{"id":519933,"date":"2021-07-29T08:34:15","date_gmt":"2021-07-29T12:34:15","guid":{"rendered":"https:\/\/www.marketnewsdesk.com\/index.php\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\/"},"modified":"2021-07-29T08:34:15","modified_gmt":"2021-07-29T12:34:15","slug":"fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity","status":"publish","type":"post","link":"https:\/\/www.marketnewsdesk.com\/index.php\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\/","title":{"rendered":"FDA Approves Expanded BOTOX\u00ae (onabotulinumtoxinA) Label to Include Eight New Muscles to Treat Adults with Upper Limb Spasticity"},"content":{"rendered":"<div class=\"xn-newslines\">\n<h2 class=\"xn-hedline\">&#8212; 6.7 million adults in the U.S. are living with spasticity across a variety of neurologic conditions<\/h2>\n<h2 class=\"xn-hedline\">&#8212; BOTOX\u00ae has demonstrated efficacy and has an established safety profile with over 10 years of clinical use in adult upper limb spasticity<\/h2>\n<p class=\"xn-distributor\">PR Newswire<\/p>\n<\/p><\/div>\n<div class=\"xn-content\">\n<p>\n        <span class=\"xn-location\">NORTH CHICAGO, Ill.<\/span>, <span class=\"xn-chron\">July 29, 2021<\/span> \/PRNewswire\/ &#8212; Allergan, an AbbVie (NYSE: ABBV) company, today announced that the U.S. Food and Drug Administration (FDA) has approved a label expansion of BOTOX<sup>\u00ae<\/sup> to include eight new muscles for the treatment of upper limb spasticity in adults.\u00a0The new muscles for treatment include additional muscles of the elbow and forearm (brachialis, brachioradialis, pronator teres, and pronator quadratus), as well as intrinsic hand muscles (lumbricals and interossei) and thumb muscles (flexor pollicis brevis and opponens pollicis). The label now includes the use of ultrasound as a muscle localization technique in adult spasticity.<\/p>\n<p>&#8220;Today&#8217;s announcement is especially important because spasticity is a disabling neurological condition that can have a significant impact on a patient&#8217;s quality of life,&#8221; said <span class=\"xn-person\">Mitchell F. Brin<\/span>, M.D., Senior Vice President, Chief Scientific Officer, BOTOX<sup>\u00ae<\/sup>\u00a0&amp; Neurotoxins, AbbVie.\u00a0&#8220;This label expansion not only adds to our rich history in neurotoxin science, but also reinforces the role of BOTOX<sup>\u00ae<\/sup> in upper limb spasticity treatment. BOTOX<sup>\u00ae<\/sup> provides an evidence-based dosing strategy to meet the clinical needs of providers and their patients.&#8221;<\/p>\n<p>Spasticity in adults is commonly caused by stroke, multiple sclerosis, spinal cord injury, cerebral palsy, and traumatic brain injury. Individuals with spasticity experience stiffness in the muscles of their upper and\/or lower limbs, and may have difficulty with voluntary control. Upper limb spasticity can manifest as a bent elbow, an arm pressed against the chest, or a curled-in hand with a clenched fist, significantly hindering the patient&#8217;s ability to perform everyday activities. This can result in difficulty with posture and positioning, and severely interfere with normal muscular movement and function. <\/p>\n<p>BOTOX<sup>\u00ae<\/sup> has been proven to significantly reduce muscle stiffness and is indicated for the treatment of spasticity in patients 2 years of age and older. This expanded BOTOX<sup>\u00ae<\/sup> dosing guidance provides physicians the ability to treat based on clinical assessment of a patient&#8217;s spasticity and anatomy while staying within the BOTOX<sup>\u00ae<\/sup> maximum cumulative dose of 400 Units in a 3-month period in adults. BOTOX<sup>\u00ae<\/sup> has not been shown to improve upper extremity functional abilities or range of motion at a joint affected by a fixed contracture. The safety profile of BOTOX<sup>\u00ae<\/sup> in adult upper limb spasticity remains the same, with the most common adverse reactions including nausea, fatigue, bronchitis, pain in extremity and muscular weakness.