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hornplayer.net Information archive
Beta-Blockers (2)
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You can view the first installment of this debate here and the third installment here
Please stop that thread. There is no help for performance anxiety. One has to
live with it or give up playing in public. But there are some other advises:
- Stop ambitiousness which exceeds your playing abilities.
- Try to be real about your playing quality.
- Care more for easier pieces & play them better.
- Stop consuming any alcohol or other drugs & watch the positive effect on your nerves.
Beta Blocker works well for persons suffering high blood pressure, but nor for
playing the horn.
For those unconvincibles:
take Beta Blockers, drink cognac or champagne before the concert & some cups of
espresso, eat as much of strong food as you can to make you strong, play
continuously until the concert (minimum 2 hours practice & one hour warm up the
day of the concert, regardess if there is a dress rehearsal the same day, play
the most challenging & difficult concertos neglecting the other pieces as to
easy, forget about the musical values completely, exaggerate all dynamic values
specially in the double forte, etc.etc. attend all parties after the concerts &
other parties - and shorten your playing life & real life.
Prof.Hans Pizka
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Dear Hans, and hornlist,
I thought of not posting this to the list, but then changed my mind.
It is worth mentioning, and if gets back to the person involved,
perhaps the world of horn-playing will improve.
My experience with beta-blockers (that I know of) has been as playing
2nd horn to a betablocked-1st-horn in a concert which concluded with
Beethoven's 7th symphony. I don't recall any high b's coming out of
the bell of the betablocked-principal, who was also using an assistant
rather ineffectively. This hornplayer basically muffed the entire
thing, but had actually been doing the job during the rehearsals,
with no pills. Going on the pill for that concert is beyond me.
(maybe they did their job: b-blockers? (groan...))
But the strangest thing was, we talked a bit after the concert, I was
prepared to give some encouragement, but this person said:
"...well it went pretty well, don't you think ?..." Didn't even
notice, but the audience did. The betablocker may have even impaired
judgement. Who knows, it may have been just a simple case of
B7-bomb-out.
I had a lot of difficulty trying to match the volume level of that
non-existant high part. After figuring out what was happening I just
gave up and played as written.
This person did not consult a doctor, nor have experience taking them,
nor even need them to get through nerves. I believe that they are
useful for what they are for, and only for medical conditions should
they be used. And if you use them under medical advice and they work,
ask for a placebo instead, it might be cheaper :) (think about it,
that's a joke!)
:) Finally, there are some people who honestly and truly need medication
for this, and if they play wonderfully, then medical
science has helped out the musical world, just like saving the life
of a musician suffering a stroke, or a car accident, or...
Carl Ek
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I've been reading everyone's comments on this subject and thought
that it was about time to give my reaction. I love music, and I love
playing the french horn. when presented the challange of performing in a
public setting many people forget this very fundamental thing. You love
music. You are creating music. Not everyone is perfect, and most of us
are going to make mistakes of varying degrees. Enjoy what you are doing.
Just like anything in life, music can be an aggravating, nerve wrecking,
ulser producing job, or a creative outlet, a fun enjoyable experience, a
way to release emotions.
so when people ask me how I didn't get nervous, I respond, I
enjoy making music, no matter what the setting...
Bill Aiken
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Regarding the use of Beta Blockers:
I don't have a positive or negative view on the use of beta blockers,
otherwise known as Inderal. I just want to caution those who have never use
them to keep this in mind. Many doctors do not realize that musicians don't
need the usual medical dosage of Inderal for it to be effective. The normal
dosage is between 80-100mg. A musician does not need this large a dose.
5-10mg is all one needs for the drug to be effective for performance
anxiety. Make sure that if you are going to try beta blockers that you
explain to your doctor that you do not need such large doses. Also make
sure that if you are going to try them that you try them before the actual
time that you need them!! They may have side-effects on your system that
you are not prepared to handle out of the blue.
Warning over. :)
Karen McGale
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I was on Beta blockers for an accelerated heart rate due to thyroid disease a
couple of years ago. I play much better now than I did then and since I
didn't know it was supposed to relax me before a concert, I never noticed
that effect. If you are getting an effect on a sub-clinical dosage methinks
it could be you would have the same effect with a sugar pill and the
assurance of its success.
