Botulinum B Toxin
Botulinum B Toxin is an exotoxin produced by germinating spores and growing cells of Clostridium botulinum. It binds to presynaptic terminals of the central nervous system and inhibits the calcium-ion mediated release of acetylcholine at the motor nerve terminals, leading to flaccid paralysis of the affected muscles. Paralysis persists for about 2-3 months (until new nerve terminals form). The actions and uses are similar to those of Botulinum type A toxin, but due to antigenically distinct they have the potential for use in patients who develop resistance to botulinum toxin treatment due to the development of antibodies of type A toxin.
Primary Characteristics
It is of Natural origin and belongs to Purified neurotoxin complex.
Molecular Weight: 150804 · Non-proprietary name: Botulinum B Toxin · pH: 5.6.

Pharmacokinetics
None recorded.
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Indications
Botulinum B Toxin is primarily indicated in conditions like spasmodic torticolis.
Contraindications
Botulinum B Toxin is contraindicated in conditions like Pregnancy, Breast feeding, Prophylaxis of angina; adjunct in CHF.
Dosage
Botulinum B Toxin's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 7500 units | 7500 units | — | IM | administer in 2 to 4 divided doses. |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Botulinum B Toxin produces potentially life-threatening effects which include Muscle weakness. Careful monitoring is needed with proper medical management.
The signs and symptoms that are produced after acute overdosage of Botulinum B Toxin are Burning sensation, Hypertonia, Bruising, Weakness .
Botulinum B Toxin is known to cause more or less tolerable side effects which are usually transient. These include Dry mouth, Dyspepsia , Dysphagia, Myasthenia, Neck pain, Taste disturbances, Voice changes, Worsening torticollis.
Warnings / Precautions
Available Brands
None recorded.
Storage Conditions
Drug Classification
- 1.9.2 — Drugs used in essential tremor & related disorders