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This medication can potentially spread beyond the injection site to other parts of the body, leading to serious and possibly life-threatening side effects. These adverse effects may appear hours to weeks after the injection. However, the likelihood of such severe side effects occurring when used for migraines or skin conditions like wrinkles or excessive sweating is very low. Children receiving treatment for muscle stiffness or spasms are at a heightened risk, as are individuals with certain pre-existing medical conditions. It's important to discuss the potential risks and benefits of this medication with your doctor.

Key safety information includes:

• Spread of Toxin Effects: While there have been no serious reports when used at recommended sites and doses, there is a potential for the medication to spread to other parts of the body. This can lead to symptoms such as unexplained muscle weakness, drooping eyelids, blurred or double vision, and difficulty breathing or swallowing. Immediate medical attention is necessary if these symptoms occur. Individuals with a history of muscle, eye, or lung conditions may be at increased risk.

• Swallowing or Breathing Difficulties: Although rare, the medication can cause severe problems with swallowing or breathing, potentially becoming life-threatening. These effects can emerge from hours to weeks after administration and may persist for several months. Individuals with a history of swallowing or breathing issues, or those with conditions like Myasthenia Gravis or Lambert-Eaton syndrome, should inform their healthcare provider prior to treatment.

• Worsening of Existing Conditions: The medication can exacerbate certain medical conditions, leading to serious side effects such as heart problems or muscle weakness. Those with a history of heart issues or muscle-nerve conditions should discuss their medical history thoroughly with their healthcare provider before starting treatment.

• Vision and Eye Problems: Use around the eyelid muscles can reduce blinking, increasing the risk of eye issues such as ulcers. Patients with a history of eye surgery or nerve problems may need additional eye protection, such as ointments or special lenses. Any persistent eye irritation or visual changes should be reported to a healthcare provider.

• Contraindications: The medication should not be used if there is an infection at the injection site, as this may pose serious health risks. Always consult with a healthcare provider to determine the suitability of this medication for your condition.

In case of experiencing any severe side effects or signs of an overdose, it is crucial to seek immediate medical assistance.

When using this medication, side effects can vary depending on the treatment area. Commonly, patients may experience redness, bruising, infection, or pain at the injection site. Other mild side effects include dizziness, mild difficulty swallowing, respiratory infections like cold or flu, nausea, headache, muscle weakness, and facial pain. In particular, drooping eyelids, trouble moving parts of the face, and muscle weakness are also noted, though they are relatively infrequent.

For those using the medication to prevent migraines, side effects such as headache, neck pain, and drooping eyelids may occur. When used for excessive sweating, patients might experience non-underarm sweating, respiratory infections, fever, neck or back pain, and anxiety. For overactive bladder treatment, urinary tract infections, burning or painful urination, fever, or difficulty urinating have been reported.

Serious side effects are rare but require immediate attention. These include severe headache, drooping eyelids or eyebrows, eyelid swelling, and skin tightness. A very serious allergic reaction, though uncommon, can manifest as itching or swelling of the face, tongue, or throat, rash, severe dizziness, or trouble breathing. If any of these symptoms are observed, seek urgent medical care. It is important to be aware of these side effects and consult a healthcare provider if any persist or worsen.