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Pyridostigimine to reverse botox?

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Anonymous

julho 27º, 2025 10:21

Patient description

Dear all,

I received a report that pyridostigmine sometimes is used to antagonize undesired effect of botox on facial muscles (frozen face).

Pyridostigmine is a medication which can have serious side effects, it needs close monitoring and I don’t use it.

It did not find pyridostigmine in guidelines for treatment of botulinum toxin induced brow ptosis, nor eyelid ptosis.

I found literature about it is use for treatment of botulism and for example treatment of swallowing difficulties and hoarseness caused by botulinum toxin used for dystonia.

Searching for pyridostigmine on Imcas platform showed only one video with case reports, saying it shortens recovery time of eyelid ptosis.

Does anyone use of pyridostigmine to antagonize facial botox ?

Kind regards

Case description

Dear all,

I received a report that pyridostigmine sometimes is used to antagonize undesired effect of botox on facial muscles (frozen face).

Pyridostigmine is a medication which can have serious side effects, it needs close monitoring and I don’t use it.

It did not find pyridostigmine in guidelines for treatment of botulinum toxin induced brow ptosis, nor eyelid ptosis.

I found literature about it is use for treatment of botulism and for example treatment of swallowing difficulties and hoarseness caused by botulinum toxin used for dystonia.

Searching for pyridostigmine on Imcas platform showed only one video with case reports, saying it shortens recovery time of eyelid ptosis.

Does anyone use of pyridostigmine to antagonize facial botox ?

Kind regards

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Dr. Juliah TBARANI O SHEA

Cirurgião Cosmético, Irlanda

julho 27º, 2025 19:53

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Dr. Tzachi SHELKOVITZ

Dermatologista, Israel

julho 27º, 2025 18:27

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Dr. Robyn D SIPERSTEIN

Dermatologista, Estados Unidos da América

julho 27º, 2025 17:37

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Dr. Roberta D EMILIO

Médico, Itália

julho 27º, 2025 12:10

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Anonymous

julho 27º, 2025 11:34

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Dr. Fadi HAMADANI

Cirurgião Plástico, Palestina

julho 27º, 2025 10:50

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Pyridostigimine to reverse botox?

Erro