Aug 31, 2001
i won't go into the whole drawn out story, but i'm suffering from muscle spasticity and my neurologist wants to try botox injections. he says there is no contradiction with my hiv meds or risk of injection for an hiv+person. i'm on sustiva and combivir, my vl is undetectable, my t-cells are 250. do you know of any risk?
Response from Dr. Pavia
Two questions here, that I can see. One is the question of whether sustiva would interfere with the dosing of botox. It is great that you know to check out any new med when you are on an NNRTI or a protease inhibitor. In this case, I am not aware of a metabolic interaction, since botulinum toxin (botox) is not thought to be broken down through the cytochrome system in the liver.
I see a second question in there. Is there any risk of complications from injections of botulism toxin, one of the deadliest poisons known? As my daughter would say, "Well, duhhh" (See why they call it botox instead of botulinum toxin?). The answer is more complicated. In the hands of an experienced specialist, the results have been good and it has generally been very safe, but there is a long, long list of potential side effects. There is a long list of things that can go wrong if you get an overdose or it goes into a vein. None of these are likely, but you need to know about them.
Read some more about botox and ask your neurologists a lot of questions. It could well be a very good idea for you, but be informed, which is obviously what you are setting out to do.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Dry Mouth After Oral Sex Form Sex Worker What Are The Chances Of HIV
- Fever After Performing Oral Sex Worried I Have HIV
- Itchy Red Spots After Sex With Stripper Sign Of HIV AIDS
- Itchy Testicles After Touching Used Condom Sign Of HIV AIDS
- Penis Discharge After Unprotected Anal Sex Without Ejaculation Does It Mean I Have HIV
- Swollen Lymph Glands After Unprotected Anal Sex Without Ejaculation Does It Mean I Have HIV
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.