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Q. I have been having Botox done for a number of years and it used to work brilliant on me but for the last 2 years I have tried 3 different products and it either doesn’t work at all or wears off after 4 weeks. I wondered if this had anything to do with medication I take. 125ml of thyroxine and 240ml fexofeb=nidine daily. Can you please advise?
A. Without a proper evaluation, it is difficult to pin-point the cause. I do not believe the medications you are taking has anything to do with the Botox or other injectible muscle relaxers from doing their job.
Botox is a injectable muscle relaxer. In thousands of injections, I have yet to see it not work but there are non-responders.
These include:
1. A patient whose muscle of expression has had multiple injections and atrophied to a point where no contraction occurs. If a muscle elsewhere showed relaxation or less movement, then the non-responding muscle is due to its atrophy.
2. Other reasons:
