Hello and welcome Masie3 , I have never done botox but I have talked with others that have. some says it dose help but it dose not last long and need to get injections more frequent and then will reach a point where meds will need to come into play . it helps some people and usually its botox along with their med . and others say it didnt help with lowering the pain. read around the threads here there is allot of good info.
many of us are on medications.. you just started on low dose so you should be adjust to that dose hopefully you will stop feeling tired and remember it is winter less sunlight and that affects us too. if you do have botox injection let us know how it is and how you do with it. sending good energy to you. hope to see you around this is a great place for support
PEACE
BMW
p.s. thanks for being a nurse it is a tough job.