Many patients who receive Botox treatment typically proceed with their regular activities following the appointment.

The clinic often provides the following recommendations:
Treatment typically involves 31 injections administered in the head and neck region every 12 weeks.

• Avoid wearing a tight helmet or hat after the injections, as this may cause the Botox to shift downward on the forehead and result in cosmetic side effects.
• Refrain from dyeing your hair within 48 hours of the injections, as the combination of multiple injections and exposure to irritant chemicals is not advisable.
• Some patients may experience soreness due to the needling involved in Botox treatment. It is advisable to avoid strenuous exercise and plan for rest on the day of the injections.
• It is permissible to use acute migraine medications on the day of the Botox injection, as the Botox is administered locally and does not interfere with other medications.

The onset of Botox effects is not immediate, typically taking 7 to 10 days to be felt. Some patients may experience increased headaches and neck pain during the first week after injections as the effects of the previous treatment wear off and the new treatment takes effect. It is recommended to discuss any concerns with healthcare providers to find appropriate solutions.

The primary aim of Botox treatment is to reduce migraine frequency, with approximately 50% of patients reporting positive responses. Additional improvements may include a decrease in migraine intensity, better response to acute medications, improved tolerance to triggers, reduced neck pain, and alleviation of associated symptoms such as nausea.

The wearing off phenomenon refers to some patients experiencing an increase in migraine symptoms before their next scheduled injections.