX® and BOTOX® Cosmetic is not the same as, or comparable to, any other botulinum toxin product.

Serious and/or immediate allergic reactions have been reported, including itching, rash, red itchy welts, wheezing, asthma symptoms, dizziness, or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX® or BOTOX® Cosmetic should be discontinued.

Tell your doctor about all your muscle or nerve conditions, such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome, as you may be at increased risk of serious side effects, including difficulty swallowing and difficulty breathing from typical doses of BOTOX® or BOTOX® Cosmetic.

Tell your doctor if you have any breathing-related problems. Your doctor may monitor you for breathing problems during treatment with BOTOX® for spasticity or for detrusor overactivity associated with a neurologic condition. The risk of developing lung disease in patients with reduced lung function is increased in patients receiving BOTOX®.

Cornea problems have been reported. Cornea (surface of the eye) problems have been reported in some people receiving BOTOX® for their Blepharospasm, especially in people with certain nerve disorders. BOTOX® may cause the eyelids to blink less, which could lead to the surface of the eye being exposed to air more than is usual. Tell your doctor if you experience any problems with your eyes while receiving BOTOX®. Your doctor may treat your eyes with drops, ointments, contact lenses, or with an eye patch.

Bleeding behind the eye has been reported. Bleeding behind the eyeball has been reported in some people receiving BOTOX® for their Strabismus. Tell your doctor if you notice any new visual problems while receiving BOTOX®.

Bronchitis and upper respiratory tract infections (common colds) have been reported. Bronchitis was reported more frequently in adults receiving BOTOX® for upper limb spasticity. Upper respiratory infections were also reported more frequently in adults with prior breathing-related problems with spasticity. In pediatric patients treated with BOTOX® for upper limb spasticity, upper respiratory tract infections were reported more frequently. In pediatric patients treated with BOTOX® for lower limb spasticity, upper respiratory tract infections were not reported more frequently than placebo.

Autonomic dysreflexia in patients treated for overactive bladder due to a neurologic disease. Autonomic dysreflexia associated with intradetrusor injections of BOTOX® could occur in patients treated for detrusor overactivity associated with a neurologic condition and may require prompt medical therapy. In clinical trials, the incidence of autonomic dysreflexia was greater in adult patients treated with BOTOX® 200 Units compared with placebo (1.5% versus 0.4%, respectively).

Tell your doctor about all your medical conditions, including if you have or have had bleeding problems; have plans to have surgery; had surgery on your face; have weakness of forehead muscles, trouble raising your eyebrows, drooping eyelids, and any other abnormal facial change; have symptoms of a urinary tract infection (UTI) and are being treated for urinary incontinence (symptoms of a urinary tract infection may include pain or burning with urination, frequent urination, or fever); have problems emptying your bladder on your own and are being treated for urinary incontinence; are pregnant or plan to become pregnant (it is not known if BOTOX® or BOTOX® Cosmetic can harm your unborn baby); are breastfeeding or plan to (it is not known if BOTOX® or BOTOX® Cosmetic passes into breast milk).

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Using BOTOX® or BOTOX® Cosmetic with certain other medicines may cause serious side effects. Do not start any new medicines until you have told your doctor that you have received BOTOX® or BOTOX® Cosmetic in the past.

Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.

Other side effects of BOTOX® and BOTOX® Cosmetic include dry mouth, discomfort or pain at the injection site; tiredness; headache; neck pain; eye problems such as double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, dry eyes; drooping eyebrows; and upper respiratory tract infection. In adults being treated for urinary incontinence, other side effects include urinary tract infection and painful urination. In children being treated for urinary incontinence, other side effects include urinary tract infection and bacteria in the urine. If you have difficulty fully emptying your bladder on your own after receiving BOTOX®, you may need to use disposable self-catheters to empty your bladder up to a few times each day until your bladder is able to start emptying again.

For more information refer to the Medication Guide or talk with your doctor.

Please see BOTOX® full Product Information, including Boxed Warning and Medication Guide.

Please see BOTOX® Cosmetic full Product Information, including Boxed Warning and Medication Guide.

AZZALURE - PACKAGE LEAFLET: INFORMATION FOR THE USER

1. WHAT AZZALURE IS AND WHAT IT IS USED FOR
Azzalure contains a substance, botulinum toxin A, which causes muscles to relax. Azzalure acts at the
junction between the nerves and muscle to prevent the release of a chemical messenger called acetylcholine
from the nerve endings. This prevents muscles from contracting. The muscle relaxation is temporary and
gradually wears off.
Some people are distressed when lines appear on their face. Azzalure can be used in adults under 65 years to
temporarily improve the appearance of any moderate to severe glabellar lines (the vertical frown lines
between the eyebrows) and lateral canthal lines (crow’s feet lines).

2. WHAT YOU NEED TO KNOW BEFORE YOU USE AZZALURE

Do not have an Azzalure injection if:
• You are allergic to Clostridium botulinum toxin A or any of the other ingredients of this medicine
(listed in section 6)
• You have an infection at the proposed site of injection
• You have myasthenia gravis, Eaton Lambert Syndrome or amyotrophic lateral sclerosis.

Warnings and precautions
Talk to your doctor, pharmacist or other healthcare practitioner before you have the Azzalure injection if:
• You have any neuromuscular disorders
• You often have difficulty swallowing food (dysphagia)
• You find that you often have problems with food or drink getting into your airways causing you to
cough or choke
• You have inflammation at the proposed site of injection
• The muscles at the proposed site of injection are weak
• You suffer from a bleeding disorder which means that you continue to bleed for longer than normal,
such as haemophilia (hereditary bleeding disorders caused by deficiencies of clotting factor)
• You have had surgery on your face, or are likely to undergo facial or other types of surgery soon
• You have already had other botulinum toxin injections
• You had no significant improvement of your lines after your last treatment with botulinum toxin.