When I was in Drum Corps, there were several of my fellow performers who
were always interested in recreational drugs. I was working at a Madison, WI
veterinary clinic, actually living above the clinic. These poor souls
thought I had access to some good stuff. To teach them a lesson, I took some
chlorophyll tablets that we used to give dogs to freshen their breath and I
gave them a fancy name and told the would be experimenters that they were
equine muscle relaxants. I charged them a buck a pill and sat back to watch
the show. About a quarter of the people said the pills were bogus, another
50% started acting pretty goofy and wanted more and another 25% said they
were the best "high" they ever had. I ended up about 50 dollars richer (a
lot in the late 70's) and about 20 people got "high" on doggie breath
fresheners. When I told them the truth no one believed me or it was less
embarrassing not to believe me. At least everyone in the back of the bus had
fresh breath.
Annamarie Dittmar DVM
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Just one more item regarding beta blockers:
I have been told that those individuals who are asthamatic should not
use these products. Always check with a physician.
M Hesse
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Please stop that thread. There is no help for performance anxiety. One has to
live with it or give up playing in public.
The post I made about beta blockers was not an advertisement for people
to start using them. It was cautionary information only, because it
appears that too many people are already using them without a doctor's
consultation, or ready to arbitrarily start taking them, as well as
other drugs. As I said before, this can be very dangerous or, in some
cases, fatal.
In looking for other methods to get over performance anxiety, I am
asking you to tell us without the sarcastic remarks please-how have you
dealt with performance anxiety without resorting to drugs or alcohol?
There was the time when you first began playing horn in front of
audiences.
Did you get nervous while playing in front of an audience?
If so, what did you do to get over it?
What do you tell your students when they are anxious about playing in
front of an audience?
What is the single most important thing you could tell all other horn
players in regards to performing in public?
Rachel Harvey
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For those unconvincibles:
take Beta Blockers, drink cognac or champagne before the concert & some cups of
espresso, eat as much of strong food as you can to make you strong, play
continuously until the concert (minimum 2 hours practice & one hour warm up the
day of the concert, regardess if there is a dress rehearsal the same day, play
the most challenging & difficult concertos neglecting the other pieces as to
easy, forget about the musical values completely, exaggerate all dynamic values
specially in the double forte, etc.etc. attend all parties after the concerts &
other parties - and shorten your playing life & real life.
If your argument were reversed -
To be a legendary hornist, one should be born by immaculate conception, jump
buildings in a single bound, have nerves and brains made of steel, eat nails,
and if you could rise from the dead after you die, that would help to...
To make the analogy that persons who take medications for medical conditions
are somehow weak, inferior or reckless in their personal disciplines is pure
poppycock, professor.
Certainly bad practice habits or personal indulgences can create performance
anxiety. But it can also be a medical or psychological condition - that can
be treated. Do we not treat other physiological ailments with medications
and/or counseling?
Yes, I agree with you in that the choice to be a hornist is a tough one and
that the world owes NO favors when that choice is made. But before declaring a
musician as inferior because of a treatable condition seems a bit cruel and
smacks of a superiority complex.
As humans, I believe that we are inherently IMPERFECT. I will never be as good
as my imagination, but I try. It is foolhearty to presume that MY way is the
only way. So what? Some people have to take medications to perform. Some
musicians even get stinkin' drunk - so what?
It is not for me to judge one's personal habits or personal ailments. If I
enjoy listening to or making music with them - who cares?
Bruce Hembd
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I would like to tell you about my experiences with beta blockers and
tranquilizers:
While playing in a Mexican orchestra, my second horn player and myself
were invited to perform Rosetti's 2 Horn Concerto in E Flat with the
group. There were two performances scheduled and the two of us
practiced daily for about a month or so until the parts were worked up
perfectly. It was around this time that I heard about beta blockers,
and obtained some propranolol over the counter (which was the way it was
sold in Mexico City). The suggested dosage was 20 milligrams.
For the first performance, I decided not to take the Inderal (which is
one brand name for propranolol). My recollection of that performance is
that I was terrified out of my wits throughout, although there were no
train wrecks. The audience reaction was favorable enough to convince us
that we had done a good job. I decided to go ahead and take the Inderal
for the second performance. I had never taken this drug before, and did
not know about possible side effects. Four hours before we were
supposed to play, I took 20 milligrams. 1/2 hour later, I had a bout of
dizziness which passed, after which I felt like I was seeing things
through a pane of glass. It was also somewhat difficult to concentrate
or to breathe. When it was time to perform, we got on stage and ran
through the Rosetti with no hitches. Mentally, I felt as though I had
been freed from some kind of a 'bondage'-it seemed to be easier to
perform. The only problem was that my emotions had somehow been shut
off. Listening to the tape, I felt the performance was rather lifeless,
even though it was note-perfect.
