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Medications and Adverse Voice Effects
Kátia Nemr1, Ariana Di Carlos Silva1, Danilo de Albuquerque Rodrigues1
1Faculdade de Medicina-Universidade de São Paulo, Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, São Paulo, Brazil.
Medications can directly and indirectly impact voice production, leading to symptoms like dry throat and shortness of breath. These vocal side effects are linked to medication use and dysphonia severity.
Area of Science:
- Otolaryngology
- Speech-Language Pathology
- Pharmacology
Background:
- Dysphonia, or impaired voice production, affects numerous individuals.
- Medication side effects are a potential, yet often overlooked, contributing factor to voice disorders.
- Understanding these medication effects is crucial for comprehensive patient care.
Purpose of the Study:
- To identify medications used by patients with dysphonia.
- To describe voice symptoms and evaluate medication effects on voice production.
- To determine associations between adverse voice effects and patient characteristics.
Main Methods:
- Retrospective cross-sectional study of 55 patients.
- Evaluation of vocal signs and symptoms using the Dysphonia Risk Protocol.
- Analysis of medication use, hydration, smoking, comorbidities, and vocal parameters.
Main Results:
- 73 active ingredients were identified; 8.2% had direct and 91.8% indirect vocal effects.
- Associations found between direct adverse voice effects and self-reported symptoms (dry throat, shortness of breath).
- Vocal deviation and pitch deviation correlated with direct medication side effects.
Conclusions:
- Medications significantly impact voice production through direct and indirect effects.
- Dry throat and shortness of breath are key symptoms associated with direct vocal side effects.
- Adverse vocal effects correlate with the degree of dysphonia and vocal deviation.
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