Pain Resource Blog

What is the success rate of Botox for migraines? Approximately 65% of people see improvement in their migraine symptoms following Botox headache treatment. In fact our patients have had such success with Botox treatment that the percentage realistically is closer to 95%!

Does Botox actually help migraines? Botulinum toxin treatments have been proved effective in clinical trials, and are one way to treat chronic migraines. Other medications, and lifestyle changes, might be recommended. If your doctor determines that you have chronic migraines, you might be a candidate for this treatment.

Can Botox for migraines make them worse? For some people, botulinum toxin injections (Botox®) will help relieve a good portion of their headache symptoms, headache severity, and headache frequency. For some people, botulinum toxin injections will make their headache symptoms, headache severity, and headache frequency worse.

How long does it take for Botox to help migraines? Botox Treatment

You could see results 2 to 3 weeks after your first treatment. You should only get this type of Botox treatment from a doctor who’s trained to give these shots for chronic migraine headaches rather than for wrinkles or other cosmetic uses.

What should I avoid after Botox for migraines?

Botox is a relatively painless procedure so most patients do not need painkillers after injections. However, if you require pain medication for headaches or any other reason, you should avoid taking ibuprofen or aspirin following Botox.

How will I feel after Botox for migraines?

The areas injected might feel bruised or tender for a few days and you may also notice your migraine symptoms are temporarily more severe or you may have a migraine attack in the days following the treatment. You can use your usual acute treatment (e.g. painkillers, triptans) as needed during this period.

How often do you get Botox for migraines?

The person doing your treatment will have been trained to provide Botox for chronic migraine. Injections are given every 12 weeks.

How many units Botox for migraines?

Bottom Line. The recommended total dose of Botox (onabotulinumtoxinA) for chronic migraine prevention is 155 Units administered intramuscularly (into the muscle). This is given as 0.1 mL (5 Units) injections divided across 7 specific head and neck muscle areas, for a total of 31 individual injections per session.

What should you not do after Botox?

That’s why it’s important you should avoid these seven activities after your Botox appointment:
  1. Rubbing Your Face. The injection site should heal very quickly.
  2. Lying On Your Face.
  3. Strenuous Exercise.
  4. Skip the Wine.
  5. Don’t Take Blood Thinners.
  6. Skip Washing Your Face.
  7. Avoid Heat and Sun.

Who shouldn’t Botox?

If you are in poor general health, your skin is very thick or you have existing muscle weakness in the proposed injection site, you may not be a good candidate for Botox. Patients with sensitive skin may experience an allergic reaction at the injection site.

Can you drink coffee after Botox?

For 24-48 hours, avoid caffeine, high-sodium foods, refined carbohydrates, alcohol, cigarettes, high-sugar foods, Niacin supplements and spicy foods because they contribute to increased swelling and irritation.

How do I prepare for a Botox appointment?

BOTOX: Advice for Before and After Treatment
  1. Do Not Drink Wine for One Week Before Your Appointment.
  2. Don’t Take Anti-Inflammatory Medications During the Week Before BOTOX.
  3. Avoid Foods That Contain Garlic (and Consider Using Arnica)
  4. Save the Workout.
  5. Wait to Apply Makeup.
  6. Use a Gentle Facial Cleanser.

What do you wish you knew before getting Botox?

Unlike surgical procedures, Botox injections are not permanent. You’ll notice the results within 3 days but it can take up to 2 weeks for the full effect to kick in. How long it lasts is different for everyone. Most injections last between 3 and 6 months, with the average being 4.

Do and don’ts after Botox?

Don’t lie down for at least 3 hours after receiving Botox. Don’t go into any saunas, hot tubs, or tanning booths for at least 4 hours. This helps to prevent bruising, because heat can raise your blood pressure. Otherwise, you can resume your regular activities right after getting Botox.

What should you not eat before Botox?


Avoid alcohol, caffeine, Niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates, spicy foods, and cigarettes 24-48 hours before and after your treatment. (All of these factors may increase risk of bruising and swelling).

How should I sleep after Botox?

Don’t sleep where you’ve had Botox injected for one night

Sleeping on your back is important because the Botox injections need time to settle into your muscles. Yes, laying on your face could prevent the injections from settling in and lead to you having less than perfect results.

Do any medications interfere with Botox?

Some products that may interact with this drug include: certain antibiotics (including aminoglycosides such as gentamicin, polymyxin), anticoagulants (such as warfarin), Alzheimer’s disease drugs (such as galantamine, rivastigmine, tacrine), myasthenia gravis drugs (such as ambenonium, pyridostigmine), quinidine.

What vitamins should you not take before Botox?

In the week prior to the Botox® treatment, avoid taking aspirin, anti-inflammatories (such as Advil or Aleve), ginkgo biloba, vitamin E, or fish oil supplements. Compounds in these oral supplements and medications may increase bruising and bleeding.

Can I take vitamin D after Botox?

No interactions were found between Botox and Vitamin D3.

Does B12 affect Botox?

No interactions were found between Botox and Vitamin B12. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

When can I take shower after Botox?

You should avoid hot showers, baths and hot tubs for 24 hours after having Botox®.

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