The second time I took Inderal was for a horn club gathering, also in
Mexico City. Some of us had volunteered to play solos. I chose a solo
piece by Malcolm Arnold but did not prepare it adequately. And, before
the peformance, I took the Inderal again. The experience was completely
different this time. Instead of being calm, cool, and collected, I was
terrified out of my wits. Although I didn't shake, my left hand froze
up so much that I could hardly move the levers on my horn. I also could
not take a full breath for the extended passages the piece demanded. Of
course, the performance was a complete flop.
After this, I abandoned the Inderal entirely for many years. At this
time, it was difficult for me to understand why it seemingly worked for
me at one performance, but not at another.
I know the answer now-it wasn't the Inderal that caused me to play well
at one performance and badly at the other; it was the fact that I had
thoroughly prepared for the first and hardly prepared at all for the
second. This told me that Inderal did not keep me from being afraid;
nor did it make me a good hornist.
In 1991, I was diagnosed with high blood pressure and migraine
headaches, for which my doctor prescribed Inderal in a very high dosage
(480 milligrams). Although the medication helped bring my blood
pressure down, I did not find any substantial improvement in my horn
playing, nor a lessening of personal anxiety. In fact, my hair fell out
on the top of my head, leaving a bald spot, which I had to hide by
combing the rest of my hair over it. And, I had more train wrecks during
concerts than ever-due to not practicing my horn enough, since I was
working full time in those days.
In 1995, my doctor proposed changing my medication from Inderal to
Vasotec which is a calcium channel blocker. After just one week on the
medication, I had a true allergic reaction to it which put me into the
hospital. So, it was back on to the Inderal.
Over the years, my doctor has reduced the dosage of Inderal down to what
I take it at present; 160 milligrams a day of long-acting Inderal, taken
in 2 dosages. I have no discernable side-effects, since I have become
accustomed to the medication.
However-I have taken several auditions during this time period. In
every one of these auditions, I was not adequately prepared for what was
offered. Because of this, I was naturally quite anxious during the
preliminary rounds of the auditions; played badly, and was disqualified.
The only audition that I have passed in the last 12 years is the one I
took to get into the Japanese orchestra I play in now. It was a
non-screened audition, in front of a committee of 25 persons. For that
audition, I prepared for 2 months; 4 hours a day. Because of this, I
was not anxious about playing; I knew the music cold. It was the work
of a moment to come out on the playing floor, sit down, blow a few
notes, and do the audition with no problems.
For all of you who read this-Inderal has not, I repeat *NOT* made me a
better horn player. And, I may have more confidence now than 12 years
ago, but I still get anxious before big performances and I still get
nervous at auditions.
That is why I do the personal routine I posted before in answer to Mike
Emery's question about performance anxiety, despite the fact I do take
Inderal regularly.
For those of you who may have missed it, I am reposting the statement I
made about beta blockers at the bottom of the post in reply to Mike
Emery's post about performance anxiety:
__________________________REPOST__________________________
As far as taking Inderal (a beta-blocker) is concerned, it does prevent
the shakes, dry mouth, but does not prevent you from being scared.
Indeed, when taken daily, Inderal often counteracts some or all of the
energy you need to put the necessary sparkle into a performance. I do
not believe that Inderal will ever, EVER make you a good horn player,
nor will it EVER make you fearless.
***Never take Inderal without a doctor's prescription.***
____________________________________________________________
Karen, I would like to give a friendly word of advice: I am sorry to
say this, but neither you nor anyone else are qualified to recommend any
kind of dosage of Inderal or any kind of prescription or non
prescription medication over the Internet to anyone who may be reading
your post. ***Not even a doctor will prescribe over email***
Indeed, what you call a small dosage of Inderal (20 milligrams) can
cause a person with moderately low blood pressure to faint, have
breathing problems, or other nasty side effects. It would be so easy
for some high school kid who has been scared of playing in public to
grab his dad's bottle of drugs and pop a few. For him, that may be
fatal.
I am posting two bookmarks below. The first one is doctors' information
about beta blockers. The second is a post from the harp list.
For Paul, I would also like to add a short note about diazepam (Valium,
Xanax, Ativan) tranquilizer agents. I took Valium, Xanax, and Ativan,
mostly for the stress I was enduring while working as a secretary for 12
years. In fact, I was taking Valium when I performed the Britten
Serenade with an orchestra in early 1990. I remember that performance
most clearly-it was absolutely terrifying. And, again I did not
practice my horn as much after work, so my chops weren't built up
enough. I thought that I would do okay in the concert, since the
rehearsals seemed to be going well. But I was mistaken. Despite the
tranquilizer, I still froze up during key portions of the work-such as
that high C in the Dirge. In fact, I think the only thing I played well
was the offstage horn solo-because I felt that now there was nothing to
lose-and could relax and enjoy the concert (a little too late though).
