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Clinician Resources

Learn more about iatrogenic botulism

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What is Iatrogenic Botulism? 

Information for those who want to understand more about iatrogenic botulism and Botox adverse effects​

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Botox Adverse Effects PDF for Clinicians 

A printable PDF that includes information about signs and symptoms , differential diagnosis, and how to obtain antitoxin when iatrogenic botulism is suspected​

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Research Hub 

A growing list of iatrogenic botulism medical literature and case studies from around the world

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How to help patients

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*NEW: Side Effect Screening for BoNT Patients

Printable PDF that injectors can use to screen BoNT patients at every visit for any potential adverse effects

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Important Considerations for Botulism Patients 

Important medical considerations for any patients that have iatrogenic botulism

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Learn about the Botulism Warning 

(pages 49-52) Raise awareness in your practice about this warning, and ensure all patients receiving BoNT injections are properly informed of the risk of iatrogenic botulism

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Sample ER Protocol for Identifying Iatrogenic Botulism 

A printable sample protocol for identifying iatrogenic botulism in the emergency department​​

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Botulism and MCAS

About 50-60% of iatrogenic botulism sufferers will develop Mast Cell Activation Syndrome (MCAS) and/or histamine intolerances in the weeks/months after poisoning. Learn more about this condition and protocols that can alleviate symptoms

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IMPORTANT:

 

If you believe a patient of yours is suffering from iatrogenic botulism following BoNT injections in the past 3 weeks, call the CDC's 24/7 Botulism phone line for advice, support, and antitoxin information:

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770-488-7100

Iatrogenic Botulism 101
Available in paperback and Kindle eBook, Iatrogenic Botulism 101 is a concise but thorough introduction to
iatrogenic botulism for healthcare providers.

© 2026 by Megan McCue. All rights reserved.

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​Megan McCue, CCC-SLP, is the sole author/creator of the content and posts on IatrogenicBotulism.com. She is a medical speech-language pathologist who, after developing botulism symptoms from 12 units of Xeomin, became passionate about educating the public and fellow medical professionals about the risks of botulinum toxin injections. Contact Megan: metoxpretty@gmail.com​

​​​​​​None of the information listed on this website is medical advice. It is not intended to diagnose, treat, or cure any disease. Work with a trusted healthcare provider before beginning any new medications or supplements.​ The opinions expressed on my website and in my writing are solely mine and are based on my personal experiences, research, and interpretations. Any individuals or organizations mentioned are referenced for narrative or informational purposes only, and their inclusion does not imply that they share, endorse, or are responsible for the views expressed by the author.

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