Daxxify Side Effects
Generic name: daxibotulinumtoxinA
Medically reviewed by Drugs.com. Last updated on Apr 20, 2024.
Note: This document provides detailed information about Daxxify Side Effects associated with daxibotulinumtoxinA. Some dosage forms listed on this page may not apply specifically to the brand name Daxxify.
Applies to daxibotulinumtoxinA: intramuscular powder for solution.
Important warnings
This medicine can cause some serious health issues
Intramuscular route (powder for solution)
The effects of all botulinum toxin products, including daxibotulinumtoxinA-lanm, may spread from the area of injection to produce symptoms consistent with botulinum toxin effects.
These symptoms have been reported hours to weeks after injection.
Swallowing and breathing difficulties can be life threatening and there have been reports of death.
The risk of symptoms is probably greatest in children treated for spasticity, an unapproved use for daxibotulinumtoxinA-lanm, but symptoms can also occur in adults, particularly in those patients who have an underlying condition that would predispose them to these symptoms
Common side effects of Daxxify
Some side effects of daxibotulinumtoxinA may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common side effects
- bleeding, blistering, burning, coldness, discoloration of skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site
- headache
Incidence not known
- redness of the skin
Serious side effects of Daxxify
Along with its needed effects, daxibotulinumtoxinA (the active ingredient contained in Daxxify) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur while taking daxibotulinumtoxinA:
Less common side effects
- drooping upper eyelids
- partial or slight paralysis of the face
Incidence not known
- blurred vision
- change in color vision
- change in patterns and rhythms of speech
- chest pain, discomfort, or tightness
- cough
- difficulty seeing at night
- difficulty swallowing
- dizziness
- double vision
- dry eye
- eye irritation
- fainting
- fast, slow, or irregular heartbeat
- feeling of discomfort
- fever
- hives, itching, or skin rash
- hoarseness
- increased sensitivity of the eyes to sunlight
- infection from breathing foreign substance into the lungs
- joint inflammation
- loss of bladder control
- muscle aches and weakness
- nausea
- pain or discomfort in the arms, jaw, back, or neck
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
- seeing double
- slurred speech
- sore throat
- sweating
- swollen lymph glands
- trouble breathing
- trouble in speaking
- voice changes
- vomiting
For healthcare professionals
Applies to daxibotulinumtoxinA: intramuscular powder for injection.
General adverse events
The most frequently reported side effects included injection site reactions, headache, eyelid ptosis, facial paresis, muscular weakness, and upper respiratory tract infection.[Ref]
Cardiovascular
- Common (1% to 10%): Atrioventricular block (First degree)
- Frequency not reported: Cardiovascular system adverse reactions[Ref]
Cardiovascular system adverse reactions included arrhythmias and myocardial infarction.[Ref]
Dermatologic
Gastrointestinal
Genitourinary
- Common (1% to 10%): Urinary tract infection[Ref]
Immunologic
- Common (1% to 10%): Anti-drug antibodies[Ref]
Treatment emergent binding antibodies were reported to be developed against this drug and RTP004 (amino acid excipient).
Two individuals who previously had botulinum toxin treatment tested positive for neutralizing antibodies.[Ref]
Local
- Common (1% to 10%): Injection site reactions[Ref]
Injection site reactions included injection site pain, injection site erythema, injection site edema, injection site bruising, injection site hematoma, injection site papule, and injection site pruritus.[Ref]
Musculoskeletal
- Common (1% to 10%): Muscular weakness, musculoskeletal pain, arthralgia, spinal pain[Ref]
Nervous system
- Common (1% to 10%): Facial paresis, headache
- Frequency not reported: Neuromuscular compromise[Ref]
Facial paresis includes facial asymmetry.[Ref]
Ocular
- Common (1% to 10%): Eyelid ptosis
- Frequency not reported: Ophthalmic adverse reactions[Ref]
Ophthalmic adverse reactions included dry eye (eye irritation, photophobia, or visual changes).[Ref]
Other
- Common (1% to 10%): Edema
- Frequency not reported: Spread of toxin effect[Ref]
Spread of toxin effect included asthenia, generalized muscle weakness, diplopia, blurred vision, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties.[Ref]
Respiratory
- Common (1% to 10%): Nasopharyngitis, upper respiratory tract infection
- Frequency not reported: Breathing difficulties[Ref]
Hypersensitivity
- Frequency not reported: Hypersensitivity reactions[Ref]
Hypersensitivity reactions included anaphylaxis, serum sickness, urticaria, soft tissue edema, and dyspnea.[Ref]
References
1. (2022) "Product Information. Daxxify (daxibotulinumtoxinA)." Revance Therapeutics, Inc., 1
Frequently asked questions
- Daxxify vs Botox​: Which should you use?
- What is Daxxify, the recent FDA-alternative to Botox?
- How long does Daxxify take to work?
More about Daxxify (daxibotulinumtoxinA)
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- Drug class: skeletal muscle relaxants
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Further information
Daxxify side effects can vary depending on the individual. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
Note: Medication side effects may be underreported. If you are experiencing side effects that are not listed, submit a report to the FDA by following this guide.