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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by happyflower on October 26, 2005, at 22:08:59
My T told me about taking beta blockers for perfomance anxiety or stage fright. He told me he takes them, and a lot of famous musicans do too.
Well everything I have read, said that they don't recommend it if you have astma, which I do.
Does anyone know anything about this? I don't know if I really need to take it, but if it would calm me down before a performance, it might be a good thing.
Posted by bowtie bob on October 27, 2005, at 8:54:30
In reply to astmatics beta blockers for perfomance anxiety ?, posted by happyflower on October 26, 2005, at 22:08:59
> My T told me about taking beta blockers for perfomance anxiety or stage fright. He told me he takes them, and a lot of famous musicans do too.
> Well everything I have read, said that they don't recommend it if you have astma, which I do.
> Does anyone know anything about this? I don't know if I really need to take it, but if it would calm me down before a performance, it might be a good thing.
You want to stay totally away from non-selective beta blockers like Inderal, Corgard, etc. The Beta-1 selective blockers (tends to avoid the peripheral Beta-2 receptors--e.g. lungs)would be your best bet if you use them at all: Lopressor (metoprolol) or Tenormin (Atenolol). Good luck!
Posted by Green Willow on October 29, 2005, at 18:50:53
In reply to Re: astmatics beta blockers for perfomance anxiety ?, posted by bowtie bob on October 27, 2005, at 8:54:30
I would sure like more info on this. I am a prof wind musician with recent onset of asthma and use Inderal for perf. anxiety. Exactly how does taking Inderal effect breathing? Where can I learn more about this? Thanks much, Green Willow
> > My T told me about taking beta blockers for perfomance anxiety or stage fright. He told me he takes them, and a lot of famous musicans do too.
> > Well everything I have read, said that they don't recommend it if you have astma, which I do.
> > Does anyone know anything about this? I don't know if I really need to take it, but if it would calm me down before a performance, it might be a good thing.
>
>
> You want to stay totally away from non-selective beta blockers like Inderal, Corgard, etc. The Beta-1 selective blockers (tends to avoid the peripheral Beta-2 receptors--e.g. lungs)would be your best bet if you use them at all: Lopressor (metoprolol) or Tenormin (Atenolol). Good luck!
>
Posted by sdb on October 30, 2005, at 14:25:18
In reply to Re: astmatics beta blockers for perfomance anxiet, posted by Green Willow on October 29, 2005, at 18:50:53
beta1-blockers are much less effective than b1/b2 blockers against adrenaline/noradrenaline rush. Atenolol is not very selective to b1 and is less effective to diminish adrenaline response. Nadolol and oxprenolol is a good choice better than propranolol related sideeffects but it is b1/b2. Maybe you could careful take oxprenolol, which has MSA and <ISA>. I would never use pindolol, which has indeed ISA but has such high affinity to b2-receptors that it can cause chest pain, i can not recommend that. To be carefull I would try atenolol perhaps oxprenolol (more effective).
~sdb
Posted by sdb on October 30, 2005, at 14:41:08
In reply to Re: astmatics beta blockers for perfomance anxiet, posted by Green Willow on October 29, 2005, at 18:50:53
Adrenaline will dilate (open) small blood vessels in the lung. Asthma bronchiale is a hyperreactive bronchial system with eosinophil inflammation. Mastcells will release histamin and bronchioli will be constricted. Adrenaline dilates blood vessels and is good for O2 oxygen saturation of blood in the lung what you need! Betablockers are scaling down the diameter of blood vessels because it blocks adrenaline.
There are different types of asthma. What type do you have? Asthma is life-threatening (!) Be carefull. You could ask your doc for a b2-mimetica in emergency. Discuss this with your doc.
~sdb
Posted by Green Willow on November 12, 2005, at 19:31:45
In reply to Re: astmatics problems, posted by sdb on October 30, 2005, at 14:41:08
If there is going to be a breathing problem for an asthmatic wind musician taking Inderal for performance anxiety, will the problem only occur under the stress of a performance, or could my breathing reaction to propanolol be tested in non-performance situations? The kind of asthma I have is reactive airway disease. Thanks, Green Willow
> Adrenaline will dilate (open) small blood vessels in the lung. Asthma bronchiale is a hyperreactive bronchial system with eosinophil inflammation. Mastcells will release histamin and bronchioli will be constricted. Adrenaline dilates blood vessels and is good for O2 oxygen saturation of blood in the lung what you need! Betablockers are scaling down the diameter of blood vessels because it blocks adrenaline.
>
> There are different types of asthma. What type do you have? Asthma is life-threatening (!) Be carefull. You could ask your doc for a b2-mimetica in emergency. Discuss this with your doc.
>
> ~sdb
This is the end of the thread.
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