<\/p>\n<p>&#8220;BOTOX<sup>\u00ae<\/sup>\u00a0has demonstrated efficacy and safety for spasticity management at clinically proven doses,&#8221; said\u00a0<span><span class=\"xn-person\">Kimberly Heckert<\/span>, M.D., Director, Spasticity Management Fellowship, <span class=\"xn-org\">Thomas Jefferson University<\/span> of <span class=\"xn-location\">Philadelphia<\/span><\/span>. &#8220;This label expansion offers physicians and their patients living with spasticity another important tool as part of a comprehensive treatment plan for spasticity management.&#8221; <\/p>\n<p>\n        <b>BOTOX<\/b><br \/>\n        <sup>\u00ae<\/sup><br \/>\n        <b>\u00a0Training and Support Programs<\/b>\n      <\/p>\n<p>Allergan offers a variety of expert-based BOTOX\u00ae education and technical training programs to help physicians enhance their clinical skills and injection practices. These training programs focus on using guidance techniques, such as EMG, nerve stimulation, and now ultrasound, to help localize muscles for BOTOX<sup>\u00ae<\/sup> injection in adults with spasticity. In addition, the company is committed to providing resources and services, such as the <a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=1135822332&amp;u=https%3A%2F%2Fwww.botoxsavingsprogram.com%2F&amp;a=BOTOX%C2%AE+Savings+Program\" rel=\"nofollow noopener\">BOTOX<sup>\u00ae<\/sup> Savings Program<\/a>, to help ensure BOTOX<sup>\u00ae<\/sup> is accessible and affordable to patients.<\/p>\n<p>\n        <b>About BOTOX<sup>\u00ae<\/sup><\/b>\n      <\/p>\n<p>BOTOX<sup>\u00ae<\/sup>\u00a0was first approved by the FDA in 1989 for two rare eye muscle disorders \u2013 blepharospasm\u00a0and\u00a0strabismus\u00a0in\u00a0adults. Today, BOTOX<sup>\u00ae<\/sup>\u00a0is FDA-approved for 12 therapeutic indications, including chronic migraine, overactive bladder, leakage of urine (incontinence) due to overactive bladder caused by a neurologic condition in adults, cervical dystonia, adult and pediatric spasticity, severe underarm sweating (axillary hyperhidrosis), and pediatric detrusor overactivity associated with a neurologic condition. <\/p>\n<p>\n        <b>BOTOX<sup>\u00ae<\/sup><\/b>\u00a0<b>(onabotulinumtoxinA) Important\u00a0Information<\/b><\/p>\n<p>\n        <b>Indications<\/b>\n      <\/p>\n<p>BOTOX<sup>\u00ae<\/sup>\u00a0is a\u00a0prescription\u00a0medicine\u00a0that\u00a0is\u00a0injected\u00a0into\u00a0muscles and\u00a0used:<\/p>\n<ul type=\"disc\">\n<li>To treat overactive bladder symptoms such as a strong need to urinate with leaking or wetting accidents (urge urinary incontinence), a strong need to urinate right away (urgency), and urinating often (frequency) in adults 18 years and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken <\/li>\n<li>To treat leakage of urine (incontinence) in adults 18 years and older with overactive bladder caused by a neurologic disease who still have leakage or cannot tolerate the side effects after trying an anticholinergic medication <\/li>\n<li>To treat overactive bladder due to a neurologic disease in children 5 years of age and older when another type of medicine (anticholinergic) does not work well enough or cannot be taken <\/li>\n<li>To prevent headaches in adults with chronic migraine who have 15 or more days each month with headache lasting 4 or more hours each day in people 18 years or older <\/li>\n<li>To treat increased muscle stiffness in people 2 years of age and older with spasticity <\/li>\n<li>To treat the abnormal head position and neck pain that happens with cervical dystonia (CD) in people 16 years and older <\/li>\n<li>To treat certain types of eye muscle problems (strabismus) or abnormal spasm of the eyelids (blepharospasm) in people 12 years of age and older<\/li>\n<\/ul>\n<p>BOTOX<sup>\u00ae<\/sup>\u00a0is also\u00a0injected\u00a0into\u00a0the\u00a0skin\u00a0to\u00a0treat\u00a0the\u00a0symptoms of\u00a0severe underarm sweating\u00a0(severe primary\u00a0axillary\u00a0hyperhidrosis)\u00a0when\u00a0medicines used\u00a0on\u00a0the skin\u00a0(topical) do\u00a0not\u00a0work well\u00a0enough\u00a0in\u00a0people\u00a018\u00a0years and\u00a0older.<\/p>\n<p>It\u00a0is not\u00a0known\u00a0whether BOTOX<sup>\u00ae<\/sup>\u00a0is\u00a0safe\u00a0and effective\u00a0to\u00a0prevent\u00a0headaches in patients\u00a0with\u00a0migraine who\u00a0have\u00a014\u00a0or\u00a0fewer headache\u00a0days each\u00a0month (episodic\u00a0migraine).