As of April 18th, 2024, 22 people in 11 states have gotten sick from fake or improperly administered Botox injections. Botox is an FDA-approved treatment for wrinkles and other medical conditions containing controlled doses of botulinum toxin. However, fake versions may have incorrect or contaminated doses of the toxin or been improperly stored. Most of the illnesses were caused by a fake Botox product and given outside of a healthcare setting such as a home or spa.

Botox injections are used to lessen the visibility of wrinkles and to treat a range of medical conditions such as neck spasms, migraines, lazy eye, and bladder problems. Botox contains the toxin called botulinum, which is the same toxin that causes Botulism.

Botulism is a serious condition that can lead to paralysis and death if left untreated. In cases where a Botox injection is given incorrectly, or if the product is not approved by the FDA the toxin from the injection could spread to other parts of the body and cause botulism symptoms.

These symptoms include muscle weakness, vision problems, trouble talking or swallowing, breathing problems, allergic reactions, or loss of bladder control. If any of these symptoms are experienced after a Botox injection the patient should contact their medical provider immediately.

The real form of Botox is a prescription medication that is approved by the FDA for use by licensed individuals. People giving Botox shots need specific training to do so. Serious reactions in this case are rare, and Botox injections are usually safe when given by a skilled and licensed professional.

If receiving a Botox shot, ensure it is given to you by a licensed professional, some states have an online tool where you can search your provider to check licensure, and ask if the product used is approved by the FDA.

The CDC continues to investigate the illnesses caused by counterfeit Botox injections and given by unlicensed individuals.