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Alluzience 200 units/ml injectable solution

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Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use ALLUZIENCE 200 Units/mL Injectable Solution

Contents of the leaflet

  1. Introduction
  2. What is Alluzience and what is it used for
  3. What you need to know before using Alluzience
  4. How to use Alluzience
  5. Possible side effects
  6. Storage of Alluzience
  7. Contents of the pack and further information

Introduction

Leaflet: information for the patient user

Alluzience, 200 units Speywood/ml, injectable solution

Botulinum toxin type A from Clostridium botulinum– hemagglutinin complex

Read the entire leaflet carefully before starting to use this medicine, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor.
  • If you experience side effects, consult your doctor, even if they are not listed in this leaflet. See section 4.

Contents of the leaflet

  1. What is Alluzience and what is it used for
  2. What you need to know before starting to use Alluzience
  3. How to use Alluzience
  4. Possible side effects
  5. Storage of Alluzience
  6. Contents of the pack and further information

1. What is Alluzience and what is it used for

Alluzience contains a substance, botulinum toxin A, which causes muscles to relax. Alluzience acts on the connection between nerves and muscles, blocking the release of a chemical messenger called acetylcholine at the nerve endings. This phenomenon prevents muscle contraction. Muscle relaxation is temporary and gradually recovers.

Some people feel unwell when wrinkles appear on their face. Alluzience can be used in adults under 65 years of age for the temporary improvement of the appearance of moderate to severe glabellar lines (vertical expression lines between the eyebrows).

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before using Alluzience

Do not use Alluzience:

  • if you are allergic to botulinum toxin A or any of the other components of this medicine (listed in section 6).
  • if you have an infection at the sites where you plan to inject.
  • if you have severe myasthenia, Eaton-Lambert syndrome, or amyotrophic lateral sclerosis.

Warnings and precautions

Consult your doctor before starting to use this medicine:

  • if you have any neuromuscular disorder
  • if you often have difficulty swallowing (dysphagia)
  • if you often have problems with food or drink entering your airways, causing choking or coughing
  • if you have any inflammation at the proposed injection site
  • if the muscles where you will be injected are weak or show signs of atrophy
  • if you have any coagulation disorder, which means you may bleed more than normal, such as hemophilia (hereditary bleeding disorder caused by coagulation factor deficiencies)
  • if you have undergone or will undergo facial surgery or other surgery
  • if you did not experience any improvement in your glabellar lines after your last treatment with botulinum toxin

This information will help your doctor make a decision about the risks and benefits of your treatment.

Special precautions:

Very rare side effects have been reported with botulinum toxin, possibly related to the spread of the toxin effect to areas away from the injection site (e.g., muscle weakness, difficulty swallowing, or unwanted food or liquids in the airways). Seek medical attention immediately if you have difficulty swallowing, speaking, or breathing.

When using Alluzience in the muscles around the eye, your eyes may become dry, which can damage the surface of your eyes. To avoid this, you may need treatment with protective drops, ointments, or a protective cover that closes the eye. Your doctor will tell you if this is necessary.

When botulinum toxin has been used at more frequent intervals of 3 months or at higher doses to treat other conditions, the production of antibodies has been observed infrequently. The formation of neutralizing antibodies can reduce the effectiveness of treatment.

If you visit your doctor for any reason, make sure to inform them that you are being treated with Alluzience.

Children and adolescents

Alluzience is not indicated for patients under 18 years of age.

Other medicines and Alluzience

Tell your doctor if you are taking, have recently taken, or may take any other medicine. This is important because some of these medicines can increase the effect of Alluzience:

  • antibiotics to treat an infection (e.g., aminoglycosides such as gentamicin or amikacin), or
  • other muscle relaxants.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor before using this medicine.

Alluzience should not be used during pregnancy or breastfeeding.

Driving and using machines

You may experience blurred vision or temporary muscle weakness after treatment with Alluzience. If this occurs, do not drive or use machines.

Alluzience contains sodium

This medicine contains less than 1 mmol of sodium (23 mg) per vial, which is essentially "sodium-free".

3. How to use Alluzience

Alluzience can only be administered by doctors with the necessary qualifications and experience in this treatment and who have the necessary equipment.

Your doctor will apply the injections. A vial of Alluzience should be used for a single patient and a single treatment session.

The recommended dose for glabellar lines is 50 units Speywood, administered as 10 units in each of the 5 injection sites on the forehead, at the top of the nose, and eyebrows.

The recommended doses in Speywood units are different from other botulinum toxin preparations.

The effect of the treatment should be noticeable a few days after the injection and can last up to 6 months.

Your doctor will decide on the appropriate interval between each treatment with Alluzience. This interval should not be less than 3 months.

Use in children and adolescents

Alluzience is not indicated for patients under 18 years of age.

If you use more Alluzience than you should

If you receive more Alluzience than necessary, other muscles different from those treated may begin to weaken. Excessive doses can cause paralysis of the respiratory muscles. This may not occur immediately. If these symptoms appear, inform your doctor as soon as possible.

In cases of overdose or accidental administration, call the Toxicology Information Service, phone 91 562 04 20 (indicating the medicine and the amount administered).

If you have any other questions about the use of this medicine, ask your doctor.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them.

Very rarely (may affect up to 1 in 10,000 people), side effects have been reported with botulinum toxin in muscles other than those at the injection site. These effects include excessive muscle weakness, difficulty swallowing, coughing, and a feeling of choking when swallowing (if liquids or food enter the airways when trying to swallow, respiratory problems such as pneumonia can occur). If this happens, inform your doctor immediately.

Seek urgent medical attention if:

  • You experience difficulty breathing, swallowing, or speaking
  • Your face swells or your skin turns red, or you have a rough rash with itching. You may be suffering an allergic reaction to Alluzience.

