OpenClaim

Incobotulinumtoxina Side Effects

The most commonly reported side effects of incobotulinumtoxina include off label use, therapeutic response decreased, and injection site pain, based on 5,298 FDA adverse event reports from 2008 to 2025. 32.9% of reports found the drug to be ineffective.

Incobotulinumtoxina side effects

Percentages show how often each reaction appears relative to total reports for incobotulinumtoxina.

1
Drug Ineffective32.9%1,745
2
Off Label Use22.4%1,188
3
Therapeutic Response Decreased12.8%676
4
Injection Site Pain6.1%323
5
Product Preparation Issue3.6%189
6
Headache3.5%184
7
Injection Site Swelling3.3%177
8
Pain3.2%171
9
Overdose3.1%166
10
Eyelid Ptosis2.5%130
11
Injection Site Mass2.3%121
12
Product Use In Unapproved Indication2.3%121
13
Dysphagia2.1%110
14
Injection Site Erythema2.1%110
15
Swelling2.0%105

These are voluntary reports and do not establish that incobotulinumtoxina caused these reactions.

Report severity

13.6%Serious722 reports
3.8%Hospitalizations200 reports
1.8%Fatal94 reports

Seriousness is determined by the reporter, not by OpenClaim.

Incobotulinumtoxina drug interactions

Other drugs that appear in adverse event reports alongside incobotulinumtoxina. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Onabotulinumtoxina2.4%127
2
Amitriptyline-hydrochloride0.8%41
3
Topiramate0.6%34
4
Diclofenac0.6%33
5
Zolmitriptan0.6%32
6
Eletriptan-hydrobromide0.6%32
7
Ibuprofen0.6%32
8
Rizatriptan-benzoate0.6%32
9
Prednisone0.6%31
10
Paroxetine0.6%31
11
Lamotrigine0.6%31
12
Acetaminophen0.5%29
13
Abobotulinumtoxina0.5%28
14
Quetiapine-fumarate0.5%24
15
Levetiracetam0.5%24

Taken alongside

1
Onabotulinumtoxina5.5%290
2
Abobotulinumtoxina1.9%103
3
Ergocalciferol0.9%47
4
Baclofen0.7%38
5
Amlodipine0.7%38
6
Acetaminophen0.7%37
7
Levothyroxine-sodium0.7%36
8
Gabapentin0.6%33
9
Aspirin0.6%30
10
Clonazepam0.5%29
11
Carbidopa0.5%27
12
Levodopa0.5%26
13
Fish0.5%24
14
Metoprolol0.4%22
15
Tizanidine-hydrochloride0.4%21

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports incobotulinumtoxina side effects

47.2% of incobotulinumtoxina adverse event reports involve female patients and 9.0% involve male patients. The largest age group is adult at 82%. These figures reflect who reports side effects, not underlying risk.

Sex

Female47.2%
Male9.0%
Unknown43.8%

Age group

< 20.2%
2–110.7%
12–170.9%
18–6482.3%
65+15.8%

What is incobotulinumtoxina used for

Conditions and purposes for which patients were taking incobotulinumtoxina when the adverse event was reported.

Arm SpasticityArthritisAnalgesic TherapyArrhythmia ProphylaxisArthralgiaAsthmaBack PainBladder DisorderBlepharospasmBotulinum Toxin InjectionBruxismBack DisorderBell^s PalsyBladder DysfunctionBlepharospasm

Showing 15 of 171 indications

Incobotulinumtoxina brand names and reporting trend

Incobotulinumtoxina is sold under the brand name Xeomin.

Brand names

Xeomin10

Quarterly reports (20082025)

2008201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking incobotulinumtoxina with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.