"What You Should Know About the Sometimes Unexpected Effects of Medications on Your Voice" by dr. Lieve Delsupehe
00:12
Welcome
00:26
Why this webinar? & Practical stuff
03:42
Who are the participants?
06:20
Who is dr. Delsupehe?
07:42
Disclaimers
09:54
What are we going to talk about?
10:54
Corticosteroid inhalers
18:34
Q: “What do you suggest when a singer experiences vocal issues due to this inhaler regarding the balance between effectiveness against asthma and not suffering from the negative side effects?”
21:52
Q: “Can nasal corticosteroids have the same effect on the voice”?
23:07
Medications for nervous or psychiatric disorders
- Tranquilizers – Benzodiazepines
- Light antidepressants – SSRI
(Paroxetine / Prozac®, Sertraline / Seroxat®), Venlafaxine / Efexor®), Escitalopram / Cipralexa®,…) - Tricyclic antidepressants – TCA
(Amitriptyline / Redomex®,…) - Antipsychotics
(Risperidone, Lithium,…)
25:30
Q: “Can Lorazepam / Zopiclone have negative side effects on the voice?”
26:08
Q: “I feel effects on my voice when I take strattera (ADHD) & trazodone (antidepressant). Can I connect the effects I feel to these medications?”
27:11
Q: “What to do when we feel the effects on our voice?”
28:45
Case: Dysarthrie (Slurred speech)
30:48
Q: “Will the medications we discuss in the webinar always cause these side effects on the voice, or should we say that they *can* cause these effects?”
33:54
Hormones
- Blog post: The Menstrual Cycle and its Impact on the Singing Voice
- Webinar: The Voice in the Menopause Transition and Beyond by Joanne Hayes Bozeman
- Webinar: Menstruation & the Voice: History, Research and Practical Guidance by Joanne Hayes Bozeman
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38:30
Q: “I am taking a light dose of Thiamazole (1.5) to keep an autoimmune disease (hyperthyroidism – Graves) well under control. Can this affect the voice?”
40:26
Anti-cholinergic effect
- Allergies: Antihistamines
(Cetirizine / Zyrtec®, Rupatadine / Rupatall®, Desloratidine / Aerius®, Ebastine / Estivan®,…) - Urinary disorders:
- Prostate
(Tamsulosin / Omic®), Terazosin, Doxazosin and Alfuzosin) - Overactive bladder
(Oxybutynine, Toviaz, Solifenacine)
- Prostate
41:52
Q: “What do you suggest we can do to treat allergies without taking medications“
- Blog post: How Do You Take Care of Your Voice?
- Webinar: SOS Voice Part 1
- Is it OK to still sing / speak, or should I remain silent?
- How medication can affect your voice
- Facts & fairy tales on the common cold
- Allergies
- Airway infections
- Steaming or inhaling?
- Herbs & supplements
- Food intolerances
- Webinar: SOS Voice Part 3
- Warming up
- Cooling down
- Emergency Aid
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45:47
High blood pressure medications
- Angiotensine-converting enzyme – ACE – inhibitors
(enalapril, perindopril) - Angiotensin receptor blockers – ARBs
(losartan) - Calcium antagonist
(amlodipine) - Beta-blockers
(bisoprolol, propranolol) - Diuretics
(hydrochlorothiazide)
48:32
Q: “I take a low dose of Bisoprolol (1.25 mg) – although trying to reduce and not take every day. I don’t feel it impacts on my voice, although I do often experience some dryness and breathing difficulties (but feel these are more stress-related). Could nebulising and lax-vox help offset any side effects?”
- Blog post: Psychological Flexibility: Use ACT to Reduce Performance Anxiety
- Blog post: “That Little Extra”: Insights on Performance Psychology
- Webinar: Fear of Failure & Stage Fright
- Webinar: Acceptance & Commitment Training for Improved Mental Health & Enhanced Performances by Dr. David Juncos
- Webinar: Performance Psychology by prof. Bert De Cuyper
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58:11
Medication for the common cold / flu (upper airway infections)
- Decongestants
(pseudoephedrine, xylometazoline)
Article that discusses the risks when using a decongestant: Nasal spray addiction: side effects and solutions - Antihistamines
(Bellozal®, Rupatall®, desloratadine,…) - Anti cough medication
- Antibiotics
- Ask-Me-Anything webinar of September 17th 2024, in which we talked about poor pitch singing, amusia and the brain
- Ask-Me-Anything webinar of October 9th 2024, in which we talked about the possible effects of stress, alcohol and painkillers on the voice
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01:03:35
Auto-medications
- Pain medications
- Vitamines
- Herbal medications
01:08:29
Q: “I’ve been using a blood thinner for 2 years after a little Tia (Clopidogrol Aurobindo). Does this pose the same risk as NSAIDs?,”
01:10:02
Q: “What are alternatives to OTC medications when treating the common cold?”
- Blog post: How Do You Take Care of Your Voice?
- Webinar: SOS Voice Part 1
- Is it OK to still sing / speak, or should I remain silent?
- How medication can affect your voice
- Facts & fairy tales on the common cold
- Allergies
- Airway infections
- Steaming or inhaling?
- Herbs & supplements
- Food intolerances
- Webinar: SOS Voice Part 3
- Warming up
- Cooling down
- Emergency Aid
Word lid van The singsing! Sofa Library om de webinars te bekijken!
01:12:28
Q: “How long does the effect of NSAIDs last? When is it safe to sing again?”
01:18:30
Stage fright
- Beta blockers
- Anxiolytic tranquilizers: Benzodiazepines
(alprazolam / Xanax®, clonazepam / Clozan®, diazepam / Valium®,…)
01:20:18
Drugs used to treat voice problems
- Reflux
- Anti-Reflux measures from De Stemkliniek / The Voice clinic
- Blog post: Diagnosing the Acid Beast: Are You a Reflux Sufferer?
- Blog post: Taming the Acid Beast: Voice Care Tips for Reflux Sufferers
- Laryngitis
- Post-nasal drip
- Essential vocal tremor
- Parkinson’s disease
01:30:23
Q: “I take pantomed for reflux but actually have no voice problems because of that reflux. I do suffer from coughing and irritation on the respiratory tract. I also suffer from dry mouth especially at night, maybe I breathe through my mouth because of a blocked nose.”
01:32:18
Q: “Do Riopan and Gaviscon have an influence on the voice? What’s the difference between the 2 of them when treating reflux?”
01:38:39
Where (not) to find reliable information?
- Stemkliniek / Voice Clinic AZ Delta
Check your meds for their possible effect on your voice – The National Center for Voice & Speech
01:41:12
Q: “Can cholesterol medications have an effect on the voice?”
01:41:31
Q: “What would be your advice in case you have to start a new medication; would you advise to read the package insert?”
01:44:01
End questions – Email to sarah@singsing.be
- How do you feel right now?
- Which tip / statement / exercise did you find the most interesting?
- Which tip / statement / exercise do you not agree with?
- What are you going to do with what you have learned?
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