Not actual pediatric patients.

Pediatric Patients: Does This Story Seem Familiar to You?
Consider XEOMIN.

Michael's Story*: Upper Limb Spasticity

"The upper limb spasticity makes Michael's muscles stiff and sometimes painful,
which is so heartbreaking to see. When he began treatment with XEOMIN, he was
looser, more comfortable. He was more enthusiastic about activities like painting and cuddling with the dog."
—Sarah, mother of Michael, a pediatric patient with
upper limb spasticity treated with XEOMIN*

Individual results may vary.

Michael, a pediatric patient with upper limb spasticity treated with XEOMIN.

*Images and fictionalized story are for illustration purposes only.
 Not an actual patient.

Now 6 years old, Michael had a traumatic brain injury (TBI) after an accidental fall from the stairs when he was just shy of his first birthday. Sarah, Michael's mom, noticed early on that he had movement issues. He wasn't sitting on his own, and he wasn't crawling—he was sensitive and fearful of all movement.

Around his second birthday, he experienced motor difficulties, including increased muscle tone in his left arm and overactive reflexes. Seeing this, Sarah was overwhelmed. It was hard for her to know that her perfect baby was facing some tough physical challenges. When his symptoms didn't resolve on their own, Sarah became determined to seek help for Michael from his pediatrician, specialists, and wherever else she could find it.

Michael was soon diagnosed with upper limb spasticity (not caused by cerebral palsy). Sarah began treatment for him at an early development rehabilitation center. She was looking for the physical therapist to provide her with a set of tools, a plan to get Michael moving on his own. Most of all, she was looking for hope.

As Sarah continued to explore treatments, she discovered XEOMIN. "With XEOMIN," she says, "I was concerned that the shots might be stressful for Michael, but he was able to deal with them well. It's a good thing, because after getting XEOMIN, he had less stiffness and pain. I could see him moving more naturally." For Sarah, XEOMIN was one more valuable tool she could include in Michael's toolkit.

Every patient's experience with XEOMIN will vary, and there are potential risks and side effects with XEOMIN. Talk to your healthcare provider to see if XEOMIN is right for your child.

Michael is full of life, spontaneous, and very confident. When Sarah reflects on Michael's experiences with diagnosis, therapy, and treatment with XEOMIN, what she notices most is how those experiences have added to his character and self-esteem. "When I think of Michael," she says, "the first thing I think of is his smile. It could light up a town."*

Emma's Story*: Chronic Sialorrhea

"Chronic sialorrhea is really challenging, from skin irritation to trying to guide Emma on how to manage it. Since we started her on XEOMIN, I feel less anxious about Emma's condition and can more fully enjoy our time together taking our dog, Bandit, to the park or watching Emma play dolls with her friends."
—Vivian, mother of Emma, a pediatric patient with
chronic sialorrhea treated with XEOMIN*

Individual results may vary.

Emma, a pediatric patient with cervical dystonia treated with XEOMIN.

*Images and fictionalized story are for illustration purposes only.
 Not an actual patient.

Emma was a happy baby—always smiling and wanting to be the center of attention. When she was born, her mom, Vivian, was excited to be a new parent to such a sweet and healthy little girl.

Throughout the first year of Emma's life, Vivian noticed Emma wasn't like other babies. Emma never learned to crawl or stand. By the age of 1, Emma was diagnosed with cerebral palsy.

Overwhelmed with fear about the challenges her daughter would face, Vivian enrolled Emma in a specialized rehabilitation center. As she got older and finished teething, Vivian noticed Emma continued to drool—her clothing, bibs, and bedding were always wet. When Emma was 2½ years old, Vivian asked Emma's pediatrician about ways to help her manage her daughter's drooling.

At the age of 3, Emma started receiving treatment for chronic sialorrhea. At first, Emma's doctors tried acupuncture and oro-motor therapy. As time passed, Emma showed little sign of improvement. Vivian was worried that her daughter's drooling could lead to other health issues. Vivian refused to sit back and watch—she was determined to find an answer and read everything she could to find the best care for Emma.

"Now that I've found XEOMIN, it's brought me a sense of hope," Vivian says. "I was always worried about keeping her safe from a lung infection or constantly having to wipe her face so she wouldn't get a rash. But after we started her on XEOMIN, I saw a real reduction in the amount of saliva, and I could tell it was working."

For Vivian, XEOMIN was able to provide the peace of mind so Emma can be free to grow up around her peers without her mom constantly worrying that she wouldn't always be able to be there to take care of her daughter.

Every patient's experience with XEOMIN will vary, and there are potential risks and side effects with XEOMIN. Talk to your healthcare provider to see if XEOMIN is right for your child.

Emma is an energetic, confident, and fun-loving 6-year-old. When Vivian thinks about Emma's experiences as she's getting older, she's reminded how treatment with XEOMIN has made a big difference for her daughter. "Emma's been through so much," she says, "but you would never know it when you look at her. She's just a big ball of energy."*

Jacob's Story*: How XEOMIN Treatment Helped Me

"We needed a more targeted therapy that was effective, and that's exactly what we got with XEOMIN. Now I get to watch my son grow up around his friends and be a teenager. He's finally confident to go out in public without worrying about people staring at him."
—Paul, father of Jacob, an adolescent patient treated with XEOMIN for chronic sialorrhea*

Individual results may vary.

Jacob, a pediatric patient with blepharospasm treated with XEOMIN.

*Images and fictionalized story are for illustration purposes only.
 Not an actual patient.

At birth, Jacob was diagnosed with a heart defect, and within hours, he had emergency surgery to treat his condition. Jacob's father, Paul, was terrified for his son, but after the successful surgery and a few months in the NICU, he was relieved when his son was finally ready to go home.

Paul started noticing developmental challenges with Jacob. When Jacob was 10 months old, he crawled with one arm and one leg while dragging his other arm and leg behind him. Paul mentioned this to Jacob's pediatrician, who ran a series of tests, and based on those test results, diagnosed Jacob with cerebral palsy.

After Jacob's diagnosis, Paul noticed that his son drooled more than other kids his age. When it didn't get better and began causing skin problems, Paul asked Jacob's doctors for help. Paul was told chronic sialorrhea is a common problem for kids with cerebral palsy. Jacob's doctors immediately started treating Jacob with oro-sensory therapy. The treatment was successful at managing Jacob's drooling, but as he became a teenager, things started to get complicated.

"When Jacob started high school," Paul says, "he was embarrassed to be around his friends, and because of his drooling, he stopped hanging out with them. No teenager wants to wear a bib or have their parent wiping their face all the time. I wanted him to live his life without always having to deal with embarrassment that can cause low self-esteem and social anxiety."

Paul wanted to give his son independence, so he again asked Jacob's doctors about other treatment options for chronic sialorrhea. After his 14th birthday, Jacob began treatment with XEOMIN. XEOMIN has made a real difference in Jacob's life—helping him control excess drooling, which gives him the confidence to be himself.

Every patient's experience with XEOMIN will vary, and there are potential risks and side effects with XEOMIN. Talk to your healthcare provider to see if XEOMIN is right for your child.

Jacob is your average teenage boy, obsessed with sports and the outdoors. He loves watching sports with his dad and inviting friends over to play basketball or go camping in the backyard. When Paul thinks about all the things Jacob has had to overcome in his life, he feels thankful for the quality time he now has with his son. "Our favorite thing to do together is watch basketball games," Paul says. "I'm just happy he's not embarrassed by his dad. Yet."*