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If the symptoms of botulism are diagnosed early, various treatments can be administered.

In an effort to remove contaminated food which remains in the gut, enemas or induced vomiting may be used.

In response to the occurrence of these side effects, in 2008 the U. Food and Drug Administration notified the public of the potential dangers of the botulinum toxin as a therapeutic.

Namely, they warned that the toxin can spread to areas distant from the site of injection and paralyze unintended muscle groups, especially when used for treating muscle spasticity in children treated for cerebral palsy.

In general, side effects from therapeutic use can be more serious than those that arise during cosmetic use.

These can arise from paralysis of critical muscle groups and can include arrhythmia, heart attack, and in some cases seizures, respiratory arrest, and death.

Botulinum toxin is used to treat a number of disorders characterized by overactive muscle movement, including post-stroke spasticity, post-spinal cord injury spasticity, spasms of the head and neck, Strabismus is caused by imbalances in the actions of muscles that rotate the eyes, and can sometimes be relieved by weakening a muscle that pulls too strongly, or pulls against one that has been weakened by disease or trauma.

Muscles weakened by toxin injection recover from paralysis after several months, so it might seem that injection would then need to be repeated.

On July 29, 2016, Food and Drug Administration (FDA), of the United States of America approved abobotulinumtoxin A for injection for the treatment of lower limb spasticity in pediatric patients two years of age and older.These include partial facial paralysis, muscle weakness, and trouble swallowing.Side effects are not limited to direct paralysis however, and can also include headaches, flu-like symptoms, and allergic reactions.Additionally, the FDA announced name changes to several botulinum toxin products, meant to emphasize that the products are not interchangeable and require different doses for proper use.Botox and Botox Cosmetic were renamed onabotulinumtoxin A, Myobloc was renamed rimabotulinumtoxin B, and Dysport name renamed abobotulinumtoxin A.Botulinum antitoxin is available and may be used to prevent the worsening of symptoms, though it will not reverse existing nerve damage.

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