藥碼
BOT01
藥名
Botox 自費 針 100 U/Vial
英文商品名
Botox 自費 針 100 U/Vial
中文商品名
保妥適乾粉注射劑
螢幕名
Botox 自費 針 100 U/Vial
劑型
Inj
規格
Inj. 100units/vial; a white lyophilized powder for reconstitution.
成分
藥理分類
Other Misc. Therapeutic Agents
健保碼
ATC碼
藥品圖片
外觀圖片
適應症
Dynamic equinus foot deformity due to spasticity in paediatric cerebral palsy patients, two years of age or older; Spasticity of the arm in adult patients following a stroke; Blepharospasm in adults;  Hemifacial spasm in adults; Spasmodic torticollis in adults; Treatment of moderate to severe glabellar lines; Axillary hyperhydrosis in adults; Overactive urinary bladder (Refractory to or intolerant of anticholinergic medication) ; Prophylaxis of headaches in adult patients with chronic migraine (at least 15 days per month with headache lasting 4 hours a day or longer)
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藥理
Clostridium botulinum toxin cause neuromuscular blockade by inhibiting the calcium-ion mediated release of acetylcholine at the motor nerve terminals, resulting in a diminished endplate potential and subsequent flaccid paralysis of the affected muscles. The paralysis persists until new nerve terminals form, usually within 2 to 4 months.
藥動學
The duration of action, measured by changes of ocular alignment and muscle paralysis varied between 2 weeks and 8 months. 
禁忌症
Prior hypersensitivity to any botulinum toxin formulation
懷孕分類
C
哺乳分類
 The safety of its use in lactating women has not been demonstrated.
副作用
Itching, generalized weakness, fatigue, flu-like syndrome and pain/bruising at injection site, dysphagia, diarrhoea, muscle weakness, urinary incontinence, ptosis, diplopia, dry eyes, tearing, eyelid oedema, headache, compensatory sweating…etc. 
劑量和給藥方法
Adult spasticity of the arm post-stroke: 1000 units distributed among the following five muscles: flexor digitorum profundus(FDP) 150 units, flexor digitorum sperficialis(FDS) 150-250 units, flexor carpi ulnaris(FCU) 150 units, flexor carpi radialis(FCR) 150 units and biceps brachii(BB) 300-400 units.
Paediatric cerebral palsy spasticity: initial dose, 20 units/kg body weight given as a divided dose between both calf muscles. If only one calf is affected, a dose of 10 units/kg bodyweight should be used. MAX dose: 1000 nits/patient.
Spasmodic torticollis: initial dose, 500 units per patient given as a divided dose and administered to the two or three most active neck muscles.
Blepharospasm and hemifacial spasm: initial dose, 120 units per eye. In cases of unilateral blepharospasm the injections should be confined to affected eye. Patients with hemifacial spasm should be treated as for unilateral belpharospasm.
Axillary hyperhidrosis: initial dose, 100 units per axilla. If the desired effect is not attained, up to 200 units per axilla can be administered for subsequent injections.
Moderate to severe glabellar lines: 50 units of disport to be divided into 5 injection sites. 
小兒調整劑量
腎功能調整劑量
肝功能調整劑量
安定性
After reconstitution with sterile normal saline without preservative, the solution should be stored in 2-8 ℃ and administered within 4 hours.
藥袋資訊
臨床用途
肉毒桿菌製劑
主要副作用
注射部位疼痛、肌肉無力
泡製方法
儲存方式
請置於 2-8℃ 冷藏儲存
注意事項
其他說明
門診 X5-4 | 藥庫 冰Y24
藥品外觀
顏色
形狀
剝痕
標記1
標記2
其他
健保藥價
0
自費價
8379
仿單
資料庫
健保給付規定