Choices in Sports.

Drugs in Sports: Other Ergogenic Aids

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 ]

ERYTHROPOIETIN (EPO)

DIURETICS

CENTRAL NERVOUS SYSTEM STIMULANTS

ERYTHROPOIETIN (EPO)

The NCAA bans EPO

(to top) What are the actions/effects of erythropoietin (EPO)?
EPO is a glycoprotein that stimulates red blood cell production.

(photo: a sample of blood being extracted from the finger tip)

(to top) What are the therapeutic uses of EPO?
The FDA, for treatment of anemia, approves EPO.

(to top) Why would some student athletes want to use EPO?
The use of EPO is believed to increase oxygen absorption, reduce fatigue and improve endurance by increasing the rate of red cell production. Promoters of EPO claim that this drug increases the metabolism and the healing process of muscles because the extra red cells carry more oxygen and nutrients.

(to top) What are the adverse effects associated with using EPO?
EPO causes an increase in the total number of circulating red bloods cells. This can lead to increased thickening (blood viscosity) of the blood. Added to the dehydration that frequently occurs in endurance sports, excess thickening of the blood takes place.

The risk for coronary and cerebral artery blockages increases when the hematocrit (percentage of red blood cells in the blood) level exceeds 55%.

DIURETICS

The NCAA bans use of diuretics.

(to top) What are the therapeutic uses of diuretics?
Diuretics are drugs that increase urination. These drugs are used medically used to control hypertension, or high blood pressure, reduce edema and to treat congestive heart failure.

(to top) Why would some student athletes want to use diuretics?
Diuretics have been used by athletes to achieve rapid weight loss, to reduce the concentration of drugs in the urine through rapid diuresis, and to reduce the likelihood of detection of banned drugs in a urine test. Athletes involved in weight-category sports have used a combination of heat exposure, exercise, food and water restriction, self-induced vomiting, laxatives and diuretics to lose weight. Diuretics have also been used by female athletes in conjugation with strict dieting which could lead to anorexia. Diuretics have also been used to manage premenstrual fluid retention.

(to top) What are some potential adverse effects associated with using diuretics?
Some individuals may experience dehydration, muscle cramps, dizziness, high potassium levels, high calcium levels, low blood sugar levels, headache, nausea, vomiting, drowsiness.

CENTRAL NERVOUS SYSTEM STIMULANTS

The NCAA bans central nervous system stimulants.

(to top) What are central nervous system (CNS) stimulants?
CNS stimulants increase brain activity. Many CNS stimulants have direct effects on cardiovascular functions and on the sympathetic nervous system.

(to top) How do CNS stimulants work in the body?
Stimulants pass easily into the brain tissue. Once the stimulant is in the brain it can increase the release of neurotransmitters onto receptor sites, directly stimulate the postsynaptic receptors, or inhibit neurotransmitter re-uptake. Amphetamines as CNS stimulants cause an increase in norepinephrine (NA).

Two major examples of CNS stimulants are: