I have had quite a few patients asking me about Dysport which is the competitor to Botox that is now available in USA. However, it is not available in Canada yet. Patients have said to me that it is cheaper. From my understanding talking with colleagues in USA it appears that with Dysport one has to use either twice or four times as much medication as Botox. The dosing appears to be variable and difficult to determine. So the cost to the patient works out to be the same at the end. However, once it is released in Canada I will certainly use it and see if it is effective for my patients.