Advice

Following a full submission

clostridium botulinum type A toxin (Dysport®) is not recommended for use within NHS Scotland for the treatment of focal spasticity, including arm symptoms associated with focal spasticity, in conjunction with physiotherapy.

Dysport® produces a localised reduction in muscle tone in patients with post-stroke upper limb spasticity and can improve patient disability at 16 weeks. It continues to be effective after repeated administrations with no new adverse events apparent. However, patient numbers in the clinical studies were small and the benefits modest. The economic case has not been demonstrated.

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Medicine details

Medicine name:
clostridium botulinum type A toxin haemagglutinin complex (Dysport®)
SMC ID:
353/07
Indication:
Focal spasticity
Pharmaceutical company
Ipsen Ltd
BNF chapter
Central nervous system
Submission type
Full
Status
Not recommended
Date advice published
12 March 2007