{"id":38736,"date":"2026-01-05T16:35:54","date_gmt":"2026-01-05T15:35:54","guid":{"rendered":"https:\/\/swissdermaclinic.ch\/?p=38736"},"modified":"2026-01-05T16:47:33","modified_gmt":"2026-01-05T15:47:33","slug":"botulinum-toxin-for-migraines","status":"publish","type":"post","link":"https:\/\/swissdermaclinic.ch\/en\/botulinum-toxin-for-migraines\/","title":{"rendered":"Botulinum toxin for migraines"},"content":{"rendered":"<p>Anyo\u00adne who regu\u00adlar\u00adly suf\u00adfers from migrai\u00adnes knows how much they can rest\u00adrict ever\u00ady\u00adday life. Both pro\u00adfes\u00adsio\u00adnal\u00adly and pri\u00adva\u00adte\u00adly. Tho\u00adse affec\u00adted descri\u00adbe the usual\u00adly very seve\u00adre hea\u00adda\u00adches as throb\u00adbing, often on one side, accom\u00adpa\u00adnied by sen\u00adsi\u00adti\u00advi\u00adty to light, nau\u00adsea or diz\u00adziness. The exact \u201epain pat\u00adtern\u201c varies from per\u00adson to per\u00adson. If the hea\u00adda\u00adche occurs seve\u00adral days a month, we speak of a chro\u00adnic migrai\u00adne. Clas\u00adsic pain\u00adkil\u00adlers often reach their limits here. Botu\u00adli\u00adnum is a pro\u00admi\u00adsing the\u00adra\u00adpy concept.<\/p>\n<p>&nbsp;<\/p>\n<h2>When migraines become chronic<\/h2>\n<p>We speak of chro\u00adnic migrai\u00adne when hea\u00adda\u00adches occur on at least 15 days a month, at least 8 of which are accom\u00adpa\u00adnied by the typi\u00adcal migrai\u00adne sym\u00adptoms. Migrai\u00adne is a dise\u00ada\u00adse that affects the sen\u00adsa\u00adti\u00adon of pain its\u00adelf and the pro\u00adces\u00adsing of ner\u00adve stimuli.<\/p>\n<p>&nbsp;<\/p>\n<p>Tho\u00adse affec\u00adted often report that the medi\u00adca\u00adti\u00adon is not effec\u00adti\u00adve enough, is poor\u00adly tole\u00adra\u00adted or does not bring any sta\u00adble impro\u00adve\u00adment in the long&nbsp;term.<\/p>\n<p>&nbsp;<\/p>\n<h2>How botulinum works for migraines<\/h2>\n<p>Per\u00adhaps you know botu\u00adli\u00adnum toxin from aes\u00adthe\u00adtic medi\u00adci\u00adne? At the Swiss Der\u00adma Cli\u00adnic in Zurich, for exam\u00adp\u00adle, we tre\u00adat wrink\u00adles or dro\u00ado\u00adping eye\u00adbrows with the mus\u00adcle-rela\u00adxing sub\u00ads\u00adtance<a href=\"https:\/\/swissdermaclinic.ch\/en\/botulinum-toxin-therapy\/\">(read more<\/a>). The acti\u00adve ingre\u00addi\u00adent has also been used suc\u00adcessful\u00adly in neu\u00adro\u00adlo\u00adgy for many&nbsp;years.<\/p>\n<p>&nbsp;<\/p>\n<p>The mecha\u00adnism of action? It is com\u00adple\u00adte\u00adly dif\u00adfe\u00adrent from that of clas\u00adsic pain\u00adkil\u00adlers. Botu\u00adli\u00adnum toxin blocks the release of cer\u00adtain mes\u00adsen\u00adger sub\u00ads\u00adtances at the ner\u00adve endings that are invol\u00adved in pain trans\u00admis\u00adsi\u00adon. The over\u00adac\u00adti\u00advi\u00adty of the pain-media\u00adting ner\u00adve pathways is weakened.<\/p>\n<p>&nbsp;<\/p>\n<p>Important: Pain is not pushed away, the trans\u00admis\u00adsi\u00adon of sti\u00admu\u00adli within the ner\u00advous sys\u00adtem is calmed.<\/p>\n<p>&nbsp;<\/p>\n<h2>A look at the treatment<\/h2>\n<p>The the\u00adra\u00adpy is car\u00adri\u00aded out in defi\u00adned are\u00adas of the head, neck and should\u00aders. Botu\u00adli\u00adnum toxin is injec\u00adted in very small quan\u00adti\u00adties into spe\u00adci\u00adfic mus\u00adcle and ner\u00adve regi\u00adons. Simi\u00adlar to an injec\u00adtion with fine need\u00adles and within a few minu\u00adtes. Anes\u00adthe\u00adsia is gene\u00adral\u00adly not neces\u00adsa\u00adry \u2013 the\u00adre is also no downtime.