Monday, September 5, 2016

Drugs, mm-kay

It seems like sometime around three to six weeks into the school year, immune systems are compromised just enough from lack of sleep, the stresses of classes, and the overall demands of college life that people start to get sick. Typically, we don’t think anything about taking medicine for a cold or for a headache, but medications often have side effects, some of which could impact the voice.

One way you can inform yourself about these side effects is at the website for the National Center for Voice and Speech, ncvs.org. Scroll down until you see the “check your meds” tab. Here you can look up medicines by their brand name, drug group, generic name, etc., and it will tell you if there is a specific side effect on the voice.

For instance, many cold or allergy medications have a drying effect on the voice. As the website says, “Dry mucous membranes can result in hoarseness, sore throat, and voice changes. Dry vocal folds may be more prone to injuries such as nodules.”

Headache medicine like ibuprofen is anti-inflammatory. According to the website, when taking this medicine, “Vocal performers particularly should be cautious during periods of strenuous voicing demands due to an increased possibility of vocal fold hemorrhage.”

Of course, this doesn’t mean that you shouldn’t take these medicines if you need to, especially if a physician has recommended them to you. But when you know the side effects, you can act accordingly to benefit your voice. If you take medication that will dry you out, increase your water intake and reduce vocal use. If you take ibuprofen, avoid the strenuous singing that could put you at risk for harm to your voice.

And besides the drugs you may take once in a while, you should also check any medications you take regularly, which could be anything from ADHD meds to oral contraceptives to anti-depressants to acne medications. Check your meds and inform yourself.

Now tell me in the comments how has your practice been going this week.

And then go practice.

36 comments:

  1. When I used to get strep throat a lot before I got my tonsils taken out, I used to take a lot of Advil and ibuprofen in order to reduce swelling, to make talking in class more bearable. I noticed that if I sang after I took those pain relievers, I would lose my voice really quickly after. Ever since moving to Utah I have been a lot better about drinking water because it is so dry here! When I am hydrated, I feel like I can sing with more ease and less strain. Since I am in the musical "Bring it On" here at the U, I have been singing for hours everyday. I have been doing vocal warm ups before rehearsals and I really try to focus on releasing the jaw, letting my neck be free, and not pushing out notes and tones. I have noticed I do not lose my voice at all, and I feel like my resonance is clearer. I am really feeling like my jaw isn't so tight, and it has made minor improvements in the resonance and space in my head when I sing! I look forward to keep practicing, and applying the things we talk about in class to "Bring it On!"

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  2. I'm not a huge fan of taking a lot of medicines. I try to avoid it as much as possible, just because I don't really like the thought of constantly taking pills or putting drugs into my body. I try to find healthier alternatives to regular medicines, such as a honey and lemon based cough syrup instead of a general brand. I drink a lot of tea and use Emergen-C if I really need it. I don't take ibuprofen unless I really need it. The only medicine that I have to take daily is an iron supplement for my insomnia, but I've been taking that for about six years and it has become part of my ritual at night, so I don't think of it as a medicine.

    I'm also in Bring It On so I have been singing quite a lot the past week. I'm trying to focus on releasing tension in my jaw and neck because that's where I put my stress. My throat was a bit dry this past week because of some work in Butoh and probably me developing some kind of seasonal allergy, so I made sure not to push my voice too hard.

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  3. Ever since last year when you posted this and I found out my daily medication causes dryness, I immediately increased daily water intake and it has made a HUGE change in my life. I used to have habitual throat clearing but ever since i started drinking water that has reduced a lot. I have also really hounded myself this week about constantly thinking what I could do better during technique exercises, very much like dance (Lift, point your foot, etc.), and I found this has made me more aware and makes my practice sessions much more efficent, which then helps me with my overuse problem i mentioned last week. The voice is certainly a quality over quantity (excess quantity i should say) type of practice.

