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The 200 7 Prohibited List of Substances and Methods. By: Mohammad Reza, SHARIF, MD sharif@ocasia.org. In competition Substances: S1. Anabolic Agents S2. Hormones and related Substances S3. Beta-2 Agonists S4. Agents with Anti-Estrogenic Activity
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The 2007 Prohibited List of Substances and Methods By: Mohammad Reza, SHARIF, MD sharif@ocasia.org
In competition Substances: S1. Anabolic Agents S2. Hormones and related Substances S3. Beta-2 Agonists S4. Agents with Anti-Estrogenic Activity S5. Diuretics and other Masking Agents S6. Stimulants S7. Narcotics S8. Cannabinoids S9. Glucocorticosteroids Methods: M1. Enhancement of Oxygen Transfer M2. Chemical and Physical Manipulation M3. Gene Doping In and out of competition (at all times) Substances: S1 S2 S3 S4 S5 * * * * Methods: M1 M2 M3 Sharif The 2007 Prohibited List of Substances and Methods
S1. Anabolic Agents Anabolic Agents: 1. Anabolic Androgenic Steroids (AAS) a. Exogenous ( not capable of being produced by the body naturally ) b. Endogenous ( capable of being produced by the body naturally ) 2. Other Anabolic Agents ---------------------------------------------------------------------------------------------------------------------------------------- The drugs classified under the name of AAS are derived from male sexual hormone (androgen) ---------------------------------------------------------------------------------------------------------------------------------------- The other Anabolic Agents are anabolic with no androgenic effects because of different mechanism and origin with AAS group ---------------------------------------------------------------------------------------------------------------------------------------- Sharif
Exogenous: Boldenone Boldione Clostebol Danazol Ethylestrenol Fluoxymesterone Gestrinone Methandienone Methyltestosterone Nandrolone Oxabolone Oxandrolone Oxymetholone Stanozolol Tetrahydrogestrinone And the other substances with a similarchemical structure or similar biological effect(s). Endogenous: Andrestenedione Dehydroepiandrosterone (DHEA) Dihydrotestosterone (DHT) Testosterone And the relating metabolites and isomers. Sharif Anabolic Androgenic Steroids (AAS)
Other Anabolic Agents • Clenbuterol • Tibolone • Zeranol • Zilpaterol --------------------------------------------------------------------------------------------------------------------- These substances have definite anabolic effects with various mechanisms but no androgenic manifestations. --------------------------------------------------------------------------------------------------------------------- Sharif
S2. Hormones and related Substances 1. Erythropoietin (EPO) 2. Growth Hormone (hGH), Insulin-like Growth Factor (IGF-1), Mechano Growth Factors (MGFs) 3. Gonadotrophins (LH, hCG), prohibited in males only 4. Insulin 5. Corticotrophins And the other substances with a similar chemical structure or similar biological effect(s), and their releasing factors which will be reported as an Adverse Analytical Finding. Sharif
S3. Beta-2 Agonists Their use requires a Therapeutic Use Exemption. As an exemption: (only) • Formoterol • Salbutamol • Salmeterol • Terbutaline When administered by inhalation to prevent and/or treat asthma and exercise-induced asthma/broncho-constriction require an abbreviated TUE. --------------------------------------------------------------------------------------------------------------- Despite the granting of a TUE, is prohibited: • All the beta-2 agonists expecting the above exemptions • Reported concentration of salbutamol > 1000 ng/ml = Adverse Analytical Finding unless the athlete proves that the abnormal result was the consequence of the therapeutic use of inhaled salbutamol --------------------------------------------------------------------------------------------------------------- Sharif
S4. Agents with Anti-Estrogenic Activity 1. Aromatase inhibitors: • Anastrozole • Letrozole • Aminogluthetimide • Exemestane • Formestane • Testolactone 2. Selective Estrogen Receptor Modulators (SERMs): • Raloxifene • Tamoxifen • Toremifene 3. Other anti-estrogenic substances: • Clomiphene • Cyclofenil • Fulvestrant Sharif
S5. Diuretics and other Masking Agents Masking Agents: • Diuretics (acetazolamide, amiloride, chlortalidone, etacrynic acid, furosemide, metolazone, spironolactone, hydrochlorothiazide, triamterene, …) • Epitestosterone • Probencid • Alpha-reductase inhibitors (finasteride, dutasteride, …) • Plasma expanders (albumin, dextran, hydroxyl starch, …) ----------------------------------------------------------------------------------------------- For diuretics, a TUE is not valid if an athlete’s urine contains a diuretic in association with threshold or sub-threshold levels of a prohibited substance(s). ----------------------------------------------------------------------------------------------- Sharif
