Comparing two botulinum toxin type A formulations using manufacturers' product summaries.
OBJECTIVE
Because of the unique pharmacology and clinical versatility of botulinum toxin (BoNT), particularly BoNT serotype A (BoNTA), a need exists for discussion of the current data on similarities and differences between two BoNTA products, BOTOX and Dysport.


METHODS
We compared the physiochemical and pharmacological properties of BOTOX and Dysport using information from the Summary of Product Characteristics (SmPC) documents from a number of countries around the world.


CONCLUSIONS
Our analysis based on the SmPC documents demonstrated distinct differences in physical characteristics, breadth of approved indications, dosing and administration, and the incidence and severity of adverse events.


CONCLUSIONS
BOTOX and Dysport are not bioequivalent. Many of the differences between BOTOX and Dysport discussed within are probably related to the differences in their physical characteristics.
Wenzel
R
R
Diamond Headache Clinic Inpatient Unit, Chicago, IL 60657, USA. rich.wenzel@hotmail.com
Jones
D
D
Borrego
J A
JA
D001688:Biological Products / Q000009:adverse effects / Q000737:chemistry / Q000493:pharmacokinetics / Q000494:pharmacology; D019274:Botulinum Toxins, Type A / Q000009:adverse effects / Q000737:chemistry* / Q000493:pharmacokinetics / Q000494:pharmacology; D004305:Dose-Response Relationship, Drug; D004348:Drug Labeling; D006801:Humans; D009465:Neuromuscular Agents / Q000008:administration & dosage / Q000009:adverse effects / Q000737:chemistry* / Q000493:pharmacokinetics / Q000494:pharmacology; D013810:Therapeutic Equivalency
D001688:Biological Products; D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A