"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
Word lid van The singsing! Sofa Library om de webinars te bekijken!
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
Word lid van The singsing! Sofa Library om de webinars te bekijken!
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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Tine Verbeke, voice tutor at BIMM Dublin