Botox, Botox Cosmetic (Botulinum toxin Type A), Myobloc (Botulinum toxin Type B)

February 9, 2008

FDA issued an early communication about an ongoing safety review regarding and . FDA has received reports of systemic including and following the use of types A and B for both FDA-approved and unapproved uses. The reactions reported are suggestive of botulism, which occurs when botulinum toxin spreads in the body beyond the site where it was injected. The most serious cases had outcomes that included hospitalization and , and occurred mostly in children treated for cerebral palsy-associated limb spasticity. Use of for treatment of limb spasticity (severe arm and leg muscle spasms) in children or adults is not an approved use in the U.S.

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