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Ans-

Botulin is a drug and like all drugs will last for a period, in this case roughly for a period of 6 months, the best part is that its effect can be increased by giving plasters along with the drug
The duration of effect depends on so many factors
1- the age of the child – the younger the child the longer is the effect
2- how much therapy does the child get
3- how much splints does the child wear
4- what is the frequency of fits in the child
5- what is the frequency that the child gets cough and cold and subsequently skips therapy
6- whether the child cooperates with the post botulin exercise schedule

If all goes well and the child is young we have seen this effect stay for as long as 2 years ,but usually we are able to stretch it upto 1-1.5 years

 
Pre botulin
 
Post botulin
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