    -Cameron Lake (Maybe Carter) Fleck

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  4. Thus far, practicing has been pretty good- easy and consistent because we're easing back into the semester. However, I noticed that as soon as I take my migraine medication my head voice gets harder to find because everything feels dry and pressed down. I found out that my meds specifically cause dryness and hoarseness and its helped a lot to know that. Now I take my meds so early in the morning that by the time I practice, I've hyrdated a ton and my meds are at the end of their cycle. It's good information to have especially for auditions and regular singing. I know that I get nervous when my voice doesn't act as I suspect it to, but now I know why (at least most of the time). I also find that a morning shower with lots of steam makes all the difference and a humidifier saved my voice during shows like American Idiot when I got bronchitis the week we opened. I never thought I'd be able to sing through that but moisture and healthy singing make all the difference.

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  5. I am so excited to take a look at this website because I have always wanted to know the truth about how specific medications affect your voice!
    My practicing has been going just ok this past week, mainly because my voice has been very tired lately. I think that I am also mentally and emotionally stressing myself out a bit, and it is affecting my body more than I want to be. But, when I do exercises through my passagio, I always feel a bit better and relaxed. I need to remember that the more I do them, the better and easier its going to be. I have been doing my best to always take the time to warm up adequately throughout the day so I am ready to go at night for rehearsal, but I am struggling with finding my edge and knowing how to not over warm up, and have a tired voice.

    Ari

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  6. This was interesting to me - I feel like with drugs like ibuprofen, Day/Nyquil, and other similar drugs that can be easily bought at Smith's, I always took the side effects for granted. They were so easy to buy, so the side effects must have been negligible, right? I'm happy to read that there are actually very relevant side effects that I should be paying attention to, because now I will start paying closer attention to what I take, and how it will potentially affect my vocal performance.

    Practice has been going pretty well. The biggest problem I've had to overcome so far has been the self-consciousness of my roommates (neither of whom are fine arts majors) overhearing me practicing. For me, it's always been one thing to work on my acting, or singing, or dancing with other peers in the department because we are all (mostly) striving toward the same goals. It's been a little tough for me to stick to my schedule as I've been opting for times when they are out of the house, asleep, etc. to get my practice in. It hasn't been detrimental really, but it's something I feel that I need to get over mentally.

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  7. I'm really not into extra medicine. I take medication for some medical issues I have but, I rarely use any "extra" medication for headaches or pain relief etc...I try a lot of natural alternatives which I think work just as well as the normal medications. I have an all natural cough syrup. I also, take a swig of apple cider vinegar everyday to keep the sick away. I also feel getting sleep is so important. I am a known insomniac for example, last year my usually bed time was around two or three am. I am working to stop this . I make sure to tire myself out enough so, I am able to go to bed at a more reasonable time.With all this in mind, I still am a bit under the weather. My throat has felt a bit sore and scratchy so, I haven't been practicing much. I have however, stuck to my goal of looking up different styles of music and getting out of my musical theatre bubble.

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  8. I really like what Cameron said about water. I never knew that it took three hours to hydrate your body. I'm always striving to drink more water, especially when I know I'm about to sing. I also agree with what Tori said. I don't really like the thought of putting drugs in my body so I would rather try to find something different. The two pills I probably take the most are Tylenol and Ibuprofen and thats when I get really bad head aches. I have been working on breathing with a straw and looking at my music notes.

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  9. This is exactly what I needed right now, my voice has been compromised due to allergies and what we think might be a virus. Which means that my practice has not been complete for a couple weeks. But I have been warming up with a straw on the mornings I don't feel like dying, and working on memorization and pronunciation. I also have been avoiding more taxing vocal use right after I have had allergy pills and cough medicine (I'd hate to push my voice over the edge when I don't realize I should stop because it's numb)

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  10. ncvs.org was really interesting to browse. I looked up the two medications that I take everyday. One causes dry mouth, and the other is actually beneficial in that it helps reduce swelling in the vocal tissue. That was interesting. Occasionally I take ibuprofen or acetaminophen if I have really painful cramps. It was helpful to see that these are actually detrimental to my voice. I probably take these too liberally when I am in pain, but hopefully now I'll be motivated to cut down. In terms of practicing, I feel like I'm still learning a lot. I'm unsure of exactly the routine I want to be using, but I'm hoping that will just come in time.

