Botulinum toxin: medical/non-aesthetic

Certification in Botulinum toxin: medical/non-aesthetic authorizes a registrant to perform injections of botulinum toxin for the following: Temporomandibular Joint (TMJ) Syndrome; headaches and migraines; and hyperhidrosis. Registrants may only perform these specified aspects of practice if they are certified to do so.

A naturopathic physician certified in Botulinum toxin: medical/non-aesthetic is not permitted to delegate those acts to any other person, or give an order to any other person to perform the injections on his or her behalf. It is professional misconduct to delegate these injection procedures, or to direct another person to perform them.

Registrants must only use botulinum toxin substances that are approved by Health Canada and are included in the pharmacopeia of naturopathic physicians with Prescriptive Authority.

Naturopathic physicians who provide injections of botulinum toxin are required to complete CNPBC approved education and training prior to performing such procedures, including certification in Prescriptive Authority, and to maintain currency in the practice.

Botulinum toxin: medical/non-aesthetic certification requirements

In order to apply for certification in Botulinum toxin: medical/non-aesthetic, naturopathic physicians must:

  1. Have the status of a full registrant under s. 46 of the CNPBC Bylaws;
  2. Be certified in Prescriptive Authority;
  3. Posses a current qualification in ACLS, NCLS, or NALS; and
  4. Have satisfied the training requirements for this certification.

Registrants must complete at least two (2) days (16 hours) of injection training using botulinum toxin to satisfy the training requirements for certification in Botulinum toxin: medical/non-aesthetic. This training must include at least one (1) day (8 hours) covering the fundamentals of botulinum toxin injections (anatomy, physiology, mechanisms of action and reconstitution), as well as an additional day covering medical/non-aesthetic application of botulinum toxin injections for the following conditions: Temporomandibular Joint (TMJ) Syndrome; headaches and migraines; and hyperhidrosis. The training must include didactic/theoretical and hands-on/practical components, with at least 4 hours of hands-on/practical training.

Note: Courses approved for certification in Aesthetic Procedures – Cosmetic Botulinum Toxin may satisfy the first day of fundamentals of botulinum toxin injections training requirement. Registrants who have previously completed that training may satisfy the training requirements for certification in Botulinum toxin: medical/non-aesthetic by completing an additional one (1) day (8 hour) botulinum toxin injections course focused on the above-noted medical/non-aesthetic applications, with at least 4 hours of hands-on/practical training.

The following course has been approved as training for certification in Botulinum toxin: medical/non-aesthetic:

– “Botulinum Toxin – Therapeutic Applications” course, MD Cosmetic, Dr. Haneef Alibhai, MD (one (1) day course; pre-requisite: Botulinum Toxin (Level 1) one (1) day of training on the fundamentals of botulinum toxin injections)