The prescription and use of Botox are regulated and restricted to specialist physicians experienced in the administration of the drug, including specialists in neurology, plastic surgery, dermatology, orthopedics, and rehabilitation medicine. Further details can be found on lyf.is. Additionally, regulations apply to restrictions on cosmetic treatments involving fillers, which are likewise intended to ensure that such treatments are only provided by individuals with the required qualifications.

When seeking treatment from unqualified individuals, there is no guarantee that the procedure will be performed correctly, and the substances used may have been obtained unlawfully. Such circumstances can have severe consequences.

The warning is partly prompted by a notification from the Danish Patient Safety Authority, which indicates that, in at least one instance, treatment was provided in a private home by an unqualified individual using an unapproved substance. This case highlights the importance of verifying that the person providing the treatment holds the necessary qualifications.

What is Botox, and why does it matter who administers the treatment?

Botox contains the active substance botulinum toxin type A and is administered via injection. It works by partially blocking nerve signals to the muscles into which the drug is injected, thereby reducing excessive muscle contractions. According to the Icelandic package leaflet, the drug is used for conditions such as persistent muscle spasms, chronic migraine in adults, bladder problems, and excessive sweating, as well as for cosmetic purposes.

The use of Botox carries risks of side effects, as is the case with all medications. Known side effects include visual disturbances, difficulties with speaking and swallowing, muscle weakness, and breathing difficulties.

About botulinum toxin from the Icelandic Web of Science

Botulinum toxin is a neurotoxin produced by the bacterium Clostridium botulinum and is one of the most potent toxins known. As little as 1–2 ng/kg injected into a muscle or vein is sufficient to kill an adult human. According to an article on the Icelandic Web of Science from 2013, the use of the substance for cosmetic purposes began around the turn of the millennium, further emphasizing the importance of ensuring that treatments involving the substance are exclusively performed by individuals with appropriate expertise and qualifications.