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This medication may spread beyond the injection site, potentially leading to severe, even life-threatening, reactions. These effects can manifest hours or weeks post-injection. The likelihood of such reactions is minimal when the medication is used for migraines, skin conditions like wrinkles, eye spasms, or excessive sweating. Children undergoing treatment for muscle stiffness or spasms, and individuals with specific medical conditions, are at higher risk. Discuss the possible risks and benefits with your healthcare provider.

If you experience any of the following severe side effects, seek immediate medical assistance:

• Chest pain
• Difficulty breathing
• Significant muscle weakness
• Irregular heartbeat
• Severe trouble swallowing or speaking
• Loss of bladder control

Additional Important Safety Information:

• Spread of Toxin Effects: This medication can spread to other areas of the body, leading to symptoms such as muscle weakness, drooping eyelids, blurred or double vision, and breathing or swallowing difficulties. Immediate medical attention is required if these symptoms occur. Higher risk is associated with children and individuals with a history of muscle, eye, or lung conditions.

• Breathing and Swallowing Difficulties: This medication may cause severe breathing or swallowing issues due to muscle weakening, with risks heightened for those with muscle or nerve conditions. If you have a history of such problems, inform your doctor prior to treatment.

• Pre-existing Muscle or Nerve Conditions: Notify your healthcare provider if you have conditions like myasthenia gravis, as this may increase the risk of severe side effects, including swallowing or breathing difficulties.

• Dry Eyes: Some users report dry eyes when used for frown lines. Seek medical advice if symptoms persist.

• Cow's Milk Protein Allergy: Since this medication contains cow's milk protein, it should not be used by individuals allergic to it to avoid severe allergic reactions.

• Infection Risk: The presence of albumin, a blood-derived protein, poses a minimal infection risk due to stringent screening processes.

• Severe Allergic Reactions: Rarely, severe allergic reactions like hives, facial swelling, or breathing difficulties can occur. Immediate medical intervention is necessary.

Contraindications:

• Allergy to cow's milk protein
• Infection at the injection site

For any concerns or more information, consult your healthcare provider.

When using this medication, side effects can vary depending on the condition being treated and the site of injection. Commonly reported side effects include redness, bruising, and pain at the injection site. Mild respiratory infections like colds or flu, dizziness, headache, nausea, muscle weakness, and difficulty swallowing are also possible. When used for muscle relaxation, some people may experience double vision, drooping eyelids, eye irritation, dry eyes, tearing, reduced blinking, and increased sensitivity to light. Protective eye treatments might be necessary in these cases.

For migraine prevention, side effects such as headaches, neck pain, and drooping eyelids can occur. In treatments for excessive sweating, non-underarm sweating, respiratory issues, headache, fever, neck or back pain, and anxiety have been noted. When addressing overactive bladder, patients might experience urinary tract infections, burning or painful urination, fever, or difficulty urinating.

Though most side effects are mild, serious reactions, although rare, require immediate medical attention. These include severe allergic reactions, such as itching, swelling of the face, tongue, or throat, rash, severe dizziness, and trouble breathing. Always consult your healthcare provider if side effects persist or worsen, and seek urgent medical care for any severe reactions.