Choices in Sports.

Drugs in Sports: Other (Adrenergic) Stimulants

NCAA

Choices in Sports

Athletes

Coaches

Crew Chiefs, Athletic Trainers, and Team Physicians

Table of Contents:

[ General / Adrenergic / Amphetamine ]
[ Ergogenic / Hormones / Steroids ]
[ Over the Counter / Recreational / Related ]

(to top) What are adrenergic stimulants?
Adrenergic refers to the heart, bronchi and intestinal nerves that release or use epinephrine, norepinephrine (also known as catecholamines) as their neurotransmitters (NT). These NT are amino derivatives of catechol, which is released from the adrenal medulla.

(color illustration: the structure of the human heart)

(to top) What are adrenergic receptors?
These are classified into alpha and beta-receptors (beta-receptors divide into beta 1 and beta 2 receptors). These receptors function through calcium channels and respond to epinephrine and norepinephrine and stimulate smooth muscle contraction. Beta 1 receptors control the heart and beta 2 control the lungs and outer circulation.

EPINEPHRINE

(to top) What is the role of epinephrine?
Epinephrine stimulates the heart rate to increase the strength of contraction and the cardiac output. Epinephrine use increases respiratory rate, tidal volume and minute ventilation. It can be an effective bronchodilator with duration of between 60 and 90 minutes after inhalation or subcutaneous injection.

(to top) How is epinephrine absorbed and excreted?
Absorption from subcutaneous tissues is slow because of local vasoconstriction. Intramuscular injection produces a more rapid effect. Small amounts of epinephrine appear in the urine of normal individuals.

(to top) What are the side effects of epinephrine?
Epinephrine users may experience fear, anxiety, restlessness, throbbing headache, tremor, weakness, dizziness, breathing difficulty, and heart irregularities.

(to top) What are the medical uses of epinephrine?
Epinephrine is used to assist with some breathing problems and some heart problems.

NOREPINEPHRINE

(to top) What is the role of norepinephrine?
Norepinephrine is the neurotransmitter at the sympathetic nerve endings. It increases vascular resistance, systolic and diastolic blood pressure and cardiac output.

(to top) How is norepinephrine absorbed and excreted?
Mainly used intramuscularly, NE is poorly absorbed in oral form and by injection under the skin. Small amounts are found in the urine.

(to top) What are the side effects from using norepinephrine?
The undesirable side effects are similar to those of epinephrine but are less commonly experienced. Some users may experience anxiety, breathing difficulties and headaches.

(to top) What are the medical uses of norepinephrine?
NE is sometimes used in some forms of shock treatment.