Valium also made me irritable, cranky, and real nasty to my colleagues
during rehearsals. I have totally alienated some people for life since
1986 because of my behavior while taking this drug. A performance of
Mahler 9 done with Valium was not all I had hoped it to be. Although I
thought it went well, after listening to the tape I judged my
performance to be rather 'lifeless', despite being technically
accurate.
I stopped taking Valium and Xanax a number of years back and do not miss
them at all. Other side effects of tranquilizers for me included
headaches (which I don't need more of!), short term memory loss, and
sleeplessness (couldn't sleep without them).
I do not drink alcohol any more because I can't play the horn after
having even one beer. I also know that prolonged alcohol use breaks
down muscle tissue-and aren't our horn chops *muscle* tissue? I have to
keep explaining to our Japanese musician colleagues why my husband and I
do not drink, when we are partying with them after rehearsals.
Experiments with marijuana in the mid 70's showed me that this drug
causes short-term memory loss in the extreme and completely interferes
with concentration. In fact, I remember the day I decided to stop
smoking it- After taking a couple of hits, I was walking across the lawn
at the facility where we were doing opera performances, and completely
forgot where I was headed and what I was supposed to be doing. That was
the day I stopped smoking marijuana entirely. Not even the fact that
some of my colleagues in the Mexican orchestra used marijuana daily,
before and after rehearsals could change my mind about taking it again.
I hope that this post will be beneficial to everyone who is considering
using any kind of drug for performance anxiety. I have learned, the
hard way, that no anxiety-reducing agent is quite so good as being
overly and thoroughly prepared on whatever music you will be playing and
to be prepared for the environment in which you will be playing that
music.
Rachel Harvey
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It seems that this thread will not die. Last year at this time there was a
truly heated debate over the pros and cons of using such medications.
To be sure there are people firmly entrenched in both camps, and each have
valid points for their positions. Proponents of each camp are adament and
will not change their minds.
For those who may be flirting with this issue,I would first talk to SEVERAL
trusted physicians about WHY you are deciding this course. You may find
out more information to make a truly informed decision. Remember, what
works for one may very well not work for all.
I am not being judgemental, but offer prudent caution for you to solicit
expert advise from medically qualified individuals. So, before we see
another heated debate rage over this issue, let's have this issue die away.
Eldon Matlick
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Because of several experiences I didn't choose to have,
and wish I had avoided, I think I can comment on the
effects upon performance of beta blockers and other mind
altering experiences.
Ten or so years ago, a doctor perscribed for me a beta
blocker for treatment of high blood pressure. During the
time I used it, I coincidentally felt I was maturing
as a musician, because it seemed to me that I had
finally mastered the problem of nervous jitters.
Whether or not I actually played better horn because
of the pills, I will leave to others to say.
Eventually, the Doctor took me off the beta blockers
because they managed to dull me down for hugh chunks of
the day. The pre-solo jitters returned. But so too
did a more normal life! I must say now, I have no
regrets.
Another medical experience, beginning in 1994,
produced a somewhat similar result in me.
I came down with encephalitis.
Apparently, I suffered extensive (but fortunately
neither overwhelming nor permanent) damage to the brain,
particularly in the temporal areas. Again I lost all
instinctive sense of fear. I could climb ladders to the top,
step out on a roof and nail shingles on the edge without
batting an eye. I could also sit calmly for forty measures
awaiting a solo and come in without a qualm. At least
this -- as long as it lasted -- was a great plus.
During the past year or so, some mild sense of
apprehension has returned. I have welcomed this
return of natural apprehension as an indication of
further recovery from my ailment and have been more
than willing to live with it. Certainly, despite the
incidental benefits, I would never recommend a little
encephalitis injection as a satisfactory method of
performance enhancement.
One last experience that I think is also relevent
to the discussion. Last spring, I rehearsed and
played first horn in a performance of
Vittorio Giannini's Symphony# 3. The part, for me,
was challenging. I really worked on it and as the
concert approached, I was confident I was going to
do a professional job. The day of the concert, however,
I tried to relax by working outdoors on removal of
rust spots on my car. The job included spraying paint,
and cleaning off the chrome with a solvent. When I
went on stage that particular night I experienced an
eerie sense of calm and well being -- unlike anything
I had ever felt before. Almost from the start,
however, I realized that I was not playing with
a full deck. On some occassions I wasn't even
counting up to four correctly. My doctor informed
me later that the solvent contained the same
ingredient that glue sniffers inhale, often doing
themselves permanent damage. He advised me to get
a new car.
Somehow, I think there is something here for more
than just me.
Lew Rubenstein
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