An individual receiving an injection for their frown lines.

Neuromodulator injections, also known as botulinum toxin treatments, are among the most popular cosmetic procedures worldwide, with almost 9.5 million treatments performed in the United States in 2023. These injectables help reduce wrinkles and treat certain medical conditions by temporarily relaxing targeted muscles.

Xeomin, a product of Merz Pharmaceuticals, is a highly purified form of botulinum toxin type A. Unlike other neuromodulators, Xeomin does not contain any accessory proteins, which may reduce the risk of developing resistance to the treatment.

In this article, we will explore the prescribing information for Xeomin, including its uses, dosage, and potential side effects.

Key Takeaways

  • Medical professionals can use Xeomin for aesthetic and therapeutic applications, earning approval from the US Food and Drug Administration to ensure its safety and efficacy.
  • These providers should remember the indications, contraindications, and warnings to prevent health complications and further risks.
  • Individuals can expect common Xeomin side effects, such as redness, bruising, swelling, and mild pain at the injection site.
  • Patients must closely monitor for adverse reactions and promptly inform medical professionals to adjust treatment plans as necessary.

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Introduction to Xeomin

A close-up shot of the injection for the '11' lines.

The Xeomin manufacturer has developed a unique formulation, capitalizing on botulinum toxin type A while maintaining it free from complex proteins. This formulation sets Xeomin apart from other neuromodulators and minimizes the risk of adverse reactions.

Medical professionals can use Xeomin for aesthetic and therapeutic applications, earning approval from the US Food and Drug Administration to ensure its safety and efficacy. When injected, Xeomin and other neuromodulators block the release of acetylcholine. This action temporarily halts muscle contractions, relaxing and reducing wrinkles and muscle spasms.

When comparing Xeomin vs Botox or Xeomin vs Dysport, it’s worth noting that this injectable and its unique solution can deliver various benefits. This includes:

  • Effective Wrinkle Reduction
  • Natural-Looking Results
  • Quick Procedure and Downtime
  • Long-Lasting Outcomes
  • Improved Quality of Life

Indications for Use

Before proceeding with any Xeomin treatment, medical professionals should be aware of the neuromodulator’s US Food and Drug Administration-approved uses. Understanding these aesthetic and therapeutic indications can ensure patient safety and suitability.

  • Moderate to Severe Upper Facial Lines
  • Chronic Sialorrhea
  • Upper Limb Spasticity
  • Cervical Dystonia
  • Blepharospasm

However, other medical providers utilize this treatment for off-label uses, including Xeomin for migraines, Xeomin lip flip, and other medical conditions. When considering off-label uses, physicians must weigh clinical evidence, individual patient factors, and potential benefits and risks.

Contraindications and Precautions

Medical professionals should consider these to prevent health complications and further risks. According to the Xeomin prescribing information, providers should adhere to the following contraindications in patient selection.

  • Patients with known hypersensitivity to the active botulinum toxin type A or to any excipients.
  • Patients with infections at the injection site.

While these patients should not receive Xeomin, the prescribing information also includes warnings and precautions for Xeomin injections. Understanding these can help medical professionals comprehensively discuss Xeomin treatments with patients.

  • Potential Difficulties in Respiratory, Speech, or Swallowing
  • Corneal Exposure and Ulceration
  • Risk of Ptosis
  • Xeomin potency Units should not be interchanged with other botulinum toxins. 

Equipping patients with comprehensive information about Xeomin’s contraindications can help them understand the treatment’s benefits and risks. This allows them to make informed decisions about their aesthetics and healthcare.

Dosing and Administration

Correct dosage and proper administration can help achieve optimal treatment outcomes. Medical professionals should adhere to the Xeomin reconstitution chart to ensure safety and effectiveness. It’s worth noting that the recommended dose for upper facial lines is 50 Units.

The Units depend on the treatment area and the tailored treatment plan that providers and patients create. Common Units for these two conditions include:

  • Chronic Sialorrhea: 100 units per session
  • Upper Limb Spasticity: Up to 400 units

Furthermore, Xeomin requires reconstitution before injection. The vial must be prepared by cleaning the exposed portion of the rubber stopper using 70% alcohol before needle insertion. Then, medical providers must insert the needle vertically through the rubber stopper, where the vacuum will draw the saline into the vial.

After removing the syringe, they should mix Xeomin with saline by swirling and flipping the vial. In patient selection criteria, ideal candidates should be patients with the conditions approved for Xeomin use and those with upper facial line concerns.

Patient Preparation and Post-Injection Care

A doctor and patient consultation.

Patients must thoroughly consult a medical professional to assess their medical history and discuss potential treatment procedures, risks, and benefits. This evaluation also ensures the patient has no contraindications.