This information will help your doctor or other healthcare practitioner to make an informed decision about
the risk and benefit of your treatment.

When you are treated with Azzalure, your eyes may become dry. Azzalure may make your eyes blink less
often or produce less tears, which could harm the surface of your eyes.

Special warnings:
Very rarely, the effect of botulinum toxin may result in muscle weakness away from the site of injection.

When botulinum toxins are used at more frequent intervals than 12 weeks or at higher doses to treat other
conditions, antibody formation has been noted rarely in patients. The formation of neutralising antibodies
may reduce the effectiveness of treatment.

If you are seeing a doctor for any reason, make sure that you tell them that you have been treated with
Azzalure.

Children and adolescents
Azzalure is not indicated for subjects under the age of 18 years.

Other medicines and Azzalure
Tell your doctor, pharmacist or other healthcare practitioner if you are using, have recently used or might use
any other medicines, as Azzalure may affect other medicines, especially:
• Antibiotics for an infection (e.g. aminoglycosides, such as gentamicin or amikacin), or
• Other muscle relaxant drugs.

Azzalure with food and drink
You can have Azzalure injections either before or after eating or drinking.

Pregnancy and breast-feeding
You should not get Azzalure during pregnancy. Treatment with Azzalure is not recommended if you are
breast-feeding.
If you are pregnant or planning to become pregnant, or if you are breast-feeding, ask your doctor, pharmacist
or other healthcare practitioner for advice before taking any medicine.

Driving and using machines
You may experience temporary blurred vision, muscle weakness or generalised weakness following
treatment with Azzalure. If affected, do not drive or use machinery.

3. HOW TO USE AZZALURE
Azzalure should only be administered by a doctor or other healthcare practitioner with appropriate
qualifications and expertise in this treatment and having the required equipment.
Your doctor or other healthcare practitioner will prepare and give the injections. A vial of Azzalure should
be used only for you and only for a single treatment session.
The recommended dose of Azzalure is:
• For glabellar lines: 50 units, injected as 10 units at each of 5 injection sites in your forehead in the
area above your nose and eyebrows.
• For lateral canthal lines: 60 units, injected as 10 units at each of 6 injection sites in both crow’s feet
regions.
The units used for different botulinum toxin products are not the same. Azzalure Speywood units are not
interchangeable with other botulinum toxin products.
The effect of the treatment should be noticeable within a few days after injection.
The interval between treatments with Azzalure will be decided by your doctor or other healthcare
practitioner. You should not have treatment more often than every 12 weeks.
Azzalure is not indicated for patients under the age of 18.

If you receive more Azzalure than you should
If you are given more Azzalure than you need then muscles other than the ones that were injected may begin
to feel weak. This may not happen straight away. If this happens, speak to your doctor or other healthcare
practitioner immediately.

4. POSSIBLE SIDE EFFECTS
Like all medicines, Azzalure can cause side effects, although not everybody gets them.

Seek urgent medical help if:
• You have difficulties breathing, swallowing or speaking.
• Your face swells or skin goes red or you get an itchy lumpy rash. This may mean you are having an
allergic reaction to Azzalure.

Tell your doctor or other healthcare practitioner if you notice any of the following side effects:
For glabellar lines:

Very common (affects more than 1 user in 10)
• Redness, swelling, irritation, rash, itching, tingling, pain, discomfort, stinging or bruising at the site
of the injection
• Headache

Common (affects 1 to 10 users in 100)
• Tired eyes or dim vision, drooping of the upper eyelid, swelling of the eyelid, watering eyes, dry
eye, twitching of muscles around the eye
• Temporary facial paralysis

Uncommon (affects 1 to 10 users in 1,000)
• Disturbed, blurred or double vision
• Dizziness
• Itching, rash
• Allergic reactions

Rare (affects 1 to 10 users in 10,000)
• Itchy and lumpy rash
• Eye movement disorder

Not known (frequency cannot be estimated from the available data):
• Numbness
• Muscle wasting
• Generalised weakness
• Fatigue
• Flu-like symptoms

For lateral canthal lines:
Common (affects 1 to 10 users in 100)
• Headache
• Swelling of the eyelid
• Bruising, itching and swelling around the eyes
• Drooping of the upper eyelid
• Temporary facial paralysis

Uncommon (affects 1 to 10 users in 1,000)
• Dry eye

Not known (frequency cannot be estimated from the available data):
• Allergic reactions
• Numbness
• Muscle wasting
• Generalised weakness
• Fatigue
• Flu-like symptoms
Usually these side effects have occurred within the first week following injections and did not last long.
They were usually mild to moderate in severity.
Very rarely, side effects experienced in muscles other than the ones that were injected have been reported
with botulinum toxin. These include excessive muscle weakness, difficulty swallowing, due to coughing and
choking when swallowing (if food or liquid enters your airway as you attempt to swallow, respiratory
problems can occur, such as lung infections). If this happens, speak to your doctor or other healthcare
practitioner immediately.

Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or other healthcare practitioner. This includes any
possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card
Scheme: Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or
Apple App Store.
By reporting side effects, you can help provide more information on the safety of this medicine.

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Phone: 0141 7373 289


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