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James McKoy, MD Rheumatologist (former) Kaiser Permanente Moanalua Medical Center Moanalua, Hawaii OnabotulinumtoxinA (Botox, Botox Cosmetic) Botox - Cervical dystonia, severe primary axillary hyperhidrosis, strabismus, blepharospasm, neurogenic detrusor overactivity, chronic migraine, upper limb spasticity Botox Cosmetic - Moderate to severe glabellar lines, moderate to severe lateral canthal lines, known as crows feet AbobotulinumtoxinA (Dysport) - Upper and lower limb spasticity, cervical dystonia, and moderate-to-severe glabellar lines in adults

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It is most frequently prescribed for sleep optimization protocols, particularly for patients with disrupted sleep architecture or stress-related sleep dysfunction