<\/p>\n<p>&nbsp;<\/p>\n<p>The effect of botu\u00adli\u00adnum toxin does not start imme\u00addia\u00adte\u00adly; it deve\u00adlo\u00adps con\u00adti\u00adnuous\u00adly over one to two&nbsp;weeks.<\/p>\n<p>&nbsp;<\/p>\n<h2>Who is the treatment suitable for?<\/h2>\n<p>Botu\u00adli\u00adnum toxin is only appro\u00adved for the tre\u00adat\u00adment of chro\u00adnic migrai\u00adne. It is not appro\u00adved for the tre\u00adat\u00adment of occa\u00adsio\u00adnal or epi\u00adso\u00addic migrai\u00adnes. The most important pre\u00adre\u00adqui\u00adsi\u00adte is the\u00adr\u00ade\u00adfo\u00adre an appro\u00adpria\u00adte dia\u00adgno\u00adsis by a neurologist.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<table width=\"602\">\n<tbody>\n<tr>\n<td width=\"602\">Important regu\u00adla\u00adti\u00adons: Botu\u00adli\u00adnum toxin for chro\u00adnic headaches\n<p>&nbsp;<\/p>\n<p>The use of botu\u00adli\u00adnum toxin for chro\u00adnic migrai\u00adnes is sub\u00adject to strict regu\u00adla\u00adti\u00adons and <strong>always requi\u00adres a spe\u00adcia\u00adlist dia\u00adgno\u00adsis and assess\u00adment by a neu\u00adro\u00adlo\u00adgist<\/strong>. Peo\u00adp\u00adle with many migrai\u00adne days per month, for whom pro\u00adphyl\u00adac\u00adtic the\u00adra\u00adpies do not work suf\u00adfi\u00adci\u00adent\u00adly and who have pro\u00adblems with medi\u00adca\u00adti\u00adon-rela\u00adted side effects, are par\u00adti\u00adcu\u00adlar\u00adly likely to benefit.<\/p>\n<p>The risk of side effects is very low when used by a spe\u00adcia\u00adlist. Small, tem\u00adpo\u00adra\u00adry blee\u00adding in the area of the punc\u00adtu\u00adre sites is pos\u00adsi\u00adble. In some cases, local ten\u00adder\u00adness or a fee\u00adling of ten\u00adsi\u00adon may occur in the trea\u00adted&nbsp;area.<\/p><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2>Botulinum toxin: part of a holistic concept?<\/h2>\n<p>Migrai\u00adnes are com\u00adplex. Tre\u00adat\u00adment with botu\u00adli\u00adnum toxin does not auto\u00adma\u00adti\u00adcal\u00adly replace other opti\u00adons; ins\u00adtead, it is part of an indi\u00advi\u00addua\u00adli\u00adzed over\u00adall con\u00adcept. This includes, for example<\/p>\n<ul>\n<li>adap\u00adting your lifestyle<\/li>\n<li>Less stress, fewer migrai\u00adne triggers<\/li>\n<li>Accom\u00adpany\u00ading medication<\/li>\n<li>Sport or rela\u00adxa\u00adti\u00adon techniques<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Botu\u00adli\u00adnum toxin can be an effec\u00adti\u00adve tre\u00adat\u00adment opti\u00adon if you have been pro\u00adven to suf\u00adfer from chro\u00adnic migrai\u00adnes. The tre\u00adat\u00adment is not an imme\u00addia\u00adte solu\u00adti\u00adon, but an approach that is desi\u00adgned for long-term pre\u00adven\u00adti\u00adon. Whe\u00adther this is also sui\u00adta\u00adble for you can only be asses\u00adsed during a spe\u00adcia\u00adlist consultation.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<table width=\"602\">\n<tbody>\n<tr>\n<td width=\"602\">\n<h3>Botulinum toxin \u2013 briefly explained<\/h3>\n<p><strong>Botu\u00adli\u00adnum toxin<\/strong> is a medi\u00adcal agent that has been tried and tes\u00adted for many years. It can tem\u00adpo\u00adr\u00ada\u00adri\u00adly dam\u00adpen cer\u00adtain ner\u00adve impul\u00adses and thus relax over\u00adac\u00adti\u00adve mus\u00adcles. Pain-con\u00adduc\u00adting sti\u00admu\u00adli are reduced.<\/p>\n<p>In migrai\u00adne the\u00adra\u00adpy <strong>, the mus\u00adcle rela\u00adx\u00adant calms hyper\u00adsen\u00adsi\u00adti\u00adve ner\u00adves<\/strong> that are invol\u00adved in the deve\u00adlo\u00adp\u00adment of chro\u00adnic headaches.