To prevent anabolic drug abuse, the role of the nurse and pharmacist is critical. Athletes need education about the potential harm from these drugs and that there are very sophisticated methods of detecting them in the blood and urine. Plus, athletes need to know that many anabolic steroids bought online are counterfeit and contain additives that may be toxic. The other problem is addiction to these agents and referral to a mental health counselor. Additionally, the user must understand that the psychoactive effects of anabolic steroids can be deadly, resulting in anger, suicidal thoughts, rage, and extreme violence.
Control of Anabolic Steroids
Steroids have become popular because they may improve endurance, strength, and muscle mass. However, research has not shown that steroids improve skill, agility, or athletic performance. Anabolic steroids, also called anabolic-androgenic steroids , can build muscle and improve athletic performance, but they can also have significant adverse effects, especially when used incorrectly. Anabolic steroids also upregulate and increase the number of androgen receptors, thus enabling increased training intensity and indirectly contributing to increased muscle size and strength. They also have a stimulatory effect on the brain through their diverse effects on various central nervous system neurotransmitters, antagonism of glucocorticoids, and stimulation of the growth hormone-insulin-like growth factor-1 axis.
For women, side effects can include enlargement of the clitoris, changes in the body contour, growth of facial hair, disruption of the menstrual cycle, deepened voice. Although most anabolic steroids can be detected with urine testing kits available commercially, testing for naturally occurring and novel compounds may be difficult. Urine screening for drug use in adolescents without the adolescent’s prior informed consent is not recommended 12. There is evidence that more than 50% of users develop psychologic dependence to these substances. Data show that anabolic steroid use in women is accompanied by extreme dissatisfaction with body image and a body dysmorphic syndrome similar to anorexia. Such women engage in rigid eating and exercise schedules that can impair social and occupational functioning 11.
But it’s usually found in smaller amounts, where it’s used to keep bones strong and sexual function healthy. From the steroid scandals that plagued major league baseball to the jokes that surround steroid side effects among weightlifters and bodybuilders, using steroids doesn’t enjoy a good reputation. Sharing needles to inject steroids increases the chance of contracting or transmitting blood-borne infectious diseases, such as hepatitis or HIV. “Designer” steroids are sometimes produced to enable athletes to pass doping tests. Their composition and use are entirely unregulated, adding to the hazards they pose.
Some athletes, bodybuilders and others misuse these drugs in an attempt to enhance performance and/or improve their physical appearance. Anabolic steroids are the most common appearance- and performance-enhancing drugs . Approximately 3 to 4 million people in the United States use anabolic steroids for nonmedical purposes. Athletes frequently use multiple kinds of anabolic steroids simultaneously . Starting from dragon pharma and increasing the dose gradually, and tapering the dose of the same anabolic steroid to zero is referred to as pyramiding.
Teens who abuse steroids before the typical adolescent growth spurt risk staying short and never reaching their full adult height. When hormone levels reach a certain point, the body thinks it’s already gone through puberty. Steroid users may be very pleased when they flex in the mirror, but they may create problems on the inside. An increase in androgenic hormones may also lead to aggressive behavior. Research also indicates that people who use steroids often suffer from paranoid jealousy, extreme irritability, delusions, and impaired judgment stemming from feelings of invincibility. Side effects specific to men can include testicular atrophy , reduced sperm count, infertility, baldness, and the development of breasts.
Medical use of testicle extract began in the late 19th century while its effects on strength were still being studied. The isolation of gonadal steroids can be traced back to 1931, when Adolf Butenandt, a chemist in Marburg, purified 15 milligrams of the male hormone androstenone from tens of thousands of litres of urine. This steroid was subsequently synthesized in 1934 by Leopold Ružička, a chemist in Zurich. Depending on the length of drug use, there is a chance that the immune system can be damaged.