Fake Botox linked to hospitalizations

The Centers for Disease Control and Prevention is alerting doctors nationwide about counterfeit Botox injections after people have been hospitalized with botulism-like illness in multiple states, including Tennessee.

In a news release, the Tennessee Department of Health said four people became ill and two were hospitalized with botulism-like symptoms after receiving Botox injections for cosmetic procedures. The agency said an ongoing investigation suggests the substance was counterfeit.

As of April 12, 19 people from nine states have reported harmful reactions after receiving the popular wrinkle-removing injectors from unlicensed or untrained injectors or in non-healthcare settings like homes or spas, according to the CDC. Other states include Colorado, Florida, Illinois, Kentucky, Nebraska, New Jersey, New York and Washington.

Officials said some people received injections with counterfeit products or products from unverified sources.

The reports were all from women ranging in age from 25 to 59. Investigation is ongoing.

What is Botox?

First approved by the FDA for therapeutic use in 1989, Botox is a cosmetic injection that uses the same kind of toxin that causes foodborne botulism to paralyze muscles and smooth wrinkles.

The shots can also treat neck spasms, sweating, migraines and other symptoms. It’s one of the most common cosmetic procedures with an estimated three million injections per year.

While botulism complications are extremely rare, the apparent rise in counterfeit substances has raised concerns for health officials.

What are the symptoms

According to the CDC, people have reported: h Blurry vision and double vision h Drooping eyelids h Difficulty swallowing h Dry mouth h Slurred speech h Difficulty breathing h Fatigue h Generalized weakness

These symptoms are typically followed by progressing muscle weakness that requires hospitalization and treatment with anti-toxin. If you or anyone you know has experienced these symptoms visit your health provider or go to the emergency room immediately.

Finding a reputable provider

Always make sure your cosmetic injections are administered by a licensed provider in a licensed setting.

Ask your provider and setting if they are licensed and trained to give the injection. The Tennessee Department of Health has an online license verification database that is updated daily.