The simple answer is yes. Botox Cosmetic is a prescription medication, and all medications can be dangerous when not administered properly. This even applies to over-the-counter medications. A better question is, Is Botox Cosmetic safe? The answer is YES. Botox and Myobloc are products derived from botulinum toxins. They are purified and when used in appropriate doses they are very safe. Botox is FDA approved to treat facial wrinkles between the eyes. Like nearly every prescription medication in the World, it is used in many ‘off-label’ uses. This in itself is not a problem. The great majority of these applications are done in efforts to improve the patients conditions and do not increase risk significantly. Risks with all medications go up as more of the medication is used or dosages increase.
It is really important for patients to understand that the more of any medication given at one time (higher doses), will increase the chance that a complication may result. Botox, when used for cosmetic purposes at cosmetic doses, has never been associated with a single death. In the cosmetic sector, Botox has been administered over 1 million times! No Deaths.
The unfortunate deaths in the children that are being reported are associated with dosages 10 to 30 times higher than those required for the treatment of facial lines. The FDA is appropriate when it asks drug companies and physicians to pay attention to the risks of using these drugs and any other drugs for that matter. It is also really important for physicians to administer Botox in proven, safe doses. Physicians should also be spending time explaining the the risks of Botox to their patients.