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Non conventional using drugs. By: Dr Vahedi. Lifestyle drugs. An eclectic group of drugs that are used for non- medical purposes Including : A) Drugs of abuse B) Cosmetic purposes or for purely social reasons C) Enhance athletic or other performance.
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Non conventional using drugs By: Dr Vahedi
Lifestyle drugs • An eclectic group of drugs that are used for non- medical purposes • Including : • A) Drugs of abuse • B) Cosmetic purposes or for purely social reasons • C) Enhance athletic or other performance
Enhance athletic or other enhance performance drugs • 1) Anabolic Agents • 2) Hormones and related substances • 3) β2 –Adrenoceptor agonists • 4) β- Adrenoceptor antagonists • 5) Stimulants • 6) Diuretics • 7) Narcotic analgesics
Drugs in sport • Anabolic agents • Androgenic steroids ( Testosteron, Nandrolone,…) • Effects : Increase Muscle development Muscle mass & improve sporting performance↑ Muscle strength ? Increase aggression and competitivness serious long term side effects
Drugs in sport • Other Anabolic Agents : • Clenbuterol: ( Anabolic androgenic + agonist action on β2 adrenoceptors) • selective androgen receptor modulators (SARMs) : aryl propionamid analogs Bicyclichydantoein analogs • tibolone ( estrogen activity +weak androgenic activity)
Drugs in sport Hormones and related substances • EPO : Increased erythrocyte formation & increased oxygen transport & blood viscosity Side effects: CAD, Strokes (trombos formation) , HTN • Human growth hormone: Effects: ↑lean body mass , ↓fat , accelerate recovery , cardiac hypertrophy,acromegaly, liver damage, ↑cancer risk
Drugs in sport Hormones and related substances • Insulin: • To promote glucose uptake and enegy production in muscle • Probably ineffective in improving performance • Side effect: hypoglycemia
Drugs in sportHormones and related substances • Other related substances: • Chorionic Gonadotrophin (CG) and Luteinizing Hormone (LH) in male • Corticotrophins • Insulin-like Growth Factor-1 (IGF-1)
Drugs in sport • β2 –Adrenoceptor agonists (Exp: Salbutamolformoterol, salmeterol) Used by Runners, swimmers . Mechanism: ↑O2 uptake and transport (Bronchodilation) cardiac function , Controlled studies show no improvement performance • β- Adrenoceptor antagonists (Exp: propranolol) • used to reduce tremor and anexity in precision sports (Shooters, ski jumpers, archery) • Negative effect on endurance • Depression, bronchospasm, fatigue
Drugs in sport • Stimulants: Ephedrine , methylephenidate, fenfluramine, cocaein, amiphenazole , strychnine ,taurine • Effects: • Some trials have shawn ; to improve performance in spriting, weightlifting. • Increase muscle strengh and reduce muscle fatigue • Surprisingly Caffeine apears to be more effective in improving muscle performance than other more powerful stimulants. • Several deaths with taking amphetamines &ephedrine – like drugs
Drugs in sportStimulants: • Amphetamines • Delay fatigue, increase alertness, enhance speed, power, endurance, concentration • Side effects: Hypertension, angina, vomiting, abdominal pain, cerebral hemorrhage, dependence, death
Drugs in sportStimulants: • Caffeine • Shortened reaction time, improved concentration, diuresis • Primary theory is enhanced release of FFA, sparing glycogen. Stimulate the release of Ca2+ in muscle cells • Glycogen sparing leading to delayed fatigue • > 12 ug/mL is a positive urine per IOC • Side effects: Dyspepsia, cardiac damage, combination with other stimulants (e.g. ephedrine) may be fatal
Drugs in sport • Diuretics: • Rapid weight loss • also to mask presence of other agent in urine by dilution • Overall negative impact on performance • Dehydration, hypotension, muscle cramps, electrolyte imbalance • Narcotic, analgesics: • used to mask injury- associated pain • Increased risk of further injury, dependence, drowsiness, mental clouding; in high doses: respiratory depression, hypotension
Mechanismenhanceperformance drugs Increase oxygen transport Lose weight, train harder PHYSIOLOGICAL REASONS To build muscle, increase energy Mask injury and reduce tiredness