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Off-Label Indications for OnabotulinumtoxinA

Can Children Use OnabotulinumtoxinA?

OnabotulinumtoxinA is approved to treat eye twitching or misaligned eyes in children as young as 12 years old. It is also approved to treat head and neck spasms (cervical dystonia) or severe sweating in children as young as 16 years old. OnabotulinumtoxinA is not used for treating facial lines, upper limb spasticity, or overactive bladder in children. Talk to your healthcare provider about the benefits and risks of using the drug in children.

Is OnabotulinumtoxinA Used for Off-Label Reasons?

On occasion, your healthcare provider may recommend this medicine for something other than the conditions discussed in this article. This is called an "off-label" use. At this time, off-label uses for onabotulinumtoxinA include:
  • Cosmetic uses other than frown lines between the eyebrows or crow's feet
  • Achalasia (a condition involving difficulty swallowing)
  • Drooling
  • Muscle spasms in children with cerebral palsy  
  • Congenital muscular torticollis (CMT).


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OnabotulinumtoxinA Drug Information

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