A member asked:

Is it safe to get botox while on blood thinners?

16 doctors weighed in across 7 answers

Not recommended.: Botox injections on patients receiving blood thinners is usually not recommended. Although small needles are used for this procedure, there is a definite risk of bleeding which can infiltrate the tissues causing deep ecchymoses and also diffuse the Botox products into the tissues which can cause too much muscle relaxation. We even do recommend that patients refrain from taking aspirin.

Answered 9/2/2020

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May bruise more: There is no known interaction between botulinum toxin and blood thinners such as warfarin or aspirin. However, you may experience increased bruising from the needle. If you are on blood thinners for a medical reason, the risk of stopping the blood thinners would not be wise. If you take Aspirin or Ibuprofen for headaches, try stopping it for a week before to minimize bruising. Tylenol (acetaminophen) is ok.

Answered 6/25/2014

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Dr. William Culviner answered

Specializes in ENT and Head and Neck Surgery

Not recommended : Although the risk of bleeding is low from botulinum toxin, I do not recommend getting injections while on those types of rx.

Answered 11/24/2013

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Dr. Kevin Carr answered

Specializes in Internal Medicine

Botox blood thinners: While not dangerous (you may ooze from the needle sites or develop bruising) it will likely render the medication less effective as the excess blood can interfere with the medication binding to its site. I would hesitate to perform salivary gland injections in someone on blood thinners.

Answered 6/27/2014

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Dr. Qamar Khan answered

Specializes in Pain Management

Blood thinners: are typically contraindicated. Although the needle is quite small and thin, there is always a risk of bleeding. Before you consider this option make sure its OK for you to stop your blood thinner for the time required by the doctor that manages your blood thinner.

Answered 7/1/2018

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Anticoagulants botox: No. That is not advisable as you will bleed and bruise excessively requiring prolonged pressure which will cause diffusion of the Botox and relaxation of unintended muscles.

Answered 8/5/2018

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Dr. Jennifer Tighe De Soto answered

Specializes in Cosmetic Surgery

May Bruise: Botox is injected superficially, in areas that are easy to apply pressure to. It does not in itself interact with blood thinners, but obviously the blood thinners will make you more prone to bruising and bleeding. Applying ice to the area before and after the injection can help with the bruising, as can applying pressure to the injection sites. http://www.omahacosmeticsurgery.com/

Answered 12/28/2016

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