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You are here : 3-RX.com > Drugs & Medications > Quick Drug Information (DrugNotes) > Botulinum Toxin Type B (Injection)

Botulinum Toxin Type B (Injection)

Botulinum Toxin Type B (BOT-yoo-li-num TOX-in type B)

Treats symptoms of stiffness or uncontrolled muscle movements in the neck that are caused by a condition called cervical dystonia.

Brand Name(s):

There may be other brand names for this medicine.

When This Medicine Should Not Be Used:

You should not use this medicine if you have had an allergic reaction to any type of botulinum toxin.

How to Use This Medicine:


  • Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine is given as a shot into one of your muscles.
  • A nurse or other trained health professional will give you this medicine. It may also be given by a home health caregiver.
  • Never share your medicine with anyone.

If a dose is missed:

  • Call your doctor or home health caregiver for instructions.
How to Store and Dispose of This Medicine:

  • If you store this medicine at home, keep it in the refrigerator. Do not freeze or shake the medicine.
  • This medicine is sometimes mixed with saline. Any mixed medicine must be thrown out if you do not use it within 4 hours after mixing.
  • Keep all medicine out of the reach of children.
Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • Make sure your doctor knows if you are also using amikacin, atracurium (Tracrium®), gallamine (Flaxedil®), gentamicin (Garamycin®), kanamycin (Kantrex®), neomycin, netilmicin (Netromycin®), pancuronium (Pavulon®), streptomycin, tobramycin, tubocurarine (Tubarine®), or vecuronium (Norcuron®).
  • If you need to receive an injection of any other type of botulinum toxin within 4 months after receiving this medicine, tell your doctor when you last received a dose of botulinum toxin type B.
Warnings While Using This Medicine:

  • Make sure your doctor knows if you are pregnant or breastfeeding, or if you have trouble swallowing, or have any type of nerve or muscle disorder such as ALS (Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome.
Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

  • Muscle weakness or paralysis that occurs several weeks after you receive this medicine
  • Sudden vision changes, trouble speaking, muscle weakness, or inability to move
  • Trouble swallowing

If you notice these less serious side effects, talk with your doctor:

  • Dry mouth
  • Pain where the shot is given
  • Stomach upset
If you notice other side effects that you think are caused by this medicine, tell your doctor.

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