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Botulinum toxin A for treating cervical dystonia
Musculoskeletal
16 September 2025
Published on 02 Sep 2019
Last Updated on 16 Sep 2025
Guidance Recommendations
The Ministry of Health's Drug Advisory Committee has recommended:
Clostridium botulinum toxin type A neurotoxin complex (Botox) 50 U and 100 U injection vials, and
Clostridium botulinum type A toxin-haemagglutinin complex (Dysport) 300 U and 500 U injection vials
for treating adults with cervical dystonia.
Botulinum toxin A must be administered by a neurologist trained in movement disorder or a specialist physician who has undergone training to administer botulinum toxin A to patients with movement disorders.
Funding status
Clostridium botulinum toxin type A neurotoxin complex (Botox) 50 U and 100 U injection vials are recommended for inclusion on the Medication Assistance Fund (MAF) for the abovementioned indication from 2 September 2019.
Clostridium botulinum type A toxin-haemagglutinin complex (Dysport) 300 U and 500 U injection vials are recommended for inclusion on the MAF for the abovementioned indication from 1 November 2025.
MAF assistance does not apply to Botox 200 U injection vial or other brands of botulinum toxin A.
Botulinum toxin A for cervical dystonia (Updated 16 Sep 2025) [PDF, 147 KB]
PES Botulinum toxin A for treating cervical dystonia (Updated 16 Sep 2025) [PDF, 182 KB]