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prozac and voice
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Posted by: kybutterfly ®
07/13/2005, 18:50:48


I have been taking prozac for a while now. In the beginning my voice seemed worse but after increasing the dose and being on it longer I have noticed that the spasms do not seem quite as bad. Not sure if this is me or the medication. I still do a lot of vocal exercises so maybe thats helping a little. I will see the neurologist near the end of the month and will be eager to hear what she has to say. She was surprised that my dr. at the voice center had recommended me to her because she felt like I might have SD but now looking at other dystonia problems. Thanks for everyone's support.



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Re: prozac and voice
Re: prozac and voice -- kybutterfly Top of thread Archive
Posted by: Tom D. ®
07/17/2005, 19:20:57


For a while before I was properly diagnosed with SD, doctors suggested that my voice condition was anxiety-induced and I was put on a SSRI drug, similar to Prozac. It did not improve the voice at all and I went through testing three more SSRI drugs. The only change in me that the medications provided was their unwanted side-effects. All kinds of voice therapy (twice a week for five months) and medication did nothing positive for my voice. When I was finally diagnosed with SD and had Botox injections, my voice improved and as a result, I was much more relaxed in social situations where I knew my voice was going to be in use. I gradually discontinued the medication and have been completely off it for quite some time.

In my case, getting a proper SD diagnosis and treatment let me relax, as poor voice was always something that I had on my mind in social situations, where I was always very tense in anticipation of voice dysfunction. The more tense I got, the worse my voice became- and a vicious cycle ensued, with one problem kind of "feeding" the other. If I had to speak in a large group of people, I would grow more and more tense- worrying about whether or not my voice was going to fail completely (it often did) and cause me embarassment.
Botox has taken care of a good part of my SD symptoms and knowing that my voice is going to work to somewhat of a satisfactory degree has really helped me relax, greatly reducing the muscle tension dysphonia which accompanied the SD.

I went through several doctors, a speech therapist and quite a bit of medication before I received a proper diagnosis and finally got satisfactory results. Getting second and third opinions (the first "specialist" I saw said: "your vocal cords look fine" without actually checking their function and suggested that nothing could be done in my case)were the best things I could have done! Your case may be completely different than mine, but then again you may be just like me. Think positively- and don't give up!

Best regards,
Tom D.
Ontario, Canada
AD SD for 10 years- diagnosed after 7 and a half.




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Re: prozac and voice
Re: prozac and voice -- kybutterfly Top of thread Archive
Posted by: Narelle ®
07/19/2005, 16:14:34


HI there,

If you have depression, medication can be brilliant.(not always!) Antidepressants are not a medication for SD, they are a medication for depression, and I have never heard a doctor in Australia say anything different.
I had post-natal depression which stretched out a bit, and antidepressants practically saved my life.
They also helped my speech, in terms of easing the effort of speech (probably sounded just as bad but was easier to get the words out!).
My Doctors gave me a perfectly simple explanation which works for me - if you are depressed (which is usually accompanied by anxiety) and you take an antidepressant which works for you, this will have an effect on your anxiety levels, therefore on your levels of muscle tension, therefore on any tightening you may habitualy do (like round the larynx if you have SD).
So the antidepressant was not clinically effecting my SD, but the side effects of sucessful treatment for depression was a lessening in tension and easier speech.

Hope that makes sense :)

Cheers

Narelle, ADSD 20 years, successful Thyroplasty Type II 2000.
Adelaide, South Australia




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