Botox Migraine


Chronic Migraine is more than just frequent migraines. A migraine is a type of headache that may begin as a dull ache and then turn into a constant, throbbing pain, often felt on one side of the head. When you have a migraine, you may be sensitive to light and sound and experience nausea and/or vomiting.

A migraine headache can last between 4 to 72 hours and may get worse by or cause you to avoid routine physical activities, such as walking, or climbing stairs.

Chronic Migraine is a neurological condition that causes people with migraine to have:

  • 15 or more headache days a month
  • Each headache lasting 4 hours or more
  • At least 8 headache days a month associated with migraine

Think you have Chronic Migraine?

If at least half of your month is made up of headache days, then you may be living with Chronic Migraine.
BOTOX is the first and only preventive treatment approved by the FDA for adults with Chronic Migraine (15 or more headache days a month, each lasting 4 hours or more). BOTOX is not approved for adults with migraine who have 14 or fewer days a month.


Whether you’re considering BOTOX treatment, or have already received treatment, here’s what you need to know.

Your first treatment

For Chronic Migraine patients, the FDA has approved a specific dose and injection pattern for BOTOX treatment-31 injections are given over 7 key areas of the head and neck once every 12 weeks to prevent headache days.

Here’s what to expect during your first treatment:

  • Injections to 7 key areas of the head and neck
  • Very fine needles are used for 31 total injections
  • Injections feel like tiny pinpricks-you may feel mild discomfort
  • The most common side effect in Chronic Migraine clinical studies was neck pain experienced by 9% of BOTOX patients (vs 3% in placebo)

When to expect results

In clinical trials, Botox provided a significant reduction in headache days after the first treatment. After the second treatment (at 24weeks), BOTOX prevented up to 9 headache days a month (vs up to 7 with placebo injection).

Why commit to 2 treatments?

Committing to 2 treatment sessions is important in order to see how BOTOX is working for you, since BOTOX showed significant reduction in headache days at 24 weeks. Talk to your doctor about your progress, and as you start to see changes in the amount of headache days you’re having each month, keep track with our Headache Diary.
What happens next: a 12-week treatment schedule
Based on your progress, you and your doctor will discuss re-treatment needs is to give it time to work, so talk to your doctor, and stay on track.

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