The Medicines and Healthcare products Regulatory Agency (MHRA) is warning criminals that they face prison as it cracks down on the illicit trade in unlicensed botulinum toxin products, commonly referred to as Botox, used in cosmetic procedures.

The MHRA’s Criminal Enforcement Unit has launched a number of criminal investigations following a spike in hospital admissions believed to be linked to the use of unlicensed botulinum toxin products.

Between 4 June and 6 August 2025, 41 confirmed cases of botulism – a rare but potentially life-threatening condition causing paralysis – were reported across several regions in England, including the North East, East Midlands, East of England, North West, and Yorkshire and Humber.

The Criminal Enforcement Unit has seen evidence that some sellers and

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