Tell your doctor if you experience any of these side effects:

Very common (may affect more than 1 in 10 people)

  • Headache
  • Reactions at the injection site (such as pain, tingling, bruising, redness, swelling, itching, rash, irritation, discomfort, stinging), generalized weakness, fatigue, and flu-like symptoms.

Common (may affect up to 1 in 10 people)

  • Temporary facial paralysis
  • Drooping of the upper eyelid, swelling of the eyelid, drooping of the eyebrow, eye fatigue, or decreased vision, dry eye, contraction of the muscles around the eye, tearing.

Uncommon (may affect up to 1 in 100 people)

  • Eyelid twitching, vision changes, blurred or double vision
  • Ocular allergy, hypersensitivity, rash.

Frequency not known (cannot be estimated from available data)

  • Numbness
  • Muscle mass loss

Reporting side effects:

If you experience any side effects, consult your doctor, even if they are not listed in this leaflet. You can also report them directly through the Spanish Medicines Monitoring System: https://www.notificaRAM.es. By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Alluzience

Keep this medicine out of the sight and reach of children.

Do not use Alluzience after the expiration date stated on the label.

Store Alluzience in the refrigerator (2°C - 8°C). Do not freeze. Keep the vials in the original packaging to protect them from light.

After removing the vial from the refrigerator, it is recommended to let the vial reach room temperature. Alluzience can be stored at temperatures up to a maximum of 25°C for a single period of 12 hours without opening and protected from light. Alluzience should be discarded if not used within 12 hours after removal from refrigeration.

Once opened, the product must be used immediately.

6. Contents of the pack and further information

Composition of Alluzience

The active substance is botulinum toxin type A*, 200 units Speywood/ml. One vial contains 125 units Speywood in 0.625 ml of solution.

The other components are: L-histidine, sucrose, sodium chloride, polysorbate 80, hydrochloric acid, water for injectable preparations

*Botulinum toxin type A from Clostridium botulinum(a bacterium) – hemagglutinin complex.

The units of botulinum toxin are not interchangeable from one product to another. The recommended doses in Speywood units are different from other botulinum toxin preparations.

Appearance of the product and pack contents

Alluzience is an injectable solution. It comes in a single pack of 1 or 2 vials or in a multipack containing 6 single packs, each containing 2 vials. Not all pack sizes may be marketed.

Alluzience is a clear and colorless solution.

Marketing authorization holder and manufacturer

Marketing authorization holder:

Ipsen Pharma

65 quai Georges Gorse

92100 Boulogne-Billancourt

France

Manufacturer:

Ipsen Manufacturing Ireland Limited

Blanchardstown Industrial Park

Blanchardstown

Dublin 15

Ireland

You can request more information about this medicine by contacting the local representative of the Marketing Authorization Holder:

Local representative:

Laboratorios Galderma SA

Serrano Galvache, 56.

28033 Madrid - Spain

Phone: 902 02 75 95

Date of last revision of this leaflet:November 2022

Other sources of information

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.

-----------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

Posology and method of administration:

See section 3 of the Patient Information Leaflet.

Special precautions for disposal and other handling

Instructions for use, handling, and disposal must be strictly followed.

RECOMMENDATIONS FOR THE DISPOSAL OF CONTAMINATED MATERIALS

Immediately after patient treatment, any unused Alluzience (in the vial or syringe) should be inactivated with a diluted sodium hypochlorite solution (bleach) (1% available chlorine).

Any spilled Alluzience should be cleaned with an absorbent cloth soaked in a diluted sodium hypochlorite solution.

Used vials, syringes, and materials should not be emptied and should be disposed of in appropriate containers and eliminated according to local requirements.

RECOMMENDATIONS IN CASE OF ACCIDENT DURING HANDLING OF BOTULINUM TOXIN

  • Any remaining product should be cleaned with a dry absorbent material.
  • Contaminated surfaces should be cleaned with an absorbent material soaked in a sodium hypochlorite solution (bleach) and then dried.
  • If a vial is broken, proceed as indicated above, carefully collecting the glass fragments and cleaning the product, avoiding cuts with the broken glass.
  • If the product comes into contact with the skin, wash the affected area with a sodium hypochlorite solution (bleach) and rinse with plenty of water.
  • If the product comes into contact with the eyes, rinse carefully with plenty of water or an eye cleaning solution.
  • If the product comes into contact with a wound, cut, or broken skin, rinse carefully with plenty of water and take appropriate medical measures according to the injected dose.

These instructions for use, handling, and disposal must be strictly followed.

Online doctors for ALLUZIENCE 200 Units/mL Injectable Solution

Discuss questions about ALLUZIENCE 200 Units/mL Injectable Solution, including use, safety considerations and whether a prescription is appropriate, subject to medical assessment and local regulations.

Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience
Licence no. 464628925

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience
Licence no. 35/35/09707

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Frequently Asked Questions

ALLUZIENCE 200 Units/mL Injectable Solution requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in ALLUZIENCE 200 Units/mL Injectable Solution is botulinum toxin. This information helps identify medicines with the same composition but different brand names.

ALLUZIENCE 200 Units/mL Injectable Solution is manufactured by Ipsen Pharma. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Endocrinologists, Rheumatologists, Neurologists, General medicine doctors may assess whether ALLUZIENCE 200 Units/mL Injectable Solution is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, ALLUZIENCE 200 Units/mL Injectable Solution is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request an assessment, you can use Oladoctor:

Other medicines with the same active substance (botulinum toxin) include AZZALURE 125 units SPEYWOOD powder for injectable solution, BOCOUTURE 100 units powder for injectable solution, BOCOUTURE 50 units powder for injectable solution. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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