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Old 08-06-2007, 06:15 PM   #1
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iwanttobefree HB User
benzo or beta blocker?

which is better for a one off occasion like public speaking (i dont do it regularly but have one in a fortnight) i realise i would need a test run but are there clear advantages or cons of one over the other?

 
Old 08-06-2007, 06:40 PM   #2
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Re: benzo or beta blocker?

Beta blockers and benzodiazepines have completely different functions.

Beta blockers keep adrenaline from binding to cell receptors which lowers your chance of the 'fight or flight' syndrome. It's also used in reducing your heart rate and high blood pressure. They will not reduce any brain induced anxiety.

Benzodiazepines affect GABA receptors in your brain. They are a sedative that reduce awareness, meaning when anxiety rears up and you become hyper-vigilant, benzos reduce the interaction between those neurotransmitters. Basically, they reduce the activity of your central nervous system.

Which one is better depends on which type of anxiety you suffer from. If it's more of a hydrocortisone/norepinephrine anxiety, beta blockers are good. If its genesis is in the brain, go with benzos. Here's the rub. Doctors have different theories on which source causes anxiety.

Now, as someone that has taken both, I would say that benzos are superior to beta blockers for anxiety/panic. However, this anxiety/panic I have is not caused by public speaking. Benzos are also addictive (over time) and if you take too much, you'll become a temporary space cadet (they are potent tranquilizers). Too much beta blockers will lower your heart rate, but not have any mental effects.

If you have an anxiety problem, the benzo is probably a better choice. But I'd test it out to make sure it doesn't make you loopy.

No anxiety problems, you may wanna try the beta blocker. Test it out at an open mic or karaoke or something. Those meds are extremely safe.

Shakes

 
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Old 08-08-2007, 12:10 PM   #3
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Re: benzo or beta blocker?

hi
how do you know which type you have? i am probably an anxiously tending person - i have mild anxieties at times but on the whole dont affect my life. but public speaking is a real panic button!

 
Old 08-08-2007, 10:48 PM   #4
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Re: benzo or beta blocker?

Have you been dx'd by a psych?

Really, I can't answer the question for you. And in all honesty, only a psychiatrist can dx your disorder, if you even have one, then make a recommendation.

Like I said, the common sense answer is no anxiety problems, beta blocker. Anxiety problems, benzo. And even that's not a guarantee.

You said you are an anxious person with anxiety at times. That would mean you have an anxiety problem. The last thing you want to happen is you go on stage and have an attack. Who cares if the audience witnesses it? I'm worried about you. It would be an additional trauma added to your life that will only make your anxiety problems worse. And I'm not sure taking a single benzo an hour before the performance will guarantee a perfect night. Seriously, I would suggest going to a psychiatrist or GP and have him put you on a benzo for a FEW days leading up to your performance. That way your body will adjust to it and there will be a higher, stabilized ratio in your system. IMO, that's the best way to get through this with no problems.

So break a leg. And as someone who works in theatre (as in stage plays, I'm on stage a lot), preparation and experience are the best combatants of all-eyes-on-you anxiety. And a little Xanax never hurt.

Shakes

Last edited by ShakesMcThyroid; 08-08-2007 at 11:05 PM.

 
Old 08-09-2007, 12:44 PM   #5
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Re: benzo or beta blocker?

i wouldnt have an attack i would plough through and probably nobody would guess i am nervous as hell! its more the torture of doing it feeling heady and dizzy and my fear is passing out not of doing badly!

 
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