Harmful Reactions Linked to Counterfeit "Botox" or Mishandled Botulinum Toxin Injections

Update as of December 17, 2024: Earlier this year, public health officials investigated reports of harmful reactions among people who received botulinum toxin injections. These people reported harmful reactions after receiving injections of unsafe counterfeit products or injections from individuals who were not following state or local requirements. Some of these products were purchased through large online marketplaces instead of through authorized suppliers of FDA-approved products. Although this investigation is closed, CDC continues to receive reports of similar cases, including at least four harmful reactions in August and September linked to counterfeit botulinum toxin products. Some products were self-injected. Only get botulinum toxin injections if the product is obtained from an authorized supplier and the provider is licensed and trained to give the injection. If in doubt, don't get the injection.