Feb 16, 2024



Xeomin vs. Botox: A Comprehensive Comparison for Informed Choices With CareCard

Xeomin vs Botox

Always seek advice from your healthcare provider before starting any new medication regimen.

Xeomin and Botox are renowned injectable treatments for reducing fine lines and wrinkles. Both contain botulinum toxin type A, a neurotoxin that relaxes muscles at the injection site. While they contain the same active ingredient, Xeomin and Botox have key differences in formulation and use.

Find the lowest prices for Xeomin and Botox, plus get free coupons to use at your local pharmacies with CareCard. No insurance or sign-up is required.

Differences Between Xeomin and Botox

Xeomin, produced by Merz Pharma, features a “naked” botulinum toxin form without accessory proteins, potentially reducing antibody resistance. It can be stored at room temperature or refrigerated. Botox, by Allergan, includes accessory proteins and requires refrigeration.

Conditions Treated by Xeomin and Botox

Xeomin treats glabellar lines, chronic sialorrhea, cervical dystonia, blepharospasm, and limb spasticity. Botox, used for cosmetic and medical conditions like overactive bladder, urinary incontinence, excessive sweating, and migraine prevention, also treats muscle spasms and abnormal contractions.

Efficacy Comparison

Studies show Xeomin and Botox are effective in reducing wrinkles and fine lines. One study found Xeomin worked faster and lasted longer than Botox. Another study in the Journal of Dermatology Surgery showed comparable effectiveness.

Insurance Coverage and Costs with CareCard

Neither Xeomin nor Botox have generic versions. While prices vary, they are similarly priced, averaging around $1,000 per vial. CareCard can offer significant savings on these treatments, making them more affordable.

Side Effects

Common side effects include minor redness, pain, or swelling. Xeomin may cause headaches, while Botox users might experience headaches, drooping eyelids, swollen eyelids, and drooping eyebrows. Serious side effects include hypersensitivity or allergic reactions.

Drug Interactions

Avoid combining Xeomin or Botox with aminoglycosides, anticholinergics, and muscle relaxants. Other botulinum neurotoxin products should be avoided to prevent excessive muscle weakness.

Warnings and Considerations

Xeomin and Botox carry a black box warning due to the potential spread of botulinum toxin, causing difficulty swallowing or breathing. Emergency medical attention is required for symptoms like difficulty breathing, speaking, swallowing, muscle weakness, loss of bladder control, and changes in vision.


Selecting between Xeomin and Botox depends on individual preferences, specific conditions, and medical advice. CareCard can help make these treatments more accessible and affordable. Consult with a healthcare provider to determine the most suitable option for your needs.


What is Xeomin?

Xeomin is an injectable treatment used for cosmetic purposes, including reducing fine lines and wrinkles.

What is Botox?

Botox is a widely used botulinum toxin injection for cosmetic purposes and to treat various medical conditions.

Are Xeomin and Botox the same?

While both contain botulinum toxin, they are different. Xeomin's unique formulation and storage requirements set it apart from Botox.

Which is better, Xeomin or Botox?

Effectiveness varies, but some studies suggest Xeomin has a quicker onset and longer duration. The best treatment depends on the individual's needs and medical advice.

Can I use Xeomin or Botox while pregnant?

Consult a healthcare provider if pregnant or planning to become pregnant before treatment with Xeomin or Botox.

Can I use Xeomin or Botox with alcohol?

Avoid alcohol for at least 24 hours after treatment to reduce the risk of bruising or swelling.

Which lasts longer, Xeomin or Botox?

Both last around three months, but studies suggest Xeomin may have longer-lasting effects.

Can you mix Botox and Xeomin?

Mixing these treatments is not recommended due to the potential for excessive muscle weakness.

How many units of Xeomin are equal to Botox?

Dosing is similar: 20 units of Botox equals 20 units of Xeomin.

What is the average cost of Xeomin?

The cost varies, but CareCard can offer discounts, making it more affordable.

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Pharmacy names, logos, brands, and other trademarks are the property of their respective owners. Prescription savings may vary by prescription and by pharmacy, and in some cases may be discounted up to 85% off cash price*. Please note, this is NOT insurance. CareCard offers you the opportunity to find prescription discount prices, which ultimately depend on the provider. You are fully responsible for paying for all health care services but will be entitled to receive a discount from those health care providers in accordance with the specific pre-negotiated discounted rates. CareCard Inc. is not sponsored by or affiliated with any of the pharmacies identified in its price comparisons. This information is not mean to be a substitute for professional medical advice, treatment, or diagnosis. For additional information, please reach our customer support at 1-866-410-1217, Mon- Friday 9am – 5pm Est or email us at hello@carecard.com. By using the CareCard prescription discount card or service, you are agreeing to CareCard’s Terms of Service.

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