Vocalist.org archive


From:  "saint james" <stjames@l...>
Date:  Sun Sep 10, 2000  10:43 am
Subject:  Re: [vocalist-temporary] Triamcinolone Nasal Inhalation



>
>This discussion has reminded me of my bout with flovent.
>It definitely dried out my chords. When I complained, the
>pulmonologist who had prescribed it told me to stop it.


James here....

Keep in mind that flovent is a inhaled corticosteroid but Nasacort,
Nasalide, Beconase, ect are a spray for the nose. All inhalers can cause
dryness. I would also be concerned about applying corticosteroid directly to
the cords, in the case of an inhaler. With the corticosteroid sprays (for
the nose), there is ~17 years data on the first one, Nasalide. There is no
suppression of endogenous corticosteroids, ie cortisone your body makes, on
normal and even rather high doses. This is the major concern with taking
corticosteroids long term. This is not true for the inhalers as
the effective dosage is higher. The lungs are a very efficient delivery
route.

As I said, I have been on corticosteroid nasal sprays for 17 years. They
make a world of difference. It is either the spray or take cortisone by
mouth or shot all the time. Anytime you can apply a drug directly to the
problem and have few systemic effects you get a very effective medication.
My doc peeks up my nose every so often, this is a general recommendation for
long term use.

I've always thought it must be difficult to have asthma and be a singer as
the inhalers dry and do other things to the voice. Any asthmatic singers on
the list care to comment ?

James

"Ceci n'est pas une pipe"
René Magritte 1929 painting "La trahison des images"



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