You should not receive this medicine if you have had an allergic reaction to abobotulinumtoxinA, other botulinum toxin products (such as Botox®, Myobloc®), or cow's milk protein. You should not receive this medicine if you have an infection in the skin where the shot will be given.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Make sure your doctor knows if you are also using medicine for an infection (such as amikacin, gentamicin, streptomycin, Amidin®, or Garamycin®) a strong muscle relaxant that would be used during surgery (such as atracurium, pancuronium, tubocurarine, vecuronium, Norcuron®, Pavulon®, or Tracrium®), atropine (Lomocot®, Lomotil®, Motofen®, or Sal-Tropine®), or hyoscyamine (Cystospaz®, Hyospaz®).
Make sure your doctor knows if you are pregnant or breastfeeding, or if you have breathing problems (such as asthma or emphysema), a droopy eyelid, skin problems (such as thick, oily or fatty skin), nerve or muscle problems (such as ALS [Lou Gehrig's disease], Lambert-Eaton syndrome, or myasthenia gravis), or trouble with swallowing. Tell your doctor if you have plans to have surgery or if you already had surgery on the face. Make sure your doctor knows if you have received botulinum toxin for any reason in the past several months.
This medicine may make your muscles weak and cause vision problems. Avoid driving, using machines, or doing anything else that could be dangerous if you feel weak or are not able to see well.
One part of this medicine is made from donated human blood. Some human blood products have transmitted certain viruses to people who have received them. The risk of getting a virus from medicines made of human blood has been greatly reduced in recent years. This is the result of required testing of human donors for certain viruses, and testing during the manufacture of these medicines. Although the risk is low, talk with your doctor if you have concerns.
Serious muscle reactions have been reported within hours to weeks after receiving this medicine. If you start to have muscle weakness or trouble with swallowing, talking, or breathing, call your doctor right away. In some situations, these problems could be life-threatening and may require treatment in a hospital or clinic.
Your doctor will need to check your progress at regular visits while you are using this medicine. Be sure to keep all appointments.