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  • Botox while nursing

    I know this is brought up a lot in previous threads, but I can’t see anything recent.
    What is the current recommendation- I’ve seen advice to wait 12 hours before nursing, 4 hours before nursing, and to wait a while to ensure I don’t show symptoms of illness.
    Thank you!

  • #2
    Betty:

    Nothing new. Botox is a specialized large molecular weight product isolated from botulinum toxin. I often advise to wait a few hours AFTER the injection to reduce any risk. Botox is always injected into muscle or other tissues, so as to keep it OUT OF THE PLASMA. Some small amounts may get into plasma but its really unlikely to enter the milk compartment. Waiting a few hours 4-12 hours after injection would probably eliminate ANY risk.

    Tom Hale Ph.D.

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    • #3
      Hello Dr. Hale,

      I currently breastfeed my 10 mo old infant . I’m an anxious mother /individual . I have been suffering from jaw clenching which is particularly bad on one side . I’m in therapy, doing acupuncture, working out and wearing a night guard . Yet , It’s still driving me insane . Botox is a potential solution. I have been advised it would take approx 25 units per side (possible more for the more affected side). I did call the hotline and have read everything imaginable.. I am not finding clear about what to do with milk after injection. She likes to feed every 3-4 hours. Am I supposed to pump /dump the feeds that would be “missed” after injection ?

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      • #4
        Justine:

        We suggest a pump and discard of the milk 2-4 hours AFTER the injection. Some smaller fragments of botulinum toxin may be present in the injection and we'd like for these to be eliminated via the maternal plasma before breastfeeding.

        I would discard the milk taken shortly AFTER injection.

        Tom Hale Ph.D.

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