FDA hasn't OK'd drug for controlling stage fright

Published: Monday, June 20 2005 10:13 a.m. MDT

Question: I've read about a pill to combat "stage fright" symptoms in public speaking or similar situations. It is called "propol-something" and is taken before the event. Do you know what it is and if it works?

Answer: You are probably referring to a medication called propranolol (Inderal). This beta blocker is prescribed for problems from high blood pressure and irregular heart rhythms to angina and migraine prevention.

Propranolol and other beta blockers are used clandestinely by many musicians to control stage fright, but the Food and Drug Administration has never approved these drugs for this purpose. There is surprisingly little research on effectiveness and appropriate doses for performance anxiety.

The drugs work by blocking the action of adrenaline, the "fight or flight" hormone. But these prescription medicines may trigger asthma attacks in susceptible individuals and should only be used under careful medical supervision.

Question: I need five prescription medicines, but I can no longer afford them because they are so expensive and I have no insurance. My cholesterol medicine alone runs more than $110 a month. Since my cholesterol is very high (over 350) I am worried.

I have heard that you can get medicine cheaper from Canada or Mexico. Is that true?

Answer: It's true that many prescriptions are substantially cheaper across the border. It is, however, illegal for individuals to import prescription drugs except under certain restricted circumstances. Despite this law, neither the FDA nor Customs is prosecuting senior citizens at this time.

The FDA's policy on importation of drugs acknowledges the savings but decries the "unknown quality" of foreign-made drugs. Canada has stronger safeguards against counterfeit drugs than most other countries (including the United States). Some Internet pharmacies trade on Canada's reputation by using a name that implies they are Canadian although they are not.

We have prepared a Guide to Saving Money on Medicine that discusses the safe use of generic drugs and describes how to identify legitimate Canadian online pharmacies. Anyone who would like a copy, please send $2 in check or money order with a long (No. 10), stamped (60 cents), self-addressed envelope to: Graedons' People's Pharmacy, No. CA-99, P.O. Box 52027, Durham, NC 27717-2027.

Question: You once mentioned a way to maximize the effectiveness of deodorant, but I've lost the article. Could you explain it again? What else can you suggest for a female in her 20s who perspires heavily?

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