<\/p>\n<p>BOTOX<sup>\u00ae<\/sup>\u00a0has\u00a0not\u00a0been\u00a0shown\u00a0to\u00a0help\u00a0people\u00a0perform\u00a0task-specific functions with\u00a0their upper limbs\u00a0or increase\u00a0movement\u00a0in\u00a0joints\u00a0that\u00a0are permanently\u00a0fixed\u00a0in\u00a0position\u00a0by\u00a0stiff\u00a0muscles.\u00a0<\/p>\n<p>It\u00a0is not\u00a0known\u00a0whether BOTOX<sup>\u00ae<\/sup>\u00a0is safe\u00a0and effective\u00a0for severe sweating anywhere other than\u00a0your armpits.\u00a0 <\/p>\n<p>\n        <b>IMPORTANT SAFETY INFORMATION<\/b>\n      <\/p>\n<p>\n        <b>BOTOX<\/b><br \/>\n        <sup>\u00ae<\/sup>\u00a0<b>may\u00a0cause serious\u00a0side\u00a0effects that can be\u00a0life\u00a0threatening.\u00a0Get medical\u00a0help right away\u00a0if\u00a0you have\u00a0any\u00a0of\u00a0these\u00a0problems\u00a0any\u00a0time\u00a0(hours to\u00a0weeks) after\u00a0injection of\u00a0BOTOX<\/b><sup>\u00ae<\/sup><b>:<\/b><\/p>\n<ul type=\"disc\">\n<li>\n          <b>Problems\u00a0swallowing,\u00a0speaking,\u00a0or\u00a0breathing,\u00a0<\/b>due\u00a0to\u00a0weakening\u00a0of associated\u00a0muscles,\u00a0can\u00a0be\u00a0severe and\u00a0result\u00a0in\u00a0loss\u00a0of\u00a0life.\u00a0You\u00a0are\u00a0at\u00a0the highest\u00a0risk if\u00a0these\u00a0problems are\u00a0pre-existing\u00a0before injection.\u00a0Swallowing problems\u00a0may\u00a0last\u00a0for\u00a0several months <\/li>\n<li>\n          <b>Spread of toxin\u00a0effects.\u00a0<\/b>The\u00a0effect\u00a0of\u00a0botulinum toxin\u00a0may\u00a0affect\u00a0areas away from\u00a0the\u00a0injection\u00a0site\u00a0and\u00a0cause\u00a0serious\u00a0symptoms including:\u00a0loss\u00a0of\u00a0strength and\u00a0all-over muscle\u00a0weakness,\u00a0double\u00a0vision,\u00a0blurred\u00a0vision\u00a0and\u00a0drooping eyelids,\u00a0hoarseness\u00a0or change\u00a0or loss of\u00a0voice,\u00a0trouble\u00a0saying\u00a0words clearly, loss\u00a0of\u00a0bladder control,\u00a0trouble\u00a0breathing,\u00a0and trouble\u00a0swallowing<\/li>\n<\/ul>\n<p>There has not\u00a0been\u00a0a\u00a0confirmed\u00a0serious case\u00a0of\u00a0spread\u00a0of\u00a0toxin\u00a0effect\u00a0away\u00a0from the\u00a0injection\u00a0site\u00a0when\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0has been\u00a0used\u00a0at\u00a0the\u00a0recommended\u00a0dose\u00a0to treat\u00a0chronic\u00a0migraine,\u00a0severe underarm\u00a0sweating,\u00a0blepharospasm, or strabismus.<\/p>\n<p>BOTOX<sup>\u00ae<\/sup> may\u00a0cause\u00a0loss of\u00a0strength\u00a0or general muscle\u00a0weakness,\u00a0vision problems,\u00a0or\u00a0dizziness within\u00a0hours to\u00a0weeks\u00a0of\u00a0taking\u00a0BOTOX<sup>\u00ae<\/sup>.\u00a0<b>If this happens,\u00a0do not\u00a0drive\u00a0a\u00a0car,\u00a0operate machinery,\u00a0or do other\u00a0dangerous activities.<\/b><\/p>\n<p>\n        <b>Do not receive\u00a0BOTOX<\/b><br \/>\n        <sup>\u00ae<\/sup>\u00a0<b>if\u00a0you:\u00a0<\/b>are allergic to\u00a0any\u00a0of\u00a0the\u00a0ingredients in\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0(see\u00a0<a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=2399096649&amp;u=https%3A%2F%2Fmedia.allergan.com%2Factavis%2Factavis%2Fmedia%2Fallergan-pdf-documents%2Fproduct-prescribing%2F20190620_BTX-and-BTX-C-Med-Guide-v2-0MG1145.pdf&amp;a=Medication%C2%A0Guide\" rel=\"nofollow noopener\">Medication\u00a0Guide<\/a>\u00a0for ingredients);\u00a0had\u00a0an\u00a0allergic reaction\u00a0to\u00a0any\u00a0other botulinum\u00a0toxin\u00a0product\u00a0such\u00a0as\u00a0Myobloc<sup>\u00ae<\/sup>\u00a0(rimabotulinumtoxinB),\u00a0Dysport<sup>\u00ae<\/sup>\u00a0(abobotulinumtoxinA), or\u00a0Xeomin<sup>\u00ae<\/sup>\u00a0(incobotulinumtoxinA); have\u00a0a\u00a0skin\u00a0infection\u00a0at the\u00a0planned\u00a0injection\u00a0site.