Fake Botox suspected in dozens of poisoning cases

Thirty-eight cases of botulism poisoning have been recorded in England in the last six weeks after the suspected use of unauthorized Botox products in aesthetic procedures, said UK Health Security Agency (UKHSA).
Botulism is a rare but potentially fatal condition caused by toxins produced by Botulinum clostridium bacteria, a key injection ingredient.
Cases have been recorded in the eastern regions, midst and northeast midlands.
Ukhsa urged those who were looking for treatments to obtain evidence that their Botox practitioner was qualified and that their products were authorized.
Botox injections are a common cosmetic procedure given to reduce facial lines and wrinkles.
The product is made from small purified doses of botulinum toxin, produced by the bacteria Clostridium botulinum. Most significant quantities of toxin can cause botulism.
According to UKHSA, evidence so far suggests that the clinics involved in cases have used unauthorized Botox products.
In the most recent cases, recorded in eastern England and in the East midlands, patients had trouble swallowing, problems of discourse and breathing difficulties requiring respiratory support.
Other symptoms of botulism can include drooping eyelids, double vision and weak facial muscles.
Dr. Gauri Godbole, from UKHSA, said that botulism linked to aesthetic procedures was rare but could be serious. She added that symptoms could take up to four weeks to develop and urged anyone who suspected that they were suffering to contact the NHS 111 service.
Botox can only be prescribed after a consultation between you and a health professional, such as a doctor or a nurse.
Although the person who signed the prescription does not have to give the injection, he must ensure that the person inject is qualified to do so.
Dr. Alison Cave, director of security at the Medicine & Healthcare Products Regulatory Agency, said: “The purchase of botulinum toxin in any other circumstance considerably increases the risk of obtaining a product that is falsified or unauthorized for use in the United Kingdom.
“This means that there are no guarantees to ensure that the products meet the standards of the MHRA for quality and safety.”
The joint council for cosmetics practitioners says that it receives numerous reports on “the illegal offer and the use of unproceding botulical toxins”.
He suggests that those who envisage Botox injections require information on the product, including his brand and his planned dose, before accepting a procedure.
People should check these details again with the person performing the procedure on the day of their treatment. Botox prescription must be on behalf of the customer.
UKHSA recommends the following precautions:
- Make sure that a practitioner is qualified, carries appropriate protective equipment and washes his hands. Practitioners should be happy to discuss their qualifications
- Those looking for a procedure must be offered a consultation in advance which covers checks for medical conditions
- A consent form describing the risks must be discussed and signed.