Navigating contraindications: Medications to avoid before your Botox® and dermal filler treatments

Important Disclaimer

Botox® is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox® is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz. Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. Contains botulinum toxin A 50, 100 & 200 units. Allergan (NZ) Limited, Auckland.

Contraindications

Planning a Botox® or dermal filler treatment? It's essential to discuss your current medication list with your healthcare provider beforehand. Certain medications can increase the risk of complications such as bruising, bleeding, or altered results. Here's a rundown of common medications and supplements you might need to pause or adjust before your appointment.

Blood-Thinning Medications

Blood thinners are top of the list when it comes to pre-treatment considerations. Medications like warfarin and heparin, as well as over-the-counter options like aspirin, can increase your bleeding risk during injectable treatments. Even everyday pain relievers such as ibuprofen and naproxen fall into this category, as they can similarly affect blood clotting.

Supplements That Affect Blood Clotting

It's not just prescription meds that warrant attention. Supplements like fish oil, vitamin E, and certain herbal teas (such as green tea) also have blood-thinning properties. These are best avoided for about a week before your treatment to help reduce the risk of bruising.

Antibiotics

Some antibiotics, particularly the aminoglycoside group (like gentamicin and tobramycin), can potentially interact with Botox®. These antibiotics can affect how your muscles respond to neurotoxin treatments, potentially leading to exaggerated effects. If you're on these, discuss alternatives or timing with your doctor.

Muscle Relaxants

If you're taking muscle relaxants for other medical reasons, these too can interfere with Botox® treatments. They might enhance the muscle-relaxing effect of Botox®, which could be either a benefit or a risk, depending on the areas being treated and the desired outcomes.

Other Prescription Medications

Certain prescription meds, including some for heart disease and Alzheimer's (like donepezil), can interact with Botox®. The interplay between these drugs can lead to unintended consequences, so it’s crucial to give your practitioner a full picture of your medication regimen.

Alcohol and Smoking

While not "medications" per se, alcohol and tobacco use are also important to consider. Alcohol, particularly when consumed 24 hours before treatment, can increase your chances of bruising. Smoking, meanwhile, impairs blood flow and can affect the healing process and longevity of the treatment results.

When to Consult Your Provider

If you're considering Botox® or dermal fillers, the best first step is to have an open discussion with your healthcare provider about all the medications and supplements you're currently taking. It's crucial not only to mention prescription drugs but also any over-the-counter meds, supplements, and even your lifestyle habits like alcohol and tobacco use.

Your provider might recommend stopping certain medications or supplements temporarily before your treatment. However, never stop a prescribed medication without first consulting the healthcare professional who prescribed it.

Final Thoughts

Managing your medication intake before an aesthetic treatment is not just about avoiding side effects; it’s about ensuring the best possible outcomes for your aesthetic goals. So, while it might seem like a hassle to tweak your meds, consider it an integral part of your journey towards achieving the best and safest results. And remember, when it comes to any medical treatment, being informed and prepared is your best strategy.