<\/p>\n<p>\n        <b>Do not receive\u00a0BOTOX<\/b><br \/>\n        <sup>\u00ae<\/sup>\u00a0<b>for the\u00a0treatment of urinary\u00a0incontinence\u00a0if you:\u00a0<\/b>have\u00a0a urinary\u00a0tract infection\u00a0(UTI) or cannot\u00a0empty\u00a0your bladder\u00a0on\u00a0your own\u00a0and\u00a0are\u00a0not\u00a0routinely\u00a0catheterizing. Due\u00a0to\u00a0the\u00a0risk of\u00a0urinary\u00a0retention\u00a0(not\u00a0being\u00a0able\u00a0to\u00a0empty\u00a0the\u00a0bladder),\u00a0only patients\u00a0who\u00a0are willing\u00a0and\u00a0able\u00a0to\u00a0initiate\u00a0catheterization\u00a0post\u00a0treatment,\u00a0if required,\u00a0should\u00a0be\u00a0considered\u00a0for treatment.<\/p>\n<p>\n        <i>Patients\u00a0treated\u00a0for\u00a0overactive\u00a0bladder:<\/i>\n      <\/p>\n<p>In\u00a0clinical trials,\u00a036\u00a0of\u00a0the\u00a0552\u00a0patients\u00a0had\u00a0to\u00a0self-catheterize\u00a0for urinary\u00a0retention following\u00a0treatment\u00a0with\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0compared\u00a0to\u00a02\u00a0of\u00a0the\u00a0542\u00a0treated\u00a0with\u00a0placebo. The median duration of post-injection catheterization for these patients treated with BOTOX<sup>\u00ae<\/sup> 100 Units (n = 36) was 63 days (minimum 1 day to maximum 214 days) as compared to a median duration of 11 days (minimum 3 days to maximum 18 days) for patients receiving placebo (n = 2). Patients\u00a0with\u00a0diabetes\u00a0mellitus treated\u00a0with\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0were more\u00a0likely\u00a0to\u00a0develop urinary\u00a0retention\u00a0than\u00a0nondiabetics.\u00a0 <\/p>\n<p>\n        <i>Adult Patients\u00a0treated\u00a0for overactive\u00a0bladder due\u00a0to\u00a0neurologic disease:<\/i>\n      <\/p>\n<p>In\u00a0clinical trials,\u00a030.6%\u00a0of\u00a0patients\u00a0(33\/108) who\u00a0were not\u00a0using\u00a0clean\u00a0intermittent catheterization\u00a0(CIC) prior to\u00a0injection,\u00a0required\u00a0catheterization\u00a0for urinary retention\u00a0following\u00a0treatment\u00a0with\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0200\u00a0Units as\u00a0compared\u00a0to\u00a06.7% of patients\u00a0(7\/104)\u00a0treated\u00a0with\u00a0placebo.\u00a0The\u00a0median\u00a0duration\u00a0of\u00a0post-injection catheterization\u00a0for these\u00a0patients\u00a0treated\u00a0with\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0200\u00a0Units (n = 33) was 289\u00a0days (minimum 1\u00a0day\u00a0to\u00a0maximum\u00a0530\u00a0days)\u00a0as compared\u00a0to\u00a0a\u00a0median duration\u00a0of 358\u00a0days (minimum\u00a02\u00a0days to\u00a0maximum 379\u00a0days)\u00a0for patients\u00a0receiving placebo\u00a0(n\u00a0= 7). Among\u00a0patients\u00a0not\u00a0using\u00a0CIC at\u00a0baseline,\u00a0those\u00a0with\u00a0MS\u00a0were more\u00a0likely\u00a0to require\u00a0CIC post\u00a0injection\u00a0than\u00a0those\u00a0with\u00a0SCI.<\/p>\n<p>\n        <b>The\u00a0dose\u00a0of BOTOX<\/b><br \/>\n        <sup>\u00ae<\/sup>\u00a0<b>is\u00a0not the\u00a0same\u00a0as,\u00a0or\u00a0comparable\u00a0to, another botulinum\u00a0toxin product.<\/b><\/p>\n<p>\n        <b>Serious and\/or immediate allergic reactions have been reported, <\/b>including itching, rash, red itchy welts, wheezing, asthma symptoms, dizziness, or feeling faint. Get medical help right away if you experience symptoms; further injection of BOTOX\u00ae should be discontinued.<\/p>\n<p>\n        <b>Tell\u00a0your doctor about\u00a0all\u00a0your muscle\u00a0or\u00a0nerve\u00a0conditions<\/b>,<b>\u00a0<\/b>such\u00a0as ALS or Lou\u00a0Gehrig&#8217;s disease,\u00a0myasthenia\u00a0gravis, or Lambert-<span class=\"xn-location\">Eaton<\/span> syndrome,\u00a0as you may\u00a0be\u00a0at\u00a0increased\u00a0risk of\u00a0serious side\u00a0effects,\u00a0including\u00a0difficulty\u00a0swallowing\u00a0and difficulty\u00a0breathing\u00a0from\u00a0typical doses of\u00a0BOTOX<sup>\u00ae<\/sup>.<\/p>\n<p>\n        <b>Tell\u00a0your doctor if\u00a0you have\u00a0any breathing-related problems.\u00a0<\/b>Your doctor\u00a0may\u00a0monitor you\u00a0for breathing\u00a0problems during\u00a0treatment\u00a0with BOTOX<sup>\u00ae<\/sup>\u00a0for spasticity\u00a0or\u00a0for detrusor\u00a0overactivity\u00a0associated\u00a0with\u00a0a\u00a0neurologic condition. The\u00a0risk of\u00a0developing lung disease\u00a0in\u00a0patients\u00a0with\u00a0reduced lung function\u00a0is increased\u00a0in\u00a0patients\u00a0receiving\u00a0BOTOX<sup>\u00ae<\/sup>.