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    When we think about performance-enhancing drugs, our minds immediately turn to famous athletes using banned substances to build muscles and heal faster. Lance Armstrong, Mark Mc Gwire, Marion Jones—the list of athletes whose legacies are tainted by alleged (or, in some cases, admitted) drug use seems to grow longer every year. For people whose jobs require public speaking or presentations, a class of drugs called beta-blockers can be a powerful tool to calm the nerves and reduce the jitters that detract from performance. Beta-blockers were discovered by Scottish pharmacologist James Black in 1962 as a treatment for heart disease. The chemicals work by inhibiting the body’s response to adrenaline, lowering blood pressure and reducing the risk of heart attack. By the 1970s, doctors had begun using them to reduce performance anxiety, particularly in musicians. However, that remains a secondary use; beta-blockers are still used primarily to improve people’s circulatory systems. doxycycline emedicine Do not stop using this drug without first consulting your doctor. Your condition may become worse when the drug is suddenly stopped, especially if you have chest pain (angina) or heart disease (e.g., coronary artery disease, ischemic heart disease, high blood pressure). If your doctor decides you should no longer use this drug, you must gradually decrease your dose according to your doctor's instructions. When gradually stopping this medication, it is recommended that you temporarily limit physical activity to decrease strain on the heart. Seek immediate medical attention if you develop: worsening chest pain, tightness/pressure in the chest, chest pain spreading to the jaw/neck/arm, unusual sweating, trouble breathing, or fast/irregular heartbeat. Show More This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina).

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    Social phobia is a highly prevalent yet often overlooked psychiatric disorder that can cause severe disability but fortunately has shown responsiveness to specific pharmacotherapy and psychotherapy. Recognition of its essential clinical features and the use of brief, targeted screening questions can improve detection within family practice settings. Cognitive behavioral therapy, with or without specific antidepressant therapy, is the evidence-based treatment of choice for most patients. Adjunctive use of benzodiazepines can facilitate the treatment response of patients who need initial symptom relief. The use of beta blockers as needed has been found to be helpful in the treatment of circumscribed social and performance phobias. Treatment planning should consider the patient's preference, the severity of presenting symptoms, the degree of functional impairment, psychiatric and substance-related comorbidity, and long-term treatment goals. For years, social anxiety disorder, also known as social phobia, has been underrecognized and undertreated. We use cookies and similar technologies to improve your browsing experience, personalize content and offers, show targeted ads, analyze traffic, and better understand you. We may share your information with third-party partners for marketing purposes. To learn more and make choices about data use, visit our Advertising Policy and Privacy Policy. By clicking “Accept and Continue” below, (1) you consent to these activities unless and until you withdraw your consent using our rights request form, and (2) you consent to allow your data to be transferred, processed, and stored in the United States.

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