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Posted by: Ivy ® 06/10/2008, 11:23:05 |
I'm a speech therapist working with a patient who has some questions about botox treatment for spasmodic dysphonia (that I can't answer!) Can anyone help me??? She's very leery about having them.
1.She has concerns of the effects due to her age (87 years old)...anyone out there know effects on geriatric population? 2.She wants to know about long-term personal experiences with botox injections (is there a point where they stop working?, do they still work the same after years of treatment?) 3.Has anyone experienced adverse reactions (I know what the research says...but we were wondering about personal experiences. Rapid replies appreciated. Thanks! |
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Posted by: Laurie ® 06/10/2008, 13:03:50 |
Hi, there, Which type of SD does this individual have? That makes a difference when it comes to the way Botox works. As far as I know, Botox is very safe for SD at any age. And interesting question wondering if there's a point at which they'd stop working if one is currently 87! I've been having Botox for 8 years with great success. If anything, I'd say the injections work better now that I have an ideal dosing system down. It's basically like not having SD. There are people who have had Botox for 20 years and it still works for them so I think she'll be safe! Laurie |
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Posted by: wolfe ® 06/10/2008, 18:20:33 |
By adverse reactions, do you mean the stuff that makes the news? If you search our site (quite a project) you would find that the stuff that makes the news has very little to do with Botox for SD. Most of the 87 year old women I know are pretty tough, but having a needle poked into your esophagus (sp) is quite an experience. If she can tolerate Valium, I would suggest that she take some before the shot. I would disagree with Laurie when she says that the Botox makes it like not even having SD. Just like with any disease everyone is different, even though there are norms. The Botox helps, but I still have big problems in high background noise situations. I also get very short of breath a few days after a shot. That lasts for about a week. Don't know if that would be a health consideration for your patient or not. I would be very interested in knowing if she decides to have the shot and what the outcome is. |
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Posted by: mariaa ® 06/10/2008, 22:46:32 |
I think Laurie meant for HER it is like not having SD at all. Everyone is different. I get very breathy after the shot and my dose is still being adjusted each time. I would say someone who is 87 would need a low dose to start like they do in all cases. I think it would be something her ENT would have to discuss with her after reading her medical records. No one but a ENT can decide or give advice on anyone elses issues. I do know that botox does help the spasms. Speech therapy at her age seems like alot of work. |
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Posted by: Irish ® 07/05/2008, 23:00:41 |
Hi there,
My first reaction was that this elderly woman needs to go by her doctor's advice and under his/her supervision. An older person may have different reactions than the rest of us. We don't know her medical history, drugs currently being taken.....so it is really a medical issue that should be handle by a professional in this field. Thanks for being so cautious as to ask questions.
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