Estrogen replacement therapy post-menopause may have a positive or negative effect on the voice.Oral contraceptives contain estrogen and may cause fluid retention (edema) in the vocal cords.Coughing or excessive throat clearing can contribute to vocal cord lesions. Angiotensin-converting-enzyme (ACE) inhibitors (blood pressure medication) may induce a cough or excessive throat clearing in as many as 10 percent of patients.Other Medications and Associated Conditions that May Affect the Voice Include Antihypertensives (medications for high blood pressure): calcium channel blockers, beta blockers.Acid reflux is a common cause of hoarseness and vocal difficulties, and the following medications may make acid reflux worse by relaxing your esophageal sphincter muscles: Several medications classes that relax muscles can lead to vocal difficulties by making acid reflux worse. If you have persistent problems with your voice because of your inhaled steroid, see your primary care physician or pulmonologist. Commonly, your symptoms can be treated quite easily. If you notice that you become hoarse while using an inhaled steroid, see your otolaryngologist. You should rinse your mouth and gargle with water after you use the medication. If your physician recommends that you take an inhaled steroid medication for your asthma, make sure to follow the manufacturer’s recommendations closely with regards to use. The steroid and/or the carrier substances within the inhaled preparation can be irritating and can lead to a yeast infection on the vocal cords in some cases. Inflammation and Hoarseness of the Vocal CordsĬommonly prescribed inhaled steroid medications for asthma frequently cause hoarseness. Other medications that can be drying: Antidepressants, medications for Parkinson’s disease, and other neurological diseases.Do not discontinue diuretic medications without the advice of your physician. Diuretics: Diuretics, commonly used to treat high blood pressure, increase fluid output from the body as urine, and can dry your mucous membranes.Some of the newer generation antihistamines tend to be less drying than traditional ones, and a pharmacist can guide you on this. Antihistamines: These are present in many cold and allergy preparations.Minimize the use of these medications as you are able. Decongestants and remedies for nose/sinus congestion: Pseudoephedrine is a medication that is present in many over the counter and prescription cold remedies. Many medications can have a drying effect they include: Dehydrated vocal cords do not vibrate as efficiently as moist ones, leading to vocal difficulties. Vocal cords function best when they are well lubricated, just like your automobile engine. If you feel that your medication is adversely affecting your voice, consult your physician. These include prescription medications, over-the-counter medications, and herbal remedies. A variety of medications can have a negative effect on the voice.
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