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Injection Workbook for Chronic Migraine PATIENT …

2 Injection Workbook for Chronic MigraineGuidance for identifying BOTOX candidates, the Injection procedure, and discussing treatment with patientsPlease see additional Important Safety Information about BOTOX on following SAFETY INFORMATION, INCLUDING BOXED WARNINGWARNING: DISTANT SPREAD OF TOXIN EFFECTP ostmarketing reports indicate that the effects of BOTOX and all botulinum toxin products may spread from the area of Injection to produce symptoms consistent with botulinum toxin effects. These may include asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing diffi culties. These symptoms have been reported hours to weeks after Injection . Swallowing and breathing diffi culties can be life threatening, and there have been reports of death.

Sheftell FD. Assessment of migraine disability using the migraine disability assessment (MIDAS) questionnaire: a comparison of chronic migraine with episodic migraine. Headache. 2003;43(4):336-342. 9. Dodick DW, Turkel CC, DeGryse RE, et al; PREEMPT Chronic Migraine Study Group. OnabotulinumtoxinA for

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  Assessment, Disability, Migraine, Migraine disability assessment, Migraine disability

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