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The Do’s and Don’ts of Botox

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by: Scott Abeles, R.N. B.S.N.
About The Author
Scott Abeles, B.S.N. is an AnestaWeb journalist specializing in medical and health articles and topics.  To learn more about botox, visit
http://www.botoxdirectory.net  Other websites by Mr. Abeles Include:  www.bariatricsurgerydirectory.com and www.LessInvasive.com   (c) 2006, Scott Abeles. All rights in all media reserved
AnestaWeb - Botox, Botox Questions, Botox Prices, Botox Topics, AnestaWeb.com
AnestaWeb - Botox, Botox Questions, Botox Prices, Botox Topics, AnestaWeb.com
otox is one of the most popular cosmetic 
  surgery and facial rejuvenation procedures. A
  few reasons for this surge in its popularity is
  that Botox is a relatively inexpensive cosmetic procedure, and it offers almost immediate 
 results.  According to the American Society
   for Aesthetic Plastic Surgery (ASAPS), 
   Botox is the fastest growing cosmetic
  procedure. Botox is the trade name for
botulinum toxin A which is related to botulism.
Botox was approved by the FDA in 2002 but has been used as an unapproved treatment for a variety of medical ailments since 1989.
Currently Botox is approved to treat blepharospasm, strabismus, cervical dystonia, conditions all due to involuntary muscle contractions or spasms. Botox is a proven muscle relaxant which works at the muscles nerve endings thus causing the contractions to subside. The most common indication is for the temporary improvement of frown lines and wrinkles. Botox is only a temporary treatment, and injections are usually repeated every three to eight months. Before you consider having Botox injections, here are a few questions and answers that may provide you with some insight on this very popular cosmetic procedure, which some are calling the new “fountain of youth”.
Can any medical professional administer Botox? If you are considering Botox only certain medical professionals with specific training should give the medication such as: dematologists, plastic surgeons, ophthalmologists and otolaryngologists. Make sure that the physician you choose is board certified.

Can Botox be given by a Registered Nurse or an aesthetician? The administration requirements differ from state to state. For instance, in Massachusetts Botox may be administered by a registered nurse as directed by a physician or other authorized prescriber, but only after a physician or other authorized prescriber has performed a medical examination of the patient. In Rhode Island, Botox can be administered under the guidance of an appropriately trained physician or advanced practice clinician (for example, a nurse practitioner or physician assistant) and only after a proper medical assessment is completed and patient consent obtained. In Connecticut the administration of Botox is considered within the scope of acceptable practices for properly trained registered nurses as long as the procedure has been ordered by a physician. Check with the American Society for Dermatologic Surgery for your state’s guidelines.

Can a physician administer Botox for an unapproved medical condition? The FDA does not regulate the off- label uses for Botox. There are physicians that do administer Botox for unapproved conditions such as migraine head aches, facial tics, incontinence, back pain, carpal tunnel syndrome. Consumers should be aware that "off-label" uses for Botox has not been independently reviewed by theFDA, and the safety and effectiveness of Botox injections into other regions of the face and neck, alone or in combination with the frown-lines region, have not been clinically evaluated.
Are there any know drug interactions with Botox? Co-administration of BOTOX® and aminoglycosides or other agents interfering with neuromuscular transmission (e.g., curare-like compounds) should only be performed with caution as the effect of the toxin may be potentiated. The effect of administering different botulinum neurotoxin serotypes at the same time or within several months of each other is unknown. Excessive neuromuscular weakness may be exacerbated by administration of another botulinum toxin prior to the resolution of the effects of a previously administered botulinum toxin. From Allergan insert.

Since Botox is related to botulinum can I have an adverse reaction? There have been Botox associated adverse reactions reported such as: difficulty swallowing, respiratory infection, neck pain, head ache, difficulty breathing, fever, and localized redness or itching at the injection site.

Since Botox is injected in small amounts, can the vial be re-used? The vial is only a single use vial and can not be re-used for another visit nor can the vial be used on another patient.

My salon/ spa is offering Botox injections, should I have it done there? No. Only have Botox administered by a qualified, board certified medical professional, registered nurse, advanced nurse practitioner or physician assistant.

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