Is There An Upper Age Limit For Use Of Botox For Chronic Migraine?

No, according to a new study as well as extensive clinical experience. The group of patients over 65 years old had the same benefit and no more adverse effects than the group aged 18 to 65. Botox in fact may be especially helpful after age 65 in that reduced frequency of headaches leads to reduced use of triptans, a class a medication that has risk of cardiovascular complications in patients who have undiagnosed coronary artery disease. Age is an important risk factor for cardiovascular disorders.

Jack Florin, MD

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