Here you will find the recommendations we have made about the use of individual medicines in Lancashire.

Botulinum Toxin Type A

Brand: All brands within licensed indications only
NICE TA: CG159 (Do not Do)
Indication: Hyperhidrosis due to social anxiety disorder
Disease category: Central nervous system
Commissioning responsibility: CCG
PbR excluded: Yes


Do not offer botulinum toxin to treat hyperhidrosis (excessive sweating) in people with social anxiety disorder. This is because there is no good-quality evidence showing benefit from botulinum toxin in the treatment of social anxiety disorder and it may be harmful.


LMMG recommendation: Black
Click here to find the definitions for the colour classifications

Reason for decision:  Not recommended for prescribing on the NHS in Lancashire

Supporting documents:

CG 159 -

Decisions of Lancashire local decision making groups:

NHS Blackburn With Darwen CCG and NHS East Lancashire CCG NHS Blackpool CCG NHS Chorley and South Ribble CCG and NHS Greater Preston CCG NHS Fylde and Wyre CCG NHS Morecambe Bay CCG NHS West Lancashire CCG