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<p>Clostridium botulinum toxin is the active substance used as a starting material
for the manufacture of Botox, a licensed human medicine. Active substances are those
substances which give a medicinal product its therapeutic effect and must be manufactured
to Good Manufacturing Practice standards for active substances used as a starting
material.</p><p>From 20 August 2013, manufacturers, importers and distributors of
active substances who are established in the United Kingdom had to register their
activity with the Medicines and Healthcare products Regulatory Agency.</p><p>The UK
has no registered importers of the active substance Clostridium botulinum toxin, but
has one registered manufacturer of the toxin that is Good Manufacturing Practice compliant,
and was last inspected in May 2016.</p>
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