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Treatment of Depression with Botulinum Toxin A: A Case Series
ERIC FINZI, MD, PhD *† , and ERIKA WASSERMAN, PhD
  * Dermatology & Cosmetic Surgery Associates, Greenbelt, Maryland;   Chevy Chase Cosmetic Center, Chevy Chase, Maryland;   William Stixrude and Associates, Bethesda, Maryland
 Address correspondence and reprint requests to: Eric Finzi, MD, PhD, 8401 Connecticut Ave., Suite 210, Chevy Chase, MD 20815, or email: efinzi@starpower.net
Copyright © 2006 by the American Society for Dermatologic Surgery, Inc.

Dr. Finzi has applied for a patent using botulinum toxin A to treat depression.

ABSTRACT

BACKGROUND Major depression is a common and serious disease that may be resistant to routine pharmacologic and psychotherapeutic treatment approaches.

OBJECTIVE To evaluate the efficacy of botulinum toxin A treatment of glabellar frown lines in treating patients with major depression, using a small open pilot trial.

METHODS Patients who met DSM-IV criteria for ongoing major depression in spite of pharmacologic or psychotherapeutic treatment were evaluated with the Beck Depression Inventory II (BDI-II) before receiving botulinum toxin A to their glabellar frown lines. Two months later, all patients were re-evaluated clinically and with the BDI-II.

RESULTS Ten depressed patients were treated with botulinum toxin A, and 9 of 10 patients were no longer depressed 2 months after treatment. The tenth patient had an improvement in mood.

CONCLUSION To our knowledge, these are the first reported cases of depression treated with botulinum toxin A.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1524-4725.2006.32136.x About DOI

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