<\/p>\n<p>\n        <b>Cornea\u00a0problems\u00a0have\u00a0been reported.\u00a0<\/b>Cornea\u00a0(surface\u00a0of\u00a0the\u00a0eye) problems have\u00a0been\u00a0reported\u00a0in\u00a0some\u00a0people\u00a0receiving\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0for their\u00a0blepharospasm, especially\u00a0in\u00a0people\u00a0with\u00a0certain\u00a0nerve\u00a0disorders. BOTOX<sup>\u00ae<\/sup>\u00a0may\u00a0cause\u00a0the\u00a0eyelids to\u00a0blink less,\u00a0which\u00a0could\u00a0lead\u00a0to\u00a0the\u00a0surface\u00a0of\u00a0the\u00a0eye\u00a0being\u00a0exposed\u00a0to\u00a0air more\u00a0than\u00a0is usual.\u00a0Tell your doctor if\u00a0you\u00a0experience\u00a0any\u00a0problems\u00a0with\u00a0your eyes while\u00a0receiving\u00a0BOTOX<sup>\u00ae<\/sup>.\u00a0Your doctor\u00a0may\u00a0treat\u00a0your eyes with\u00a0drops, ointments,\u00a0contact\u00a0lenses,\u00a0or with\u00a0an\u00a0eye\u00a0patch.<\/p>\n<p>\n        <b>Bleeding behind the\u00a0eye\u00a0has\u00a0been reported.\u00a0<\/b>Bleeding\u00a0behind\u00a0the\u00a0eyeball\u00a0has been\u00a0reported\u00a0in\u00a0some\u00a0people\u00a0receiving\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0for their\u00a0strabismus.\u00a0Tell your doctor if\u00a0you\u00a0notice\u00a0any\u00a0new visual problems\u00a0while\u00a0receiving\u00a0BOTOX<sup>\u00ae<\/sup>.<\/p>\n<p>\n        <b>Bronchitis\u00a0and upper\u00a0respiratory\u00a0tract infections (common colds) have been reported. <\/b>Bronchitis was reported more\u00a0frequently\u00a0in\u00a0adults receiving BOTOX<sup>\u00ae<\/sup>\u00a0for upper limb\u00a0spasticity.\u00a0Upper respiratory\u00a0infections\u00a0were also\u00a0reported\u00a0more\u00a0frequently\u00a0in\u00a0adults\u00a0with\u00a0prior\u00a0breathing-related problems\u00a0with\u00a0spasticity. In pediatric patients treated with BOTOX<sup>\u00ae<\/sup> for upper limb spasticity, upper respiratory tract infections were reported more frequently.\u00a0In pediatric patients treated with BOTOX<sup>\u00ae<\/sup> for lower limb spasticity, upper respiratory tract infections were not reported more frequently than placebo.<\/p>\n<p>\n        <b>A<\/b><br \/>\n        <b>u<\/b><br \/>\n        <b>t<\/b><br \/>\n        <b>onomic\u00a0dysreflexia\u00a0in patients\u00a0treated for overactive\u00a0bladder due\u00a0to neurologic\u00a0disease.<\/b>\u00a0Autonomic dysreflexia\u00a0associated\u00a0with\u00a0intradetrusor injections of\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0could occur in patients\u00a0treated\u00a0for detrusor overactivity\u00a0associated\u00a0with\u00a0a\u00a0neurologic condition\u00a0and\u00a0may\u00a0require\u00a0prompt\u00a0medical therapy.\u00a0In\u00a0clinical trials,\u00a0the\u00a0incidence of\u00a0autonomic dysreflexia\u00a0was greater in\u00a0adult patients\u00a0treated\u00a0with\u00a0BOTOX<sup>\u00ae <\/sup>200\u00a0Units compared\u00a0with\u00a0placebo\u00a0(1.5%\u00a0versus 0.4%,\u00a0respectively).<\/p>\n<p>\n        <b>Tell\u00a0your doctor about\u00a0all\u00a0your medical\u00a0conditions,\u00a0including\u00a0if\u00a0you:\u00a0<\/b>have\u00a0or have\u00a0had\u00a0bleeding\u00a0problems;\u00a0have\u00a0plans to\u00a0have\u00a0surgery;\u00a0had\u00a0surgery\u00a0on\u00a0your face;\u00a0weakness of\u00a0forehead\u00a0muscles;\u00a0trouble\u00a0raising\u00a0your eyebrows;\u00a0drooping eyelids;\u00a0any\u00a0other\u00a0abnormal\u00a0facial change;\u00a0have\u00a0symptoms\u00a0of\u00a0a\u00a0urinary\u00a0tract infection\u00a0(UTI)\u00a0and\u00a0are\u00a0being\u00a0treated\u00a0for urinary\u00a0incontinence\u00a0(symptoms of\u00a0a urinary\u00a0tract infection\u00a0may\u00a0include\u00a0pain\u00a0or burning\u00a0with\u00a0urination,\u00a0frequent urination,\u00a0or\u00a0fever);\u00a0have\u00a0problems\u00a0emptying\u00a0your bladder\u00a0on\u00a0your own\u00a0and\u00a0are being\u00a0treated\u00a0for urinary\u00a0incontinence;\u00a0are\u00a0pregnant\u00a0or\u00a0plan\u00a0to\u00a0become\u00a0pregnant (it\u00a0is not\u00a0known\u00a0if BOTOX<sup>\u00ae<\/sup> can\u00a0harm\u00a0your unborn baby); are breastfeeding\u00a0or plan\u00a0to\u00a0(it\u00a0is not\u00a0known\u00a0if\u00a0BOTOX<sup>\u00ae<\/sup>\u00a0passes\u00a0into\u00a0breast\u00a0milk).