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  11. Regarding medication and the voice, I can definitely feel the dehydration caused by my daily allergy medication. My water intake has clearly increased this year compared to last when I was not prescribed these daily dehydrators. I even noticed my body taking a while to adjust to the weather reentering the desert state after months abroad. There's not much to do about the side effects except really consciously hydrate frequently and be aware that it takes the body some hours to actually put that water I'm drinking into use.

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  12. This was something that was very enlightening as someone who takes daily medications and had not thought about the way they may be impacting my vocal practice. Definitely good to be aware of and to echo Ashley to be mindful of water intake as well and make sure to replenish what is dehydrated!

    I feel like this past week of practices has been odd for me I have really been enjoying the warming up and voice building exercises but when it comes to my actual rep I couldn't be fussed. I wonder if it because I had been feeling overwhelmed (with getting back into the swing of the school year and impending auditions) or if working out the voice has just been feeling really good and productive lately!

    Either way, just something Ive been noticing!

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  13. As a general rule, I avoid taking medicines as much as i possibly can, especially those i know will impact my singing voice in a negative way. I usually stick to essential oils, tea, and rest when i am sick, as i have experienced some problems vocally from throat numbing cough drops, dayquill, and so on.
    Practicing this week has been somewhat of a challenge what with some auditions, closing weekend of a show, and a large homework load. But now that i have set a schedule of when i practice, it's been a good reason to set aside some other homework and do my favorite kind of homework; singing. :)

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  14. I generally don't take many medications, but I think this is a nice resource to have in order to know what a medication will do, and certain things of which I should be aware when I do take medications. One thing that I am not very good about in general is hydration though. This is one thing of which I would like to become more aware, especially when I am sick, and may be taking some medications that would have an increased dehydration effect.
    My practicing hasn't been going quite as well as I would have liked. I'm generally not a very disciplined sort of person, and have a hard time sticking to a set routine for more than about a week. The practice schedule really helped me the first couple of weeks, but after that, I stopped practicing nearly as much. However, I generally get things done even without a strict regimen. I am still practicing some, but I'm just simply not following my practice schedule any more. I really do like the suggestion of practicing for 20 minutes a day because it makes the idea of practicing a lot easier and more manageable than having a longer session, which then also result in me practicing more.

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  15. As everyone else has pretty much said, I also do not take many medications. It takes a very strong cause for me to take medicine. But now with the seasons changing, my allergies are starting to take a turn for the worse and allergy medicine is almost a must for me. As we talked about in our lesson, it can be beneficial to buy your honey locally to aid towards your immunity, fighting the new pollens taking flight. Besides that, I don't know of many other remedies besides actually taking medicine, but I'm definitely going to be looking up the different medicines I'm using and respond accordingly.
    Practicing this week has had its ups and downs. I like to refer to this past week as my recovery week, it was my first week not having to perform in a show. So my voice has been trying to figure out how to heal itself after a long running season. But also with the seasons changing my voice would become tired and hoarse very quickly. SO practicing has been a little different this week. The main focus I had on my voice was to sing and practice with as little tension as possible, so my voice could still have it's time to heal properly.

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  16. I usually keep in mind that ibuprofen and other painkillers can have a toll on my voice, but I have never thought about how my now daily medication could have effects. As of about two minutes ago, I know that one of my daily medications causes dryness and this makes SO much sense! I have been experiencing more fatigue than usual since coming back to school, and now I know that it could be a combination of a) getting back into my routine and b) starting this new medication over the summer. My new goal is to drink more water than I am used to to help myself stay hydrated.

    Practice this week has been very helpful! I definitely notice that I am able to stand much more vocal use during the day if I start off with even just a short warmup. On days that I miss my scheduled practice for whatever reason, I've been trying to make up for it later in the day, even if it's just a few minutes instead of a full warmup. Regardless, I have been trying to regulate my vocal use based on how I am feeling that day and I think it is helping a lot with my transition back to school and regular vocal use.

