Botox (onabotulinumtoxinA) is a prescription treatment for chronic migraines that involves injecting the drug into muscles in the head and neck.

Who can get Botox for migraines?

The FDA has approved Botox for adults 18 and older who experience chronic migraines, defined as 15 or more headache days per month that last at least four hours. This approval is a testament to Botox’s safety and effectiveness as a treatment for chronic migraines.

How it works

Botox is thought to reduce the release of neurotransmitters and proteins that cause inflammation and excitation. This can help prevent pain signals from reaching the brain and reduce the activity of CGRP, a protein neurotransmitter that can be elevated in people with migraines.

How it’s administered

A licensed medical professional injects Botox into multiple areas of the head and neck, such as the forehead, temples, back of the head, neck, and upper back. The procedure, which takes about 15 minutes, is performed with utmost care, and most people can return to normal activities immediately, feeling comfortable and at ease.

When to expect results

It’s important to note that the full benefits of Botox may not be immediate. It can take up to four weeks to see a reduction in migraine frequency and severity, and more than one set of injections may be needed. However, the results can be long-lasting, with the effects of a single treatment often lasting for 10 to 12 weeks or sometimes longer.

Side effects

While Botox can be an effective treatment for chronic migraines, it’s important to be aware of potential side effects. Botox can cause serious side effects that can be life-threatening, including problems swallowing, speaking, or breathing. If you experience any of these problems, it’s crucial to seek medical help immediately.