Everyone seems to be searching for cheaper, better Botox. You may see Myobloc offered as a less expensive Botox alternative, but in fact, it is not an alternative at all. Approved by the FDA in 2000, Myobloc is botulinum type B, whereas Botox is type A. Myobloc only has FDA approval for a neurological condition called cervical dystonia, Botox has FDA approval for cosmetic applications, cervical dystonia and a host of additional disorders including excessive perspiration. So why are some doctors offering Myobloc? It’s cheaper and it reportedly takes effect in 2-3 days, whereas Botox takes effect in 3 to 7 days. But Myobloc doesn’t last as long as Botox, in some cases only 2 months. The bottom line is it is not FDA approved for any cosmetic purposes, or any purposes other than cervical dystonia. Considering Myobloc treatment for wrinkles or excessive sweating “off-label” is way off.
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