- Avoid Certain Medications and Supplements: It is recommended to avoid aspirin, non-steroidal anti-inflammatory drugs (NSAIDs) like Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, as well as fish oil, Ginkgo Biloba, St. John’s Wort, and high doses of vitamin E for 7-10 days prior to the procedure. These substances can increase the risk of bleeding and bruising at the injection sites. Regular multi-vitamins and Tylenol® are generally permitted unless contraindicated[8].
- Avoid Alcohol: Refraining from alcoholic beverages for 24 hours before the procedure is advised, as alcohol can also increase the risk of bleeding and bruising[8].
- Avoid Certain Skin Treatments: Avoid waxing, bleaching, tweezing, or using hair removal creams on the areas to be treated to prevent skin irritation.
- Manage Discomfort: Taking Tylenol® (if not contraindicated) one hour before the appointment can help manage discomfort during the procedure.
- Herpes Simplex History: If there is a history of facial Herpes Simplex (cold sores), it is important to inform the doctor a week prior to the appointment so that preventive medication can be prescribed.
- Avoid Sunburn: Sunburned skin is difficult to treat, so avoiding sun exposure before the procedure is recommended.
- Eat Before the Appointment: Having a small meal or snack before the appointment can help prevent lightheadedness or fainting during the procedure.
- Inform the Injector: Always inform the injector of all medications, supplements, and relevant medical history to ensure safe and effective treatment.
- Contraindications: Individuals with conditions such as Myasthenia Gravis, allergies to Botulinum Toxin or human albumin, neuromuscular disorders, or those who are pregnant or breastfeeding should not receive Botox® injections[6][7].
You would not be considered a candidate for Botox® if you have any of the following:
- Myasthenia Gravis
- Allergy to Botulinum Toxin
- Neuromuscular disorder
- Pregnant or breastfeeding
- Allergy to human albumin
These guidelines are designed to minimize the risk of complications and enhance the effectiveness of the treatment. It is important to follow specific instructions provided by healthcare professionals, as they may vary based on individual circumstances and the specific neurotoxin product used.
Citations:
[1] https://www.mdpi.com/2072-6651/10/12/535
[2] https://johnscreekdermatology.com/service/cosmetic-dermatology/24-neurotoxins-botox-dysport-xeomin
[3] https://www.aetna.com/cpb/medical/data/100_199/0113.html
[4] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935649/
[5] https://www.accessdata.fda.gov/drugsatfda_docs/label/2023/125274s125lbl.pdf
[6] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2856357/
[7] https://emedicine.medscape.com/article/1271380-overview
[8] https://reviveatthegroup.com/files/download/pdf/Neurotoxin-Pre-Post-Care.pdf