ONABOTULINUMTOXINA

72/100 · Elevated

Manufactured by Allergan, Inc.

ONABOTULINUMTOXINA Safety Profile Analysis

126,795 FDA adverse event reports analyzed

Last updated: 2026-05-12

About ONABOTULINUMTOXINA

ONABOTULINUMTOXINA is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Allergan, Inc.. Based on analysis of 126,795 FDA adverse event reports, ONABOTULINUMTOXINA has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for ONABOTULINUMTOXINA include DRUG INEFFECTIVE, OFF LABEL USE, THERAPEUTIC RESPONSE DECREASED, HEADACHE, PRODUCT PREPARATION ERROR. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for ONABOTULINUMTOXINA.

AI Safety Analysis

Onabotulinumtoxina has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 126,795 adverse event reports for this medication, which is primarily manufactured by Allergan, Inc..

The most commonly reported adverse events include Drug Ineffective, Off Label Use, Therapeutic Response Decreased. Of classified reports, 18.7% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. Serious adverse events account for 18.7% of all reports, indicating a notable risk.

Headache and injection site pain are the most common side effects, affecting a significant portion of users. There is a diverse range of reactions, suggesting potential for various adverse effects.

Patients taking Onabotulinumtoxina should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Drug interactions are not explicitly mentioned, but users should avoid using ONABOTULINUMTOXINA with other neuromodulators to prevent adverse effects. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Onabotulinumtoxina received a safety concern score of 72/100 (elevated concern). This is based on a 18.7% serious event ratio across 74,098 classified reports. The score accounts for 126,795 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

DRUG INEFFECTIVE26,176 reports
OFF LABEL USE11,097 reports
THERAPEUTIC RESPONSE DECREASED4,502 reports
HEADACHE3,963 reports
PRODUCT PREPARATION ERROR3,628 reports
INJECTION SITE PAIN3,357 reports
EYELID PTOSIS3,086 reports
MULTIPLE USE OF SINGLE USE PRODUCT2,798 reports
MIGRAINE2,228 reports
NAUSEA2,052 reports
PAIN1,826 reports
FATIGUE1,781 reports
MUSCULAR WEAKNESS1,753 reports
DIZZINESS1,721 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS1,707 reports
DYSPHAGIA1,676 reports
WRONG TECHNIQUE IN DRUG USAGE PROCESS1,588 reports
DYSPNOEA1,488 reports
DEATH1,378 reports
VISION BLURRED1,323 reports
ASTHENIA1,224 reports
NECK PAIN1,100 reports
SWELLING FACE1,082 reports
INJECTION SITE SWELLING1,080 reports
RASH1,064 reports
THERAPEUTIC RESPONSE SHORTENED1,043 reports
HYPOAESTHESIA1,032 reports
ANXIETY990 reports
MALAISE939 reports
FACIAL PARESIS930 reports
PARAESTHESIA866 reports
VOMITING851 reports
PRURITUS847 reports
INFLUENZA LIKE ILLNESS840 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION832 reports
FEELING ABNORMAL829 reports
PRODUCT STORAGE ERROR788 reports
MUSCLE SPASMS775 reports
HYPERSENSITIVITY707 reports
PRODUCT PREPARATION ISSUE704 reports
URTICARIA701 reports
PRODUCT USE IN UNAPPROVED INDICATION688 reports
PYREXIA678 reports
DIARRHOEA676 reports
THERAPEUTIC PRODUCT EFFECT INCOMPLETE674 reports
INSOMNIA663 reports
FALL659 reports
ERYTHEMA641 reports
PRODUCT QUALITY ISSUE623 reports
EYE SWELLING622 reports
INJECTION SITE ERYTHEMA608 reports
ARTHRALGIA581 reports
HYPERHIDROSIS571 reports
SWELLING568 reports
WEIGHT DECREASED568 reports
CONTUSION557 reports
URINARY TRACT INFECTION556 reports
MUSCULOSKELETAL STIFFNESS548 reports
VISUAL IMPAIRMENT541 reports
GAIT DISTURBANCE538 reports
PAIN IN EXTREMITY534 reports
DIPLOPIA508 reports
BACK PAIN505 reports
POOR QUALITY PRODUCT ADMINISTERED505 reports
ALOPECIA498 reports
TREMOR496 reports
DEPRESSION495 reports
BURNING SENSATION494 reports
CONDITION AGGRAVATED488 reports
DRY EYE475 reports
DRY MOUTH471 reports
CONSTIPATION458 reports
INJECTION SITE BRUISING454 reports
SPEECH DISORDER454 reports
INJECTION SITE RASH452 reports
DYSPHONIA451 reports
THERAPEUTIC PRODUCT EFFECT DECREASED450 reports
MYALGIA443 reports
BROW PTOSIS441 reports
INCORRECT DOSE ADMINISTERED439 reports
PNEUMONIA432 reports
PALPITATIONS410 reports
EYELID OEDEMA408 reports
SOMNOLENCE404 reports
COUGH403 reports
VERTIGO393 reports
CHEST PAIN386 reports
EYE PAIN386 reports
DRUG HYPERSENSITIVITY385 reports
COVID 19381 reports
MEMORY IMPAIRMENT378 reports
ADVERSE DRUG REACTION366 reports
URINARY RETENTION349 reports
BOTULISM342 reports
SEIZURE330 reports
INJECTION SITE PRURITUS326 reports
ABDOMINAL PAIN UPPER325 reports
SINUSITIS325 reports
CEREBROVASCULAR ACCIDENT322 reports
BALANCE DISORDER321 reports

Key Safety Signals

  • Death and botulism are reported, highlighting severe risks.
  • Multiple use of a single-use product and incorrect dose administration are key safety signals.
  • Severe reactions like pneumonia and cerebrovascular accident are reported, indicating potential for serious complications.