<\/p>\n<p>\n        <b>Tell\u00a0your doctor about\u00a0all\u00a0the\u00a0medicines\u00a0you take,\u00a0<\/b>including\u00a0prescription\u00a0and over-the-counter medicines,\u00a0vitamins,\u00a0and\u00a0herbal supplements.\u00a0Using\u00a0BOTOX<sup>\u00ae\u00a0<\/sup>with certain\u00a0other medicines may\u00a0cause\u00a0serious\u00a0side\u00a0effects.\u00a0<b>Do not start any\u00a0new medicines\u00a0until you have\u00a0told\u00a0your doctor that\u00a0you\u00a0have\u00a0received BOTOX<sup>\u00ae<\/sup><\/b>\u00a0<b>in the past.<\/b><\/p>\n<p>Tell\u00a0your doctor if\u00a0you\u00a0received\u00a0any\u00a0other botulinum\u00a0toxin\u00a0product\u00a0in\u00a0the\u00a0last\u00a04 months;\u00a0have\u00a0received\u00a0injections\u00a0of\u00a0botulinum\u00a0toxin\u00a0such\u00a0as\u00a0<i>Myobloc<sup>\u00ae<\/sup><\/i>,\u00a0<i>Dysport<sup>\u00ae<\/sup><\/i>, or <i>Xeomin<sup>\u00ae<\/sup><\/i>in\u00a0the\u00a0past (tell\u00a0your doctor exactly which\u00a0product\u00a0you\u00a0received);\u00a0have recently\u00a0received\u00a0an\u00a0antibiotic by\u00a0injection;\u00a0take\u00a0muscle\u00a0relaxants;\u00a0take\u00a0an\u00a0allergy or cold\u00a0medicine;\u00a0take a\u00a0sleep\u00a0medicine;\u00a0take\u00a0aspirin-like\u00a0products\u00a0or\u00a0blood thinners.<\/p>\n<p>\n        <b>Other side effects of BOTOX\u00ae include:<\/b> dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, eye problems: double vision, blurred vision, decreased eyesight, drooping eyelids, swelling of your eyelids, dry eyes; drooping eyebrows; and upper respiratory tract infection. In adults being treated for urinary incontinence, other side effects include urinary tract infection and painful urination. In children being treated for urinary incontinence, other side effects include urinary tract infection and bacteria in the urine. If you have difficulty fully emptying your bladder on your own after receiving BOTOX\u00ae, you may need to use disposable self-catheters to empty your bladder up to a few times each day until your bladder is able to start emptying again. <\/p>\n<p>For more\u00a0information\u00a0refer to\u00a0the\u00a0<a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=2399096649&amp;u=https%3A%2F%2Fmedia.allergan.com%2Factavis%2Factavis%2Fmedia%2Fallergan-pdf-documents%2Fproduct-prescribing%2F20190620_BTX-and-BTX-C-Med-Guide-v2-0MG1145.pdf&amp;a=Medication%C2%A0Guide\" rel=\"nofollow noopener\">Medication\u00a0Guide<\/a>\u00a0or talk with\u00a0your doctor. <\/p>\n<p>You\u00a0are encouraged\u00a0to\u00a0report\u00a0negative\u00a0side\u00a0effects\u00a0of\u00a0prescription\u00a0drugs to\u00a0the FDA.\u00a0Visit\u00a0<a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=1081297760&amp;u=http%3A%2F%2Fwww.fda.gov%2Fmedwatch&amp;a=www.fda.gov%2Fmedwatch%C2%A0\" rel=\"nofollow noopener\">www.fda.gov\/medwatch\u00a0<\/a>or call 1-800-FDA-1088.<\/p>\n<p>\n        <b>Please\u00a0see BOTOX<\/b><br \/>\n        <sup>\u00ae<\/sup>\u00a0<b>f<\/b><b>ull <\/b><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=1863531732&amp;u=https%3A%2F%2Fmedia.allergan.com%2Factavis%2Factavis%2Fmedia%2Fallergan-pdf-documents%2Fproduct-prescribing%2F20190620-BOTOX-100-and-200-Units-v3-0USPI1145-v2-0MG1145.pdf&amp;a=Product+Information\" rel=\"nofollow noopener\">Product Information<\/a><b>,<\/b><b>\u00a0<\/b><b>including Boxed\u00a0Warning\u00a0and <\/b><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=171714741&amp;u=https%3A%2F%2Fmedia.allergan.com%2Factavis%2Factavis%2Fmedia%2Fallergan-pdf-documents%2Fproduct-prescribing%2F20190620_BTX-and-BTX-C-Med-Guide-v2-0MG1145.pdf&amp;a=Medication+Guide\" rel=\"nofollow noopener\">Medication Guide<\/a><b>.