Pre-injection involves the Xeomin reconstitution process. Medical professionals should adhere to the treatment protocols from the Xeomin manufacturer and the US Food and Drug Administration. Moreover, after injection, patient monitoring is essential for looking out for adverse reactions. The following are also common post-treatment care tips:

  • Avoid strenuous activities for 24 to 48 hours
  • Avoid touching or rubbing the treatment area
  • Avoid excessive sun exposure
  • Stay hydrated
  • Managing patient expectations

Medical professionals should communicate with patients the expected outcomes, potential risks, and timeline for seeing results. This open and honest communication aids in properly managing patient expectations.

Clearly communicate the expected outcomes, potential side effects, and the timeline for seeing results. Ensure patients understand the procedure’s limitations and provide realistic expectations to enhance satisfaction34.

Potential Side Effects and Management

Like other medical or aesthetic treatments, this neuromodulator injection can cause side effects. Individuals can expect common Xeomin side effects, such as redness, bruising, swelling, and mild pain at the injection site. These typically last a few days to a week.

However, rare Xeomin side effects may also occur at times. Patients must seek immediate medical attention when these side effects occur to receive appropriate management of these risks.

  • Severe Allergic Reactions: Patients may recognize symptoms associated with allergic reactions, such as hives, itching, and swelling of the face, lips, or throat.
  • Muscle Weakness: This rare side effect may be characterized by difficulties in swallowing, breathing, or speaking and may occur in distant areas from the injection site.

Ice compresses on the injection site may help minimize swelling and bruising for common Xeomin side effects. These can also be resolved independently, while rare side effects require prompt medical attention. Strategies for managing typical side effects include:

  • Staying Hydrated
  • Avoiding Vigorous Activities
  • Following Healthcare Provider’s Instructions
  • When to seek medical attention

Clinical Guidelines and Expert Recommendations

Medical experts working in a laboratory.

Clinical studies underscore the efficacy and safety of Xeomin in treating upper facial lines, such as horizontal forehead lines, glabellar frown lines, and lateral canthal lines. The phase 3 studies of Xeomin for the simultaneous treatment of upper facial lines, including horizontal forehead lines, glabellar frown lines, and lateral canthal lines, successfully met all primary and secondary endpoints.

Experts advocate for Xeomin due to its pure formulation, which minimizes the risk of antibody formation. Best practices involve individualized dosing, precise injection techniques, and comprehensive patient consultations to achieve optimal outcomes and high patient satisfaction.

Educating Patients on Xeomin Usage

A medical expert assessing the patient's facial region.

Medical professionals should provide clear instructions on the proper treatment process, Xeomin’s purpose, post-treatment care, and expected outcomes. This will earn patients’ trust and empower them to make informed decisions about their treatments.

Emphasizing the importance of pre- and post-injection guidelines can ensure patient safety and treatment efficacy. Moreover, patients must closely monitor for adverse reactions and promptly inform medical professionals to adjust treatment plans as necessary.

Additionally,  addressing patient concerns and questions is crucial for educating them. Medical professionals must encourage open communication and address fears and misconceptions. Giving detailed answers can reassure patients, build trust and comfort, and empower them throughout their procedure.

Conclusion

The Xeomin prescribing information offers comprehensive guidance for medical professionals on using Xeomin for aesthetic and therapeutic purposes. It covers essential information, including indications, contraindications, dosing, administration guidelines, and potential side effects and their management.

It is crucial to consider contraindications and provide patients with comprehensive information to make informed decisions regarding Xeomin treatments. This also highlights the significance of adhering to the recommended dosing and administration practices to achieve optimal treatment outcomes.

FAQs

1. What is Xeomin?

Xeomin is a neuromodulator approved by the US Food and Drug Administration for both aesthetic and therapeutic purposes.

2. What are the common side effects of Xeomin?

Common side effects include redness, bruising, swelling, and mild pain at the injection site. Patients should monitor for adverse reactions and promptly inform medical professionals if necessary.

3. What are some important considerations for medical professionals when prescribing Xeomin?

Medical professionals should consider contraindications, dosing, administration guidelines, and potential side effects when prescribing Xeomin. Additionally, they should provide patients with comprehensive information about Xeomin’s contraindications to help them make informed decisions.

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References

  1. Plastic Surgery Statistics. American Society of Plastic Surgeons. https://www.plasticsurgery.org/news/plastic-surgery-statistics
  2. Physicians Resources – Clinical Results – Xeomin Aesthetic. (n.d.). Xeomin Aesthetic. Retrieved August 23, 2024, from https://www.xeominaesthetic.com/professionals/clinical-results
  3. MERZ AESTHETICS ANNOUNCES POSITIVE PHASE 3 DATA DEMONSTRATING EFFICACY AND SAFETY OF XEOMIN® (incobotulinumtoxinA) IN TREATING UPPER FACIAL LINES – Merz Aesthetics. (2023, June 12). Merz Aesthetics. https://merzaesthetics.com/news/merz-aesthetics-announces-positive-phase-3-data-demonstrating-efficacy-and-safety-of-xeomin-incobotulinumtoxina-in-treating-upper-facial-lines/