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  17. Practicing has been going well! I am really happy with the routine I've found, the way I practice, and the results I am seeing. The only frustration I have is translating the progress I see practicing into performances! I know that that's an obvious frustration, but it really is so frustrating!!! For example: I sang in Dem Lab on Friday and I had practiced my mix so much, and it was solid in the practice room, but as soon as I performed it in front of people it was so shaky. It has gotten a lot better, and I know it will continue to--I just need to practice practice practice, but I still am not comfortable using my head/mix voice in front of people. Can I belt in dem lab yet? Lol jk.

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  18. I have always refused to take medicin and I find that rest and drinking water is the true key to quickly overcoming a illness.
    Practice has been difficult with the cough and cold I have been fighting for the past week. My voice has a lot of mucus in it and my health is not assisted in the fact that I refuse to slow down my life for sickness making a bad habit of being overworked to the point that it draws out my sickness. Singing is often difficult or impossible as the last 2 days I have lost my voice due to so much crap in my throat. I have really put the emphasis on listening to my songs and hydrating to get healthy as quickly as possible.

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  19. I have heard the side effects of certain meds on the voice before... that really sucks. It seems like something is going to be compromised no matter what I try. If only we could all have perfect diets and get 9 hours of sleep every night. Keep dreaming.

    Last week in my voice lesson I was warming up with Brian and all of a sudden I just had this thought in my head that said "This is easier now than it was a year ago. You're better than you used to be". It was so strange, and yet, incredibly motivating. It gave me a moment of realization that what I'm doing is paying off, and the more I work at it, the more I will (hopefully) see continued growth. I know that I won't always be able to feel growing confidence, or notice things changing, but it's nice once and a while to get a boost of confidence from within myself that says "good job, self. Keep going."

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  20. Wow! I have not aware at all of the side effects certain medicines can have on the voice. I don't take many medications, and outside ibuprofen I don't think anything I take has an impact on my voice.I will be aware of that the next time I take ibuprofen, but I don't think I is a huge issue for me but it is defiantly something I think is good to be aware of.

    Practicing this week has been difficult because my schedule has been crazy and I have been sick this week, but my symptoms are beginning to clear up. This week has defiantly made me aware of the impact sleep can have on my voice, This weeks I was practicing late at night and felt very horse and tired, singing was much harder. I'm making an effort to get more sleep and since life is getting less crazy, having a more consistent schedule.

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  21. I am very interested to see which medications i need to be careful with vocally, because i had considered these types of vocal side effects before. This weeks practice has been a little rough. I have been aiming to make my time more consistent within the week. Recently i have found i am mostly focusing on fitting in the different types of practice throughout the day. Once the semester continues and i am fully adapted with my schedule i will become more consistent with my times. For me i would say i live and i learn to make time for practice.
    -Sammy Daoud

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  22. I had no idea that medicine could do that to you. I tend to forget about the side effects of medication and just focus on the benefits that it gives me. You've inspired me to get educated in this to make sure that I know what I am taking in regards to my voice. On another note, practicing has been a bit difficult this past week. I've felt stressed about a lot of things in my life and all that tension just went straight to my throat and neck. So, I've just been focusing on relaxation exercises and it's helped open me up to be able to sing with the correct technique.

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  23. The note about medicine is really interesting. I will have to keep that in mind. Practicing has been going well. I realize that I always need to stay organized and have a schedule or I won't get it done. My practicing has definitely become more consistent and I have become more aware of my voice. I notice that I tense up really easily when I sing and its always been difficult for me to relax my jaw. My goal for the semester is to free that tension and really use my breath more.

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  24. OHMYGIBBLETS I never thought medicine could do that. I'm just beginning to understand how the voice is a part of the body, and not an isolated chunk of tissue in your throat. Practice is going well. I've been surprised to find how quickly time can go during my sessions. I feel like I'm able to express a lot more freedom in my range, but can't seem to comfortably get the volume up. Not without singing in such a way that ends in coughing. I don't know if it will come with more practice as I exercise greater control, or if something about my placement or something of that sort will suddenly click. I think time will tell, and lots more practice.

