The generic name for Botulinum is Piperazine Phosphate Botulinum, and the use of Piperazine Phosphate Botulinum may cause side effects such as digestive, allergic reactions, viral hepatitis, and neuromuscular toxicity. 1. Digestive system: Some patients may experience digestive discomfort, such as nausea and vomiting, diarrhea and abdominal pain. 2. Allergic reactions: Some patients may experience different degrees of allergic conditions, such as skin itching, dizziness, asthma, etc., which may be more pronounced in allergic patients. 3. Viral hepatitis: a small number of patients may experience symptoms of viral hepatitis such as pupil shrinkage and paralytic strabismus. 4. Neuromuscular toxicity: after frequent use of piperazine phosphate beta sugar, a small number of patients may show sleep disturbance, growth retardation and other neuromuscular toxicity side effects. Patients should follow the doctor’s instructions under the guidance of the medication, the occurrence of adverse reactions should be promptly seek medical attention.