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Pyridostigimine to reverse botox?

针剂注射

Anonymous

七月 27日, 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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Juliah TBARANI O SHEA 医师

美容整型外科医师, 爱尔兰

七月 27日, 2025 19:53

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Tzachi SHELKOVITZ 医师

皮肤科医师, 以色列

七月 27日, 2025 18:27

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Robyn D SIPERSTEIN 医师

皮肤科医师, 美国

七月 27日, 2025 17:37

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Roberta D EMILIO 医师

医学博士, 意大利

七月 27日, 2025 12:10

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Anonymous

七月 27日, 2025 11:34

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Fadi HAMADANI 医师

整形外科医师, 巴勒斯坦领土

七月 27日, 2025 10:50

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Pyridostigimine to reverse botox?

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