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  25. I've never really thought about the effect medicines that I take have on my vocal cords but its a very interesting thing to think about. I've really been focusing a lot on my warm ups and just learning to tune my voice. I really am enjoying the straw warm ups they are very helpful and I can really feel them warming up my vocal cords which I really enjoy.
    -Dylan

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  26. This information on medicine is helpful thing to keep in mind. I've definitely had issues in the past singing while on DayQuil- my whole throat and mouth felt bone-dry. Practice is coming along. I have been largely focusing on where vibrations are when I sing or repeat some of the exercises in class. I find that when I focus I can control where I am supporting more and affect these vibrations and whatever noise it is I am making. Here's hoping it's not all in my head.

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    1. Also, this is Ben. I'm not sure how to make my name show.

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  27. And to think... I can still sing after 24 years of not knowing this information... I am considering myself lucky. Practice is going well. I am a fan of this straw thing. I'm also super happy to be singing music that isn't JUST Opera... I dreaded Opera practice haha. Not that it wasn't absolutely beneficial, it just wasn't as fun for me. I am working today particularly in my head voice. Just keeping the idea of keeping the airflow going and having it be free without any sense of pushing.

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  28. Is it also true that menthol can dry out your vocal folds? And would that mean then that cough drops are a no no?
    Practice has been going well, I've found the support and strength to the tone is beginning to come back. My upper register however is still weak and my break is pronounced. I've been especially interested in integrating alexander technique into my vocal practices and I've found that most of the tension in my jaw, temporalis, and neck is more easily released when I use alexander.
    -Call

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  29. I actually don't take very many medications, unless my sickness is far beyond what any OTC pill could fix and I find myself in a doctor's office. My immune system has been so much stronger since I started using EmergenC often. I just empty a packet into a little bit of water and take it like a shot LOL. When people people around me are sick I load up on even more Vitamin C and supplement in some Vitamin D too. When I have a week of feeling sluggish or tired I will also use a B12 supplement.
    As far as practice this week, I have been good about getting time for Session 1 and usually Session 2, but with Tech for Bring It On it's hard to find time for Session 3.
    ~Jacob Weitlauf~

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  30. I am not currently using any meds, but this is scaring me into checking the side effects should I need tylenol or benadryl for my allergies.On the contrary, I actually need to start taking prilosec for my acid reflux because my throat has been rather raw lately.

    My practice has been going fine, just having a bit of hard time trying to make time for it and be able to spend enough time to exercise what I want to.

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  31. This current week, I have been having more and more time to actually practice and not cram it into my packed day, letting me work my voice with ease and less stress and actually enjoy that time I take to rehearse.

    I have been doing many session 1 and 2 exercises right as I get home from dance, and with classes being cancelled or finishing early, I have been able to run and work my rep for the semester, as well other pieces from last year, etc.

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  32. My practice has been very nice, I find that since bring it on has finished that I have just more rest and that has made a big difference in the that I have been doing.

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  33. Currently I am not on any medication. I do sometimes struggle with focusing, and have thought of looking into certain remedies that may help with this. However, an alternative to prescription drugs that does seem to help me is caffeine. Sometimes the boosted energy allows me to stay engaged and focused on the work at hand. Unfortunately my main source of caffeine is coffee, which I realize can be counterproductive to drink before singing class. Perhaps I'll look into other sources of caffeine that won't have as much of an effect on my voice.

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  34. I'm not on any medications, I try not to use them unless I really need them. I think it's more effective to let whatever is in my system run through. Thankfully, I'm not too caffeine dependent either. I drink coffee on occasion when I need it so I feel like if I can maintain that relationship with coffee, I'll be in good shape. I do drink a lot of soda, which I would like to be who to cut down on a bit.

    Louis Hillegass

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  35. Interesting. I never considered that about medicines causing harm to the voice but that makes sense. When I have a cold and am taking a cough/pain relief like Dayquil, I notice that my voice feels scratchy and dry, even after the symptoms have subsided. I will keep this in mind, especially when I am nearing performance, to stick to natural remedies like tea and oils.

    My practice has been going well! I can tell that my range is improving the more that I work on it and can safely stretch notes a little more every time I practice.

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