Botox® can be used by anyone whenever the signs of skin ageing start to appear. However, it should not be used by women who are pregnant, breast-feeding or seeking to start a family.
Patients who have any diseases that affect muscle activity, (history of Bells Palsy, Myenasthenia Gravis, Multiple Sclerosis)
Bleeding disorders or those taking drugs that affect bleeding time (warfarin, heparin, aspirin, glucosamine).
Drugs that may interact with Botox® (aminoglycoside antibiotics, spectromycin, quinine sulphate) It is also probably safest to avoid Botox® usage whilst taking antimalarial quinine based drugs too, although an interaction is only a theoretical problem.