An option for excessive underarm sweating. BOTOX^® (Botulinum Toxin Type A) Imagine that!

Lasting Duration

201-day median duration of response*

—	Duration was calculated as the number of days between BOTOX^® injection and the date when patients first returned to 3 or 4 on the HDSS¹
—	Among patients who received a second BOTOX^® neurotoxin injection, the median duration of response was similar to that observed after the first treatment¹
—	Repeat injections for hyperhidrosis should be administered when the clinical effect of previous injection diminishes¹

1 to 2 BOTOX^® injections were sufficient for most patients who responded to BOTOX^® treatment in the 52-week pivotal clinical study¹

— Repeat injections for hyperhidrosis should be administered when the clinical effect of a previous injection diminishes¹

* Results from a 52-week, randomized, multicenter, double-blind, placebo-controlled study of 322 patients.

References

BOTOX^® Prescribing Information.
Data on file, Allergan, Inc.; Pivotal clinical trial, Study 016.

BOTOX^® Hyperhidrosis Physicians’ Network

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BOTOX^® is indicated for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents.

Important Safety Information

Contraindications

BOTOX^® treatment is contraindicated in the presence of infection at the proposed injection site(s) and in individuals with known hypersensitivity to any ingredient in the formulation.

Warnings

The recommended dosage and frequency of administration for BOTOX^® should not be exceeded. Risks resulting from administration at higher dosages are not known.

Serious and/or immediate hypersensitivity reactions have been rarely reported. These reactions include anaphylaxis, urticaria, soft tissue edema, and dyspnea. If such a reaction occurs, further BOTOX^® injection should be discontinued and appropriate medical therapy immediately instituted. BOTOX^® should only be diluted with 0.9% nonpreserved sodium chloride.

Individuals with peripheral motor neuropathic diseases (eg, amyotrophic lateral sclerosis or motor neuropathy) or neuromuscular junctional disorders (eg, myasthenia gravis or Lambert-Eaton syndrome) should only receive BOTOX^® with caution. Patients with neuromuscular disorders may be at increased risk of clinically significant systemic effects including severe dysphagia and respiratory compromise from typical doses of BOTOX^®.

Precautions

Patients should be evaluated for potential causes of secondary hyperhidrosis (eg, hyperthyroidism) to avoid symptomatic treatment of hyperhidrosis without the diagnosis and/or treatment of the underlying disease.

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.

There are no adequate and well-controlled studies wof BOTOX^® treatment in pregnant women. BOTOX^® should be administered during pregnancy only if the potential benefit justifies the potential risk to the fetus. If this drug is used during pregnancy, or if the patient becomes pregnant while taking this drug, the patient should be apprised of the potential risks, including abortion or fetal malformations, which have been observed in rabbits.

Adverse reactions

There have been rare reports of adverse events involving the cardiovascular system, including arrhythmia and myocardial infarction, some with fatal outcomes. Some of these patients had risk factors including cardiovascular disease. The exact relationship of these events to the botulinum toxin injection has not been established.

The most frequently reported adverse events (3% to 10% of patients) following BOTOX^® injection for severe primary axillary hyperhidrosis included injection-site pain and hemorrhage, non-axillary sweating, infection, pharyngitis, flu syndrome, headache, fever, neck or back pain, pruritus, and anxiety.

Please see prescribing information.

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