Migraine Botox is a treatment using onabotulinumtoxinA aimed at preventing chronic migraine attacks. It is not a pain reliever used during an attack. Suitability is determined by evaluating together the number of headache days, previous treatments, and the person's overall health.
Who may be considered for migraine Botox?
Chronic migraine is defined as headache on at least 15 days a month for more than three months, with migraine features present on at least 8 of those days. NICE considers botulinum toxin A as an option in adults whose previous preventive treatments have been inadequate or unsuitable, and in whom medication overuse has also been assessed. This guidance applies to the United Kingdom; in Turkey, suitability and administration are assessed by the physician.
How is it administered and how is its effect followed up?
Injections are given into specific muscle areas of the head and neck. The treatment plan differs from cosmetic Botox. The result is assessed not just by how you feel in the first few days, but through a headache diary and follow-up appointments. Not every patient experiences the same degree of benefit; it cannot be said that the pain will disappear completely within a week.
Are medications stopped?
Having Botox does not mean you should stop your current medications on your own. Triptans are generally used for acute attack treatment. Continuing or changing preventive and acute treatments should be decided together with the physician managing your prescription.
How can you prepare for your appointment?
- Record the number of headache days per month and their effect on your daily life.
- List the medications you use, previous treatments, and any side effects.
- Provide information about pregnancy, breastfeeding, additional conditions, and previous treatments.
Possible side effects, the plan for repeat treatment, and alternatives should be discussed at the appointment. For a general overview, see migraine symptoms and diagnosis; for daily tracking, see the headache diary guide.
Frequently Asked Questions
No. It is specifically considered for chronic migraine. A decision on suitability is not made until the type of headache and previous treatments have been established.
Do not stop your medications on your own. Changes are made according to the treatment plan of the physician following your care.
Response varies from person to person. It is assessed by tracking the number of headache days and the effect of attacks on daily life; a definite result on a specific day cannot be promised.
Sources and information
This content is for general information only; it does not replace personal diagnosis, treatment advice or a medical consultation. The applicability of recommendations in these sources depends on your individual situation and local practice.