Botulinum toxin treatment for chronic migraine can be very effective but it can also be difficult to find someone who will administer it according to the recommended protocol (the PREEMPT protocol).
However, some doctors who have trained in cosmetic medicine will offer this treatment in their practice. These are doctors who are accredited by the New Zealand Society of Cosmetic Medicine (NZSCM), who have a Diploma in Cosmetic Medicine and have experience in the use of botulinum toxin (e.g. Botox).
Although the NZSCM doesn’t keep a register of which members offer botulinum toxin injections for chronic migraine, you can check out the NZSCM website to Find an NZSCM Doctor near where you live. The NZSCM encourages people to contact the individual clinics directly to ask whether they offer this treatment for chronic migraine using the PREEMPT protocol.
You might find a local provider in your area this way – or prompt the clinic to start offering this service! Ask how much it will cost also – prices may vary depending on the brand of botulinum toxin being used. Find out more in our article on Botulinum neurotoxins and migraine.