<\/b><\/p>\n<p>\n        <b>About AbbVie<\/b>\n      <\/p>\n<p>AbbVie&#8217;s\u00a0mission\u00a0is\u00a0to\u00a0discover\u00a0and\u00a0deliver\u00a0innovative\u00a0medicines\u00a0that\u00a0solve\u00a0serious\u00a0health\u00a0issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on\u00a0people&#8217;s\u00a0lives\u00a0across\u00a0several\u00a0key\u00a0therapeutic\u00a0areas:\u00a0immunology,\u00a0oncology,\u00a0neuroscience,\u00a0eye care,\u00a0virology,\u00a0women&#8217;s\u00a0health\u00a0and\u00a0gastroenterology,\u00a0in\u00a0addition\u00a0to\u00a0products\u00a0and\u00a0services\u00a0across its Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at <u><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=1419212194&amp;u=http%3A%2F%2Fwww.abbvie.com%2F&amp;a=www.abbvie.com.+\" rel=\"nofollow noopener\">www.abbvie.com. <\/a><\/u>Follow <u>@AbbVie<\/u> on <u><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=293329636&amp;u=https%3A%2F%2Ftwitter.com%2Fabbvie&amp;a=Twitter\" rel=\"nofollow noopener\">Twitter<\/a><\/u>, <u><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=2172469900&amp;u=https%3A%2F%2Fwww.facebook.com%2FAbbVieGlobal%2F&amp;a=Facebook\" rel=\"nofollow noopener\">Facebook<\/a><\/u>, <u><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=3713663146&amp;u=https%3A%2F%2Fwww.instagram.com%2Fabbvie%2F&amp;a=Instagram\" rel=\"nofollow noopener\">Instagram<\/a><\/u>, <u><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=577349955&amp;u=https%3A%2F%2Fwww.youtube.com%2Fuser%2FAbbVie&amp;a=YouTube%C2%A0\" rel=\"nofollow noopener\">YouTube<u>\u00a0<\/u><\/a><\/u>and\u00a0<u><a target=\"_blank\" href=\"https:\/\/c212.net\/c\/link\/?t=0&amp;l=en&amp;o=3239843-1&amp;h=2880628734&amp;u=https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fabbvie%2F&amp;a=LinkedIn\" rel=\"nofollow noopener\">LinkedIn<\/a><\/u>.<\/p>\n<p>\n        <b>Forward-Looking Statements<\/b>\n      <\/p>\n<p>\n        <i>Some statements in this news release are, or may be considered, forward-looking statements for purposes of the Private Securities Litigation Reform Act of 1995. The words &#8220;believe,&#8221; &#8220;expect,&#8221; &#8220;anticipate,&#8221; &#8220;project&#8221; and similar expressions, among others, generally identify forward-looking statements. AbbVie cautions that these forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated in the forward-looking statements. Such risks and uncertainties include, but are not limited to, failure to realize the expected benefits from AbbVie&#8217;s acquisition of Allergan plc (&#8220;Allergan&#8221;), failure to promptly and effectively integrate Allergan&#8217;s businesses, competition from other products, challenges to intellectual property, difficulties inherent in the research and development process, adverse litigation or government action, changes to laws and regulations applicable to our industry and the impact of public health outbreaks, epidemics or pandemics, such as COVID-19. Additional information about the economic, competitive, governmental, technological and other factors that may affect AbbVie&#8217;s operations is set forth in Item 1A, &#8220;Risk Factors,&#8221; of AbbVie&#8217;s 2020 Annual Report on Form 10-K, which has been filed with the Securities and Exchange Commission, as updated by its subsequent Quarterly Reports on Form 10-Q. AbbVie undertakes no obligation to release publicly any revisions to forward-looking statements as a result of subsequent events or developments, except as required by law.<\/i>\n      <\/p>\n<p>\u00a0<\/p>\n<p id=\"PURL\">\n        <img loading=\"lazy\" decoding=\"async\" title=\"Cision\" width=\"12\" height=\"12\" alt=\"Cision\" src=\"https:\/\/c212.net\/c\/img\/favicon.png?sn=CG55164&amp;sd=2021-07-29\" \/> View original content:<a id=\"PRNURL\" rel=\"nofollow\" href=\"https:\/\/www.prnewswire.com\/news-releases\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity-301343906.html\">https:\/\/www.prnewswire.com\/news-releases\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity-301343906.html<\/a><\/p>\n<p>SOURCE  AbbVie<\/p>\n<\/p><\/div>\n<p>    <img decoding=\"async\" alt=\"\" src=\"https:\/\/rt.prnewswire.com\/rt.gif?NewsItemId=CG55164&amp;Transmission_Id=202107290830PR_NEWS_USPR_____CG55164&amp;DateId=20210729\" style=\"border:0px;width:1px;height:1px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8212; 6.7 million adults in the U.S. are living with spasticity across a variety of neurologic conditions &#8212; BOTOX\u00ae has demonstrated efficacy and has an established safety profile with over 10 years of clinical use in adult upper limb spasticity PR Newswire NORTH CHICAGO, Ill., July 29, 2021 \/PRNewswire\/ &#8212; Allergan, an AbbVie (NYSE: ABBV) company, today announced that the U.S. Food and Drug Administration (FDA) has approved a label expansion of BOTOX\u00ae to include eight new muscles for the treatment of upper limb spasticity in adults.