<\/p>\n<p>The effect of botu\u00adli\u00adnum toxin is <strong>tem\u00adpo\u00adra\u00adry and com\u00adple\u00adte\u00adly rever\u00adsi\u00adble<\/strong>. The acti\u00adve ingre\u00addi\u00adent is bro\u00adken down by the body after a few months. The tre\u00adat\u00adment should be car\u00adri\u00aded out by an expe\u00adri\u00aden\u00adced doc\u00adtor and requi\u00adres exten\u00adsi\u00adve spe\u00adcia\u00adlist diagnostics.<\/p><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h2>FAQ<\/h2>\n<p><strong>When does migrai\u00adne tre\u00adat\u00adment with botu\u00adli\u00adnum toxin make&nbsp;sense?<\/strong><\/p>\n<p>This approach is aimed at pati\u00adents with chro\u00adnic migrai\u00adnes (at least 15 hea\u00adda\u00adche days per month over a peri\u00adod of at least 3 months). The pre\u00adre\u00adqui\u00adsi\u00adtes are a spe\u00adcia\u00adlist (neu\u00adro\u00adlo\u00adgi\u00adcal) dia\u00adgno\u00adsis and pre\u00advious tre\u00adat\u00adment with con\u00adven\u00adtio\u00adnal medication.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>How quick\u00adly does botu\u00adli\u00adnum toxin take effect in migraines?<\/strong><\/p>\n<p>The acti\u00adve ingre\u00addi\u00adent is a mus\u00adcle rela\u00adx\u00adant that does not have an imme\u00addia\u00adte pain-reli\u00ade\u00adving effect, such as a pain\u00adkil\u00adler. It has a pre\u00adven\u00adta\u00adti\u00adve effect and influen\u00adces the acti\u00advi\u00adty of pain-con\u00adduc\u00adting ner\u00adves. The effect builds up gra\u00addu\u00adal\u00adly over a peri\u00adod of around two weeks after the injec\u00adtion and lasts for around three months. A sin\u00adgle acu\u00adte attack can\u00adnot be trea\u00adted with botu\u00adli\u00adnum toxin. For a sta\u00adble impro\u00adve\u00adment, regu\u00adlar tre\u00adat\u00adments at fixed inter\u00advals are advisable.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Does the tre\u00adat\u00adment have to be permanent?<\/strong><\/p>\n<p>Long-term tre\u00adat\u00adment is not abso\u00adlut\u00ade\u00adly neces\u00adsa\u00adry. Many pati\u00adents bene\u00adfit from the the\u00adra\u00adpy for a cer\u00adtain peri\u00adod of time and then no lon\u00adger need it as their con\u00addi\u00adti\u00adon has sta\u00adbi\u00adli\u00adzed. Others only need tre\u00adat\u00adment in pha\u00adses. What makes sen\u00adse depends on the indi\u00advi\u00addu\u00adal cour\u00adse of the migraine.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Anyo\u00adne who regu\u00adlar\u00adly suf\u00adfers from migrai\u00adnes knows how much they can rest\u00adrict ever\u00ady\u00adday life. Both pro\u00adfes\u00adsio\u00adnal\u00adly and pri\u00adva\u00adte\u00adly. Tho\u00adse affec\u00adted descri\u00adbe the usual\u00adly very seve\u00adre hea\u00adda\u00adches as throb\u00adbing, often on one side, accom\u00adpa\u00adnied by sen\u00adsi\u00adti\u00advi\u00adty to light, nau\u00adsea or dizziness.&nbsp;<\/p>\n","protected":false},"author":1,"featured_media":38734,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-38736","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/38736","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/comments?post=38736"}],"version-history":[{"count":0,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/posts\/38736\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/media\/38734"}],"wp:attachment":[{"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/media?parent=38736"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/categories?post=38736"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/swissdermaclinic.ch\/en\/wp-json\/wp\/v2\/tags?post=38736"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}