XEOMIN® (incobotulinumtoxinA) IMPORTANT CONSUMER SAFETY INFORMATION
Read the Medication Guide before you start receiving XEOMIN® (Zeo-min) and each time XEOMIN is given
to you as there may be new information. The risk information provided here is not comprehensive. To learn more:
- Talk to your health care provider or pharmacist
- Visit www.xeomin.com to obtain the
FDA-approved product labeling
- Call 1-844-4MYMERZ
Uses
XEOMIN is a prescription medicine used in adults:
- that is injected into glands that make saliva and is used to treat long-lasting (chronic) drooling (sialorrhea).
- that is injected into muscles and used to:
- treat increased muscle stiffness in the arm because of upper limb spasticity.
- treat the abnormal head position and neck pain with cervical dystonia (CD).
- treat abnormal spasm of the eyelids (blepharospasm) in adults.
It is not known if XEOMIN is safe and effective in children under 18 years of age.
Warnings
XEOMIN may cause serious side effects that can be life threatening. Call your doctor or get medical help
right away if you have any of these problems anytime (hours to weeks) after treatment with XEOMIN:
- Problems with swallowing, speaking, or breathing can happen within hours to weeks after an injection of
XEOMIN if the muscles that you use to breathe and swallow become weak. Death can happen as a
complication if you have severe problems with swallowing or breathing after treatment with XEOMIN.
- People with certain breathing problems may need to use muscles in their neck to help them breathe and may be
at greater risk for serious breathing problems with XEOMIN.
- Swallowing problems may last for several months, and during that time you may need a feeding tube to receive
food and water. If swallowing problems are severe, food or liquids may go into your lungs. People who already
have swallowing or breathing problems before receiving XEOMIN have the highest risk of getting these problems.
- Spread of toxin effects. In some cases, the effect of botulinum toxin may affect areas of the
body away from the injection site and cause symptoms of a serious condition called botulism. The symptoms of
botulism include: loss of strength and muscle weakness all over the body, double vision, blurred vision and
drooping eyelids, hoarseness or change or loss of voice, trouble saying words clearly, loss of bladder control,
trouble breathing, trouble swallowing.
These symptoms can happen hours to weeks after you receive an injection of XEOMIN. These problems could make it
unsafe for you to drive a car or do other dangerous activities.
Do not take XEOMIN if you: are allergic to XEOMIN or any of the ingredients in XEOMIN (see the end
of this Guide for a list of ingredients in XEOMIN), had an allergic reaction to any other botulinum toxin product
such as rimabotulinumtoxinB (Myobloc®), onabotulinumtoxinA (Botox®,
Botox® Cosmetic), or abobotulinumtoxinA (Dysport®) or have a skin infection at the
planned injection site.
Before receiving XEOMIN, tell your doctor about all of your medical conditions, including if you:
- have a disease that affects your muscles and nerves (such as amyotrophic lateral sclerosis [ALS or Lou Gehrig's
disease], myasthenia gravis or Lambert-Eaton syndrome)
- have had any side effect from any other botulinum toxin in the past
- have a breathing problem such as asthma or emphysema
- have a history of swallowing problems or inhaling food or fluid into your lungs (aspiration)
- have bleeding problems
- have drooping eyelids
- have plans to have surgery
- have had surgery on your face
- are pregnant or plan to become pregnant. It is not known if XEOMIN can harm your unborn baby.
- are breastfeeding or plan to breastfeed. It is not known if XEOMIN passes into breast milk.
Tell your doctor about all of the medicines you take, including prescription and over-the-counter
medicines, vitamins and herbal supplements. Talk to your doctor before you take any new medicines after you
receive XEOMIN.
Using XEOMIN with certain other medicines may cause serious side effects. Do not start any new medicines
until you have told your doctor that you have received XEOMIN in the past. Especially tell your doctor if
you:
- have received any other botulinum toxin product in the last four months
- have received injections of botulinum toxin such as rimabotulinumtoxinB (MYOBLOC®),
onabotulinumtoxinA (BOTOX®, BOTOX® COSMETIC) and abobotulinumtoxinA
(DYSPORT®) in the past. Be sure your doctor knows exactly which product you received. The dose of
XEOMIN may be different from other botulinum toxin products that you have received.
- have recently received an antibiotic by injection
- take muscle relaxants
- take an allergy or cold medicine
- take a sleep medicine
Ask your doctor if you are not sure if your medicine is one that is listed above.
Know the medicines you take. Keep a list of your medicines with you to show your doctor and pharmacist each time
you get a new medicine.
Possible Side Effects
XEOMIN can cause serious side effects including:
See "Warnings."
- Injury to the cornea (the clear front surface of the eye) in people treated for blepharospasm.
People who receive XEOMIN to treat spasm of the eyelid may have reduced blinking that can cause a sore on their
cornea or other problems of the cornea. Call your healthcare provider or get medical care right away if you have
eye pain or irritation after treatment with XEOMIN.
- XEOMIN may cause other serious side effects including allergic reactions. Symptoms of an
allergic reaction to XEOMIN may include: itching, rash, redness, swelling, wheezing, trouble breathing, or
dizziness or feeling faint. Tell your doctor or get medical help right away if you get wheezing or trouble
breathing, or if you get dizzy or faint.
The most common side effects of XEOMIN in people with chronic sialorrhea include:
- needing to have a tooth pulled (extracted)
- dry mouth
- diarrhea
- high blood pressure
The most common side effects of XEOMIN in people with upper limb spasticity include:
- seizure
- nasal congestion, sore throat and runny nose
- dry mouth
- upper respiratory infection
The most common side effects of XEOMIN in people with cervical dystonia include:
- difficulty swallowing
- neck pain
- muscle weakness
- pain at the injection site
- muscle and bone pain
The most common side effects of XEOMIN in people with blepharospasm include:
- drooping of the eyelid
- dry eye
- vision problems
- dry mouth
These are not all the possible side effects of XEOMIN.
Call your doctor for medical advice about side effects.
You may report side effects to FDA at
1-800-FDA-1088.
General information about the safe and effective use of XEOMIN
Medicines are sometimes prescribed for purposes other than those listed in a Medication Guide. You can ask your
pharmacist or doctor for information about XEOMIN that is written for health professionals.
Active Ingredients: botulinum toxin type A
Inactive Ingredients: human albumin and sucrose
XEOMIN® for 
XEOMIN® for 
