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Body & Soul

Voice Care with David M. Alessi, M.D

EFFECTS OF ALCOHOL AND DRUGS ON THE VOICE

MBADC: Alcohol?

DA: In moderation it’s OK. Alcohol is very drying, it tends to help to increase acid reflux, and the third thing is, especially while onstage it can inhibit the sense of perception… Most performers who have performed while intoxicated and then they become sober, are almost embarrassed by the fact that they used to think they were more creative and performed better while they were intoxicated onstage. And every single one of them--and these are great performers—said that they do much, much better when they do not have anything like alcohol inhibiting them onstage.

MBADC: Ibuprofen? [Examples: Advil, Motrin]

DA: Ibuprofen can lead to bleeding…If you’re a hard rock and roller, and eventually using either aspirin or Motrin or Ibuprofen, it can lead to thinning of the blood, and you can actually bleed very easily. So if you’re pushing through that, you’re headed for trouble. Occasionally it’s OK, but the classic example is someone who’s had a cold, a little hoarse, and they take some Advil, then they go out and push really hard, ultimately they get a hemorrhage on their vocal cord, and then they’re shut down for two months, maybe even permanently changing their voice.

MBADC: What is "occasionally" to a doctor?

DA: About once a month.

MBADC: What about cocaine?

DA: Cocaine, especially if you’re freebasing, can actually burn the cords. I remember getting called down to a set where they were doing a rock video and all four members of the band all had horrible cocaine laryngitis, and eventually they just had to shut the whole thing down. They had about 2000 people down there filming the thing, and they just shut the whole thing down. Snorting coke once in a while is not going to hurt the vocal cords, but once you’re addicted to it actually has a lot of effects on the nasal membranes, something called encrusting, sinus problems, colds, and can actually have a direct effect on the vocal cords. And so, one time partying is unlikely to be hurtful to the vocal cords. But any type of long-term use is going to be bad.

MBADC: What about ecstasy?

DA: It’s not going to be directly injurious to the vocal cords. It’s just that people will not be paying attention to their vocal cords while they’re on ecstasy or any other drugs, and can actually have problems arise from that.

Speed--what does that do?

DA: Nothing directly injurious about the vocal cords. Obviously when you’re on speed you’re not going to be able to manage your vocal cord use very well. There’s nothing better than natural adrenaline that you get by going onstage. You don’t need to add speed while you’re performing onstage to perform better. You’re just going to make a fool of yourself and no one’s going to want you after that.

Effects of Heroin on the Voice & Heart, and a Graphic Description of Open Heart Surgery Caused by Heroin
Body & Soul

 

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