Reported Reactions

Drugs › Acetylcholine release inhibitor

Brand name · Botulinum toxin type a

Dysport: adverse event reports filed with FDA

6,545 reports list it as a suspect or interacting product, 2004–2026. Class: Acetylcholine release inhibitor. Also reported as Dysport /01136801/.

6,545
reports as suspect product
0% of all reports · about 294 a year
367
reports, 12 months to June 2026
433 in the 12 months before
29.5%
marked serious by the reporter
20.1% across the class
2.1%
record death among outcomes, as reported
135 reports · not verified by FDA

6,545 adverse event reports received by FDA list the brand name Dysport (botulinum toxin type a) as a suspect or interacting product, from April 2004 to June 2026. A further 241 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 367 reports listed it, down 15% from 433 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 294 reports a year and 0% of the 20,646,523 reports in the database, and 7.4% of the reports for the acetylcholine release inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The reactions recorded most often are off label use (36.6%), drug ineffective (26.2%) and product preparation error (11.4%). A report can list several reactions, so shares add to more than 100%; 585 different terms appear across these reports. Off label use is recorded in 36.6% of these reports, a larger share than in the median acetylcholine release inhibitor drug (28.2%).

29.5% of the reports are marked serious by the reporter (20.1% across the class); 2.1% record death among the outcomes and 8.6% record hospitalisation, as reported. 43% of the reports came from other health professionals, and the largest patient age group is 45 to 64 (23.1%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

081162Jul 2021: 31Aug 2021: 30Sep 2021: 34Oct 2021: 49Nov 2021: 65Dec 2021: 622022Jan 2022: 75Feb 2022: 53Mar 2022: 72Apr 2022: 84May 2022: 62Jun 2022: 55Jul 2022: 61Aug 2022: 50Sep 2022: 50Oct 2022: 41Nov 2022: 36Dec 2022: 1152023Jan 2023: 33Feb 2023: 23Mar 2023: 162Apr 2023: 82May 2023: 91Jun 2023: 96Jul 2023: 49Aug 2023: 53Sep 2023: 44Oct 2023: 89Nov 2023: 69Dec 2023: 862024Jan 2024: 19Feb 2024: 101Mar 2024: 8Apr 2024: 8May 2024: 30Jun 2024: 47Jul 2024: 46Aug 2024: 42Sep 2024: 56Oct 2024: 62Nov 2024: 24Dec 2024: 352025Jan 2025: 25Feb 2025: 23Mar 2025: 34Apr 2025: 29May 2025: 32Jun 2025: 25Jul 2025: 40Aug 2025: 39Sep 2025: 25Oct 2025: 35Nov 2025: 18Dec 2025: 442026Jan 2026: 19Feb 2026: 29Mar 2026: 31Apr 2026: 22May 2026: 28Jun 2026: 37

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

05291,0582004: 420042005: 52006: 102007: 3220072008: 382009: 412010: 11620102011: 842012: 872013: 7920132014: 572015: 722016: 10620162017: 8462018: 1,0582019: 47320192020: 3182021: 4752022: 75420222023: 8772024: 4782025: 36920252026: 166

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Dysport reports recording the termmedian drug in acetylcholine release inhibitor

  1. Off label useused for a purpose or in a way not on the label36.6%2,397
  2. Drug ineffectivethe medicine did not work as expected26.2%1,712
  3. Headachehead pain7%456
  4. Muscular weaknessmuscle weakness5.7%371
  5. Overdosea dose above the recommended amount5.5%359
  6. Dysphagiadifficulty swallowing5.4%351
  7. Inappropriate schedule of drug administrationthe medicine was taken at the wrong times4.9%321
  8. Injection site painpain where the injection was given4.4%289
  9. Vision blurredblurred vision4.3%280
  10. Intentional product misusedeliberate use not as intended4%261
  11. Dyspnoeashortness of breath4%259
  12. Dizzinesslight-headedness or unsteadiness3.7%243
  13. Fatiguetiredness3.7%241
  14. Astheniaweakness or lack of energy3.6%235
  15. Nauseafeeling sick3.1%201
  16. Painpain, site not specified2.9%190
  17. Wrong technique in product usage processthe product was used in the wrong way2.8%183
  18. Swelling facea swollen face2.5%164
  19. Diplopiadouble vision2.4%159
  20. Injection site swellingswelling where the injection was given2.4%154
  21. Anxietyanxiety2.2%146
  22. Neuromuscular toxicity2.2%146
  23. Drug effect decreasedthe medicine had less effect2.2%143
  24. Eye swellinga swollen eye2.2%143
  25. Hypoaesthesianumbness2.1%137
  26. Influenza like illnessflu-like symptoms2%130

Top 30 of 585 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 6 drugs in the acetylcholine release inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death2.1%135
Life-threatening1.2%77
Hospitalisation (initial or prolonged)8.6%563
Disability3.8%249
Congenital anomaly0.1%4
Other serious19.3%1,265
Not serious70.5%4,616

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 88,564 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.1%5
2 to 112.2%143
12 to 171.3%87
18 to 4420.9%1,367
45 to 6423.1%1,512
65 to 745.1%334
75 and over2.3%148
Age not given45.1%2,949

Patient sex

Female71.8%4,698
Male12.3%808
Not given15.9%1,039

Who reported

Physician32.8%2,147
Pharmacist0.9%59
Other health professional43%2,812
Lawyer0%3
Consumer or non-health professional20.8%1,362
Not given2.5%162

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 81.7% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Skin wrinkling2,69441.2%
Skin cosmetic procedure1,25919.2%
Muscle spasticity5768.8%
Torticollis3375.1%
Off label use3184.9%
Product use in unapproved indication801.2%

The indication field is filled in by the reporter and is often blank; shares are of all 6,545 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Dysport reports
Botox1472.2%
Baclofen1302%
BOTOX Cosmetic610.9%
Aspirin600.9%
Vitamin d570.9%
Synthroid520.8%
Levothyroxine490.7%
Gabapentin480.7%
Diazepam340.5%
Ergocalciferol340.5%

Other products listed in reports where Dysport is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureDysportAcetylcholine release inhibitorAll reports
Reports as suspect product6,54588,56420,646,523
Share of that pool—7.4%0%
Reports, latest 12 months367—1,332,454
Marked serious29.5%20.1%57.4%
Death recorded among outcomes, per 1,000 reports214391
Hospitalisation recorded, per 1,000 reports8667213
Consumer-filed share20.8%31.3%45.8%
Top term, share of reportsOff label use 36.6%median 28.2%4.1%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the acetylcholine release inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
BOTOX Cosmeticbrand38,7601,4092.4%
Botoxbrand29,3452,93634.3%
Xeominbrand5,43863712.2%
Botulinum toxin type ageneric4,73697287.1%
Jeuveaubrand3,7404961.4%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Dysport reports

How many adverse event reports has FDA received for Dysport?

6,545 reports list Dysport as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 367 of them arrived in the latest 12 months. Another 241 list it only as a concomitant medication.

What reactions are recorded in Dysport reports?

off label use (36.6%), drug ineffective (26.2%), product preparation error (11.4%), headache (7%) and muscular weakness (5.7%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Dysport was responsible.

How serious are the reports?

29.5% are marked serious by the reporter. Among the outcomes recorded, 2.1% of reports include death and 8.6% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

other health professional (43%), physician (32.8%) and consumer or non-health professional (20.8%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Dysport rising?

367 reports in the 12 months to June 2026, down 15% from 433 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Dysport was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Dysport?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Dysport as a suspect or interacting product; reports listing it only as a concomitant medication (241) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.