Chronic Migraine Treatment

Botulinum toxin relaxes muscles and can help with chronic migraines

New zealand Society of cosmetic medicine accreditated dr

Botulinum toxin has the potential to release people from the use of strong medications and their side effects, giving you clearer thinking and improving the quality of your life.


Botulinum toxin isn’t a first line therapy and is usually used after everything else has been tried (and you’ve been extensively investigated to make sure there are no other underlying conditions) and the chronic migraine is severely affecting your quality of life.

It must be placed in certain precise areas and doses according to your headaches and where it starts – the acupoint technique. If it wears off in less than 3 months, the dose or injection sites may need to be increased or varied, respectively.

My experience shows that once you find your optimal dose, effective relief should last 3-4 months, with some of my patients getting 6-9 months or more relief.

For pain relief, botulinum toxin seems to work quicker than for cosmetic purposes, as it works by interfering with pain messages in the central nervous system, like a road block, a different mechanism to relaxing muscles.

Botulinum toxin for chronic migraine treatment appears to become more effective after several rounds of treatment and may be covered under medical insurance. Contact your insurer to check if this is the case.


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Product Information

BOTOX® injection is a prescription medicine containing 100 units of botulinum toxin type A. It is used for the treatment of frown lines, forehead lines and crow’s feet. For the treatment of primary hyperhidrosis of the axillae. For the prophylaxis of headaches in adults with chronic migraine (headaches on at least 15 days per month with headache lasting 4 hours a day or longer, of which at least 8 days are with migraine)

Do not use in people with defective neuro-muscular transmission disorders, infection at site of injection, glaucoma, pregnancy and lactation. Possible side effects include headaches, injection site pain/burning/stinging/bruising/ swelling/redness, local muscle weakness including drooping eyelids/eyebrows, eyelid swelling, skin tightness, tingling sensations, aching/itching forehead, nausea and flu-like symptoms. BOTOX® cosmetic treatment is not funded on the New Zealand Pharmaceutical Schedule. You will need to pay for this medicine. Normal Doctors visit fees apply. BOTOX® treatment should be administered only by trained medical professionals. Speak to your specialist about your own situation and about the benefits/risks of this procedure in appearance medicine. For further information the Data Sheet and Consumer Medicines Information can be accessed at or ask your doctor. If you have any side effects or concerns speak to your doctor. Note: BOTOX® treatment lasts about four months and after this time further courses of treatment may be necessary.

™®Trademark(s) and registered trademark(s) of Allergan, Inc. Allergan Australia Pty Ltd. 810 Pacific Highway, Gordon NSW 2072. ABN 85 000 612 831. Abbvie Limited, Wellington.