> Hi, i am currently taking 160mg propranolol for mainly facial
> blushing and it does seem to help with flushing to, the problem is
i
> can still blush with this drug would this mean that if i go ahaad
wth
> ets surgery this year that it would fail to stop facial blushing
> because beta blockers dont work that well on me?
>
> I am getting to the point that i blush so easily, even when i look
in
> the mirror i start to blush its just so sensitive, even if i walk
> past someone i blush.Any advice. Do i have an over active
sypathetic
> nervous system?


Hello,

I rarely ever answer ETS questions because it should be rarely
considered and I think it is now over-commercialized (and I am
disturbed at the physicians now stating that ETS is for the
treatment of rosacea). Anyway, let me try to answer your questions:

1. Beta blockers rarely ever block blushing more than 50% to 75%,
so most still blush, but it is less intense and the redness
diminishes more quickly.

2. Blushing is first and foremost a physiological difference
(physical makeup of your body). Your nerves or neurotransmitters
are wired a little bit differently -- increasing the propensity to
blush. However, blushing is then reinforced subconsciously by your
own brain. This is why blushers may become progressively more
sensitive.

3. Some have had success with low dose Corgard combined with low
dose clonidine. Your doctor just needs to make sure your blood
pressure does not drop below normal limits.

4. If you understand that you are more prone to blush based on your
genetics, but that you do have some control over reinforcing this
process then you may be able to break the daily/hourly blush cycle
and level off at an acceptable level of blushing. Please dont
consider ETS until every single avenue has been exhausted......twice.

Regards,

Geoffrey
______________________________

Dr. Geoffrey Nase
Ph.D. Neurovascular Physiologist
http://www.drnase.com
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