CDC Alert: Harmful Reactions Linked to Counterfeit “Botox”

The CDC, FDA, and several state/local health departments are investigating reports of harmful reactions among people who received injections of counterfeit or mishandled botulinum toxin (Botox). For details, read the CDC alert.

As of April 12, no cases have been reported in Michigan.

Symptoms

• Blurry vision and double vision
• Drooping eyelids
• Difficulty swallowing
• Dry mouth
• Slurred speech
• Difficulty breathing
• Fatigue
• Generalized weakness

CDC Recommendations for Health Care Providers

• Consider the possibility of adverse effects from botulinum toxin injection, including for cosmetic reasons, when patients present with signs and symptoms consistent with botulism near the injection site.
  • If systemic botulism is suspected, call your health department immediately for consultation and antitoxin release. If no one answers, contact the CDC clinical botulism service 24/7 at 770-488-7100.
  • Refer to your state or local health department for guidance on reporting adverse effects.
• Counsel patients who report using or being interested in using botulinum toxin about the risks of botulism and potential adverse events.
• Encourage patients to receive injections only from licensed providers who are trained in proper administration of FDA-approved botulinum toxin, preferably in a licensed or accredited healthcare setting.