S6. Stimulants Only in Competitions Stimulants: • Adrafinil • Adrenaline • Amphetamine • Bromantan • Cathine • Cocaine • Ephedrine • Fenfluramine • Fenproporex • Methylphenidate • Modafinil • Nikethamide • Pemoline • Selegiline • Strychnine • Tuaminoheptane And other similar substances Sharif
Narcotics: Buprenorphine Dextromoramide Diamorphine (heroin) Fentanyl and its derivatives Hydromorphone Metadone Morphine Oxycodone Oxymorphone Pentazocine Pethidine Sharif Cannabinoids: Hashish Marijuana S7. NarcoticsS8. Cannabinoids
S9. Glucocorticosteroids Glucocorticosteroids: • Betamethasone • Prednisolone • Methylprednisolone • Triamcinolone • Hydrocortisone -------------------------------------------------------------------------------------------------------------------------------- Are prohibited when administered: • Orally • Rectally (not anal) • Intravenously • Intramuscularly Their use requires TUE approval. -------------------------------------------------------------------------------------------------------------------------------- All other routes of administration require an abbreviated TUE, e.g. intraarticular, periarticular, peritendinous, epidural, intradermal injections and inhalation -------------------------------------------------------------------------------------------------------------------------------- Dermatological and anal preparations are not prohibited. -------------------------------------------------------------------------------------------------------------------------------- Sharif
M1. Enhancement of Oxygen Transfer a. Blood doping: autologous, homologous or heterologous blood or red blood cell products of any origin, other than for medical treatment. b. Artificially enhancing the uptake, transport or delivery of oxygen: perfluorochemicals, efaproxiral (RSR13) and modified haemoglobin products (haemoglobin-based blood substitutes, microencapsulated haemoglobin products). Sharif
M2. Chemical and Physical Manipulation Tampering, or attempting to tamper, in order to alter integrity and validity of Samples collected in Doping Controls. • Intravenous infusions • Catheterization • Urine substitution And similar issues. --------------------------------------------------------------------------------------------------------------------- Except as a legitimate acute medical treatment, IV infusions are prohibited. --------------------------------------------------------------------------------------------------------------------- Sharif
M3. Gene Doping Enhancement of athletic performance through the non-therapeutic use of: • Cells • Genes • Genetic elements • Modulation of gene expression Sharif
Substances Prohibited inParticular Sports P1. Alcohol (ethanol) • Prohibited in-competition only • Detection by analysis of breath and/orblood • The doping violation threshold(hematological values)for eachFederation is different P2. Beta-blockers • Prohibited in-competition only, unless otherwise specified Sharif
Beta-blockers: Acebutolol Alprenolol Atenolol Betaxolol Bisoprolol Bunolol Carteolol Carvedilol Celiprolol Esmolol Labetalol Levobunolol Metipranolol Metoprolol Nadolol Oxprenolol Pindolol Propranolol Sotalol Timolol Sharif
Specified Substances Particularly susceptible to unintentional anti-doping rule violations because of their general availability in medical products or less likely to be successfully abused as doping agents. --------------------------------------------------------------------------------------------------------------------- A doping violation involving such substances may result in a reduced sanction provided that the “… Athlete can establish that the Use of such a specified substance was not intended to enhance sport performance …” --------------------------------------------------------------------------------------------------------------------- Specified Substances: • Ephedrine, L-methylamphetamine, methylamphetamine, cathine, cropropamide and any other stimulant not expressly listed under section S6 • Cannabinoids; • All inhaled Beta-2 Agonists, except clenbuterol at any level and salbutamol at urinary level>1000 ng/ml • Probencid • All Glucocorticosteroids; • All Beta Blockers; • Alcohol; Sharif
Thanks a lot Mohammad Reza, Sharif M.D. • WADA independent observer • Olympic Council of Asia ADC member ------------------------------------------- sharif@ocasia.org (98) 912 193 6404 -------------------------------------------