What drugs are banned in the world

What is allowed, what is forbidden?

A large number of active ingredients with different mechanisms of action are available for the treatment of hypertension. Diuretics and beta blockers are relevant in the sense of the prohibited list.

Diuretics - with the exception of the purely herbal ones - are forbidden for athletes at all times because forced diuresis can be misused to disguise the intake of other prohibited substances. In addition, the diuretic effect is abused in sports, in which the opponents are divided into weight classes, in order to quickly reduce body weight shortly before a competition-related weigh-in.

The calming of the heartbeat mediated by beta blockers brings about an inner calm and steady hand, which can be used especially in those sports in which this leads to an increase in performance. The ban on beta blockers in competition extends to billiards, darts, golf, automobile sports and some disciplines of ski jumping, snowboarding and diving. In shooting sports (archery, rifle, pistol), these agents are prohibited both inside and outside of competitions.

Antihypotonic drugs

Sympathomimetics such as etilefrine and midodrine are used for hypotonic circulatory disorders. Because of their stimulating effect, they are forbidden in competitions.

Cold preparations

Particular caution is required with cold preparations that contain permitted analgesics such as acetylsalicylic acid and ibuprofen in combination with pseudoephedrine or the permitted analgesic paracetamol in combination with ephedrine. The pharmacy team should be vigilant when giving advice as these preparations are not subject to prescription requirements. If the person concerned usually feels fit and productive quickly after taking these drugs, this stimulating active component is forbidden in competitions.

Hormonal preparations

Hormones that build muscle and thus increase performance in strength and endurance sports are prohibited. This applies to anabolic-androgenic steroids and growth hormone (somatropin). Until the 1990s, various anabolic-androgenic steroid hormones, derived from the body's own testosterone, were still approved as medicinal products in Germany; however, they were withdrawn from the market due to their poor benefit-risk profile (4).

Today in this country only testosterone itself is used therapeutically, usually to replace the missing endogenous testosterone in male hypogonadism and to suppress the growth in height in tall boys. Nevertheless, many of the anabolic steroids that are no longer approved are illegally available on the black market and are used for doping purposes.

Somatropin, like testosterone, is an endogenous substance and is forbidden if it is taken from the outside. It is used in the therapy of short stature in children who do not have enough of their own somatropin. These preparations are also traded on the black market.

Homeopathic and phytopharmaceuticals