This website is for UK Healthcare Professionals only

+30 YEARS' GLOBAL EXPERIENCE
ACROSS MULTIPLE INDICATIONS1-4

 

FOCAL SPASTICITY

BOTOX® is indicated for the symptomatic treatment of focal spasticity, including: upper limb spasticity in adults and ankle and foot disability due to lower limb spasticity in adults.5

+30 YEARS' GLOBAL EXPERIENCE ACROSS MULTIPLE INDICATIONS1-4

FOCAL SPASTICITY

BOTOX® is indicated for the symptomatic treatment of focal spasticity, including: upper limb spasticity in adults and ankle and foot disability due to lower limb spasticity in adults.5

Treatment options for spasticity in adults

Diagnosis and treatment of PSS during the first 3 months post-stroke may benefit patients in their aim for a full recovery6,7

Combining physical therapy and BOTOX® may help patients reach their goals.8–10

Adapted from Royal College of Physicians, 201811 and Bhakta BB, 200012

BOTOX® should only be used for the treatment of focal spasticity in adult post-stroke patients if muscle tone reduction is expected to result in improved function (e.g. improvements in gait), or improved symptoms (e.g. reduction in muscle spasms or pain), and/or to facilitate care.5


Management strategy for adults with spasticity11    

Adapted from Royal College of Physicians 201811


PSS: post-stroke spasticity.

References

  1. Allergan. Data on file. INT/0423/2016
  2. Aurora SK, et al. Onabotulinum toxin A for treatment of chronic migraine: pooled analyses of the 56-week PREEMPT clinical program. Headache 2011;51(9):1358–73
  3. Blumenfeld AM, et al. Long-term study of the efficacy and safety of Onabotulinum toxin A for the prevention of chronic migraine: COMPEL study. J Headache Pain 2018;19(1):13
  4. AbbVie Data on file. Approval Dates for BOTOX® in UK. UK-BTX-230044. April 2023
  5. BOTOX® Summary of Product Characteristics. Available from: https://www.medicines.org.uk/emc/product/859/smpc. Accessed June 2024
  6. Stinear C, et al. Rehabilitation is initiated early after stroke, but most motor rehabilitation trials are not: a systematic review. Stroke 2013 Jul;44(7):2039–45
  7. Rosales RL, et al. Botulinum toxin as early intervention for spasticity after stroke or non-progressive brain lesion: A meta-analysis. J Neurol Sci 2016;371:6–14
  8. Uchiyama Y, et al. Botulinum Toxin Type A Treatment Combined with Intensive Rehabilitation for Gait Post-stroke: A Preliminary Study. J Stroke Cerebrovasc Dis 2018;27(7):1975–86
  9. McCrory P, et al. Botulinum toxin A for treatment of upper limb spasticity following stroke: A multi-centre randomized placebo-controlled study of the effects on quality of life and other person-centred outcomes. J Rehab Med 2009 41(7):536–44
  10. Ward AB, et al. Functional goal achievement in post-stroke spasticity patients: the BOTOX® Economic Spasticity Trial (BEST). J Rehab Med 2014;46(6):504–13
  11. Royal College of Physicians. Spasticity in adults: management using botulinum toxin. National guidelines 2018. Available at: https://www.rcplondon.ac.uk/guidelines-policy-adulats-management-using-botulinum-toxin. Accessed June 2024
  12. Bhakta BB. Management of spasticity in stroke. Br Med Bull. 2000;56(2):476–85

References

  1. Allergan. Data on file. INT/0423/2016
  2. Aurora SK, et al. Onabotulinum toxin A for treatment of chronic migraine: pooled analyses of the 56-week PREEMPT clinical program. Headache 2011;51(9):1358–73
  3. Blumenfeld AM, et al. Long-term study of the efficacy and safety of Onabotulinum toxin A for the prevention of chronic migraine: COMPEL study. J Headache Pain 2018;19(1):13
  4. AbbVie Data on file. Approval Dates for BOTOX® in UK. UK-BTX-230044. April 2023
  5. BOTOX® Summary of Product Characteristics. Available from: https://www.medicines.org.uk /emc/product/859/smpc. Accessed June 2024
  6. Stinear C, et al. Rehabilitation is initiated early after stroke, but most motor rehabilitation trials are not: a systematic review. Stroke 2013 Jul;44(7):2039–45
  7. Rosales RL, et al. Botulinum toxin as early intervention for spasticity after stroke or non-progressive brain lesion: A meta-analysis. J Neurol Sci 2016;371:6–14
  8. Uchiyama Y, et al. Botulinum Toxin Type A Treatment Combined with Intensive Rehabilitation for Gait Post-stroke: A Preliminary Study. J Stroke Cerebrovasc Dis 2018;27(7):1975–86
  9. McCrory P, et al. Botulinum toxin A for treatment of upper limb spasticity following stroke: A multi-centre randomized placebo-controlled study of the effects on quality of life and other person-centred outcomes. J Rehab Med 2009 41(7):536–44
  10. Ward AB, et al. Functional goal achievement in post-stroke spasticity patients: the BOTOX® Economic Spasticity Trial (BEST). J Rehab Med 2014;46(6):504–13
  11. Royal College of Physicians. Spasticity in adults: management using botulinum toxin. National guidelines 2018. Available at: https://www.rcplondon.ac.uk /guidelines-policy-adulats-management-using-botulinum-toxin. Accessed June 2024
  12. Bhakta BB. Management of spasticity in stroke. Br Med Bull. 2000;56(2):476–85

Please refer to the BOTOX® Summary of Product Characteristics for further information on adverse events, contraindications and special warnings and precautions for use.

 

Adverse events should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk/ or via the MHRA Yellow Card app, available in the Google Play or Apple App Stores.

Adverse events should also be reported to AbbVie on GBPV@abbvie.com 

 

Date of preparation: June 2024. UK-BTX-240034.