\u00a0The new muscles for treatment include additional muscles of the elbow and forearm (brachialis, brachioradialis, pronator teres, and pronator quadratus), as well as intrinsic hand muscles (lumbricals and interossei) and thumb muscles (flexor pollicis &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.marketnewsdesk.com\/index.php\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;FDA Approves Expanded BOTOX\u00ae (onabotulinumtoxinA) Label to Include Eight New Muscles to Treat Adults with Upper Limb Spasticity&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-519933","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>FDA Approves Expanded BOTOX\u00ae (onabotulinumtoxinA) Label to Include Eight New Muscles to Treat Adults with Upper Limb Spasticity - Market Newsdesk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.marketnewsdesk.com\/index.php\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"FDA Approves Expanded BOTOX\u00ae (onabotulinumtoxinA) Label to Include Eight New Muscles to Treat Adults with Upper Limb Spasticity - Market Newsdesk\" \/>\n<meta property=\"og:description\" content=\"&#8212; 6.7 million adults in the U.S. are living with spasticity across a variety of neurologic conditions &#8212; BOTOX\u00ae has demonstrated efficacy and has an established safety profile with over 10 years of clinical use in adult upper limb spasticity PR Newswire NORTH CHICAGO, Ill., July 29, 2021 \/PRNewswire\/ &#8212; Allergan, an AbbVie (NYSE: ABBV) company, today announced that the U.S. Food and Drug Administration (FDA) has approved a label expansion of BOTOX\u00ae to include eight new muscles for the treatment of upper limb spasticity in adults.\u00a0The new muscles for treatment include additional muscles of the elbow and forearm (brachialis, brachioradialis, pronator teres, and pronator quadratus), as well as intrinsic hand muscles (lumbricals and interossei) and thumb muscles (flexor pollicis &hellip; Continue reading &quot;FDA Approves Expanded BOTOX\u00ae (onabotulinumtoxinA) Label to Include Eight New Muscles to Treat Adults with Upper Limb Spasticity&quot;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.marketnewsdesk.com\/index.php\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\/\" \/>\n<meta property=\"og:site_name\" content=\"Market Newsdesk\" \/>\n<meta property=\"article:published_time\" content=\"2021-07-29T12:34:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/c212.net\/c\/img\/favicon.png?sn=CG55164&amp;sd=2021-07-29\" \/>\n<meta name=\"author\" content=\"Newsdesk\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Newsdesk\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"13 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\\\/\"},\"author\":{\"name\":\"Newsdesk\",\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/#\\\/schema\\\/person\\\/482f27a394d4fda80ecb5499e519d979\"},\"headline\":\"FDA Approves Expanded BOTOX\u00ae (onabotulinumtoxinA) Label to Include Eight New Muscles to Treat Adults with Upper Limb Spasticity\",\"datePublished\":\"2021-07-29T12:34:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\\\/\"},\"wordCount\":2598,\"image\":{\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/c212.net\\\/c\\\/img\\\/favicon.png?sn=CG55164&amp;sd=2021-07-29\",\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\\\/\",\"url\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/fda-approves-expanded-botox-onabotulinumtoxina-label-to-include-eight-new-muscles-to-treat-adults-with-upper-limb-spasticity\\\/\",\"name\":\"FDA Approves Expanded BOTOX\u00ae (onabotulinumtoxinA) Label to Include Eight New Muscles to Treat Adults with Upper Limb Spasticity - 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