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Could prescribing music make medications work better?

Researchers hope findings from new study could help improve quality of life for patients while reducing health-care visits caused by adverse drug effects.
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Tony Kiang is leading a new study to explore whether certain types of music affect how medications are metabolized. Photo supplied.

EDMONTON - What if the next time you picked up a prescription for medication, it came with an accompanying prescription for a specific piece of music? That could become a reality in the future, if findings from a new study are as promising as researchers hope. 

Clinical pharmacologist Tony Kiang and his collaborators are looking at whether certain types of music can affect the way drugs are metabolized. 

“The objective here is to optimize drug therapy,” said Kiang. “And the primary goal is really to improve patient care.”

Studies have shown more than one in nine emergency room visits are due to drug-related adverse effects, so any additional knowledge about the complex process through which drugs are metabolized and cleared from the body is beneficial, said Kiang, an associate professor at the University of Alberta.

“If we can eliminate half of the health-care visits by better managing patients’ medication regimens, that will lead to significant increases in quality of life and cost savings."

According to Kiang, research has proven music exposure has an effect on particular hormones such as estrogen and testosterone, as well as neurotransmitters and signalling proteins called cytokines. But these studies haven’t ventured into the terrain that Kiang and his team are looking to explore, despite the fact that many of those hormones, neurotransmitters and cytokines are synthesized and metabolized by the same pathways prescribed drugs are.

“It was very interesting that few had made the connections between music and drug metabolism effects.”

Kiang and his collaborators hypothesize certain types of music could affect the activities of metabolism enzymes or particular proteins called transporters that are responsible for clearing drugs from the human body. They will examine music with a wide range of tempos and rhythms from various genres, starting by composing clips themselves to isolate specific factors before testing already-composed pieces. 

They plan to investigate the body’s response with a minimally invasive approach in which human test subjects will listen to particular types of music and then have a blood sample drawn.

“There are certain endogenous markers in the blood which represent specific metabolism pathways. We can use those to measure differences in metabolism for the patient being exposed to the music.”

Once they’ve gathered the subjects’ responses, they’ll begin looking for any particular types or varieties of music that had a noteworthy impact. 

“If we have some positive data, we’re going to dive deeper into specific physiological processes, metabolism pathways, or specific pieces of music modalities to elucidate the beneficial effects of music," Kiang said.

Kiang and his collaborators hope the results will yield information that’s widely applicable but can also be tailored to certain patients. 

“For example, classical music might be beneficial for surgical patients overall, but some patients may respond better to one composer versus another.” 

The simple intervention is designed to work in tandem with prescribed medication, hopefully helping to increase its effectiveness in patients while reducing any adverse effects.

“Music is ubiquitous throughout the world,” said Kiang. “If we can find a link and understand the specific components of the music that affect how drugs work, we think we can significantly improve drug therapy in the future.”

Article courtesy of University of Alberta folio

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