Patient Demographics

Adverse event reports by sex: Female: 53,854, Male: 7,701, Unknown: 249. The most frequently reported age groups are age 53 (973 reports), age 50 (903 reports), age 40 (852 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 74,098 classified reports for ONABOTULINUMTOXINA:

  • Serious: 13,892 reports (18.7%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 60,206 reports (81.3%)
Serious 18.7%Non-Serious 81.3%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female53,854 (87.1%)
Male7,701 (12.5%)
Unknown249 (0.4%)

Reports by Age

Age 53973 reports
Age 50903 reports
Age 40852 reports
Age 45806 reports
Age 43803 reports
Age 46791 reports
Age 42780 reports
Age 48774 reports
Age 52766 reports
Age 49748 reports
Age 51728 reports
Age 41721 reports
Age 54720 reports
Age 55719 reports
Age 44709 reports
Age 47707 reports
Age 56693 reports
Age 39679 reports
Age 38643 reports
Age 57622 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Drug interactions are not explicitly mentioned, but users should avoid using ONABOTULINUMTOXINA with other neuromodulators to prevent adverse effects.

What You Should Know

If you are taking Onabotulinumtoxina, here are important things to know. The most commonly reported side effects include drug ineffective, off label use, therapeutic response decreased, headache, product preparation error. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Follow the prescribed dosage and usage instructions carefully to minimize the risk of adverse reactions. Report any unusual symptoms to your healthcare provider promptly. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of ONABOTULINUMTOXINA and may take further action based on ongoing data analysis.

Frequently Asked Questions

How many adverse event reports has the FDA received for Onabotulinumtoxina?

The FDA has received approximately 126,795 adverse event reports associated with Onabotulinumtoxina. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Onabotulinumtoxina?

The most frequently reported adverse events for Onabotulinumtoxina include Drug Ineffective, Off Label Use, Therapeutic Response Decreased, Headache, Product Preparation Error. By volume, the top reported reactions are: Drug Ineffective (26,176 reports), Off Label Use (11,097 reports), Therapeutic Response Decreased (4,502 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Onabotulinumtoxina.

What percentage of Onabotulinumtoxina adverse event reports are serious?

Out of 74,098 classified reports, 13,892 (18.7%) were classified as serious and 60,206 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Onabotulinumtoxina (by sex)?

Adverse event reports for Onabotulinumtoxina break down by patient sex as follows: Female: 53,854, Male: 7,701, Unknown: 249. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Onabotulinumtoxina?

The most frequently reported age groups for Onabotulinumtoxina adverse events are: age 53: 973 reports, age 50: 903 reports, age 40: 852 reports, age 45: 806 reports, age 43: 803 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Onabotulinumtoxina?

The primary manufacturer associated with Onabotulinumtoxina adverse event reports is Allergan, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Onabotulinumtoxina?

Beyond the most common reactions, other reported adverse events for Onabotulinumtoxina include: Injection Site Pain, Eyelid Ptosis, Multiple Use Of Single-Use Product, Migraine, Nausea. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Onabotulinumtoxina?

You can report adverse events from Onabotulinumtoxina to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Onabotulinumtoxina's safety score and what does it mean?

Onabotulinumtoxina has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. Serious adverse events account for 18.7% of all reports, indicating a notable risk.

What are the key safety signals for Onabotulinumtoxina?

Key safety signals identified in Onabotulinumtoxina's adverse event data include: Death and botulism are reported, highlighting severe risks.. Multiple use of a single-use product and incorrect dose administration are key safety signals.. Severe reactions like pneumonia and cerebrovascular accident are reported, indicating potential for serious complications.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Onabotulinumtoxina interact with other drugs?

Drug interactions are not explicitly mentioned, but users should avoid using ONABOTULINUMTOXINA with other neuromodulators to prevent adverse effects. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Onabotulinumtoxina.

What should patients know before taking Onabotulinumtoxina?

Follow the prescribed dosage and usage instructions carefully to minimize the risk of adverse reactions. Report any unusual symptoms to your healthcare provider promptly.

Are Onabotulinumtoxina side effects well-documented?

Onabotulinumtoxina has 126,795 adverse event reports on file with the FDA. Headache and injection site pain are the most common side effects, affecting a significant portion of users. The volume of reports for Onabotulinumtoxina reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Onabotulinumtoxina?

The FDA continues to monitor the safety of ONABOTULINUMTOXINA and may take further action based on ongoing data analysis. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to ONABOTULINUMTOXINA based on therapeutic use, drug class, or shared indications:

Botulinum Toxin Type ANeuromodulatorsMuscle Relaxants
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.