Question:
One of my uni lecturers just told me that she’d heard on the radio that several triathletes had been busted for asthma medication, or something like that? Does anyone know anything about this, or is it just Les McDonald and the ITU trying to keep Australia out of the medals at Sydney (ref ITU Sydney 1998)? I’d like to hope it’s the latter. In hope of information Al
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: several triathletes had been busted for asthma medication, or something like : that? Does anyone know anything about this, or is it just Les McDonald and As reported in the Australian newspaper today (Thursday 20 Aug). "Three caught in drug ‘trap’" Loretta Harrop, Nicole Andronicus and Nicole Hackett are the three involved. They are registered asthmatics whose medications are approved for use by inhaler. On their drug testing forms they used the Australian brand names rather than the generic names and the French authorities misunderstood (so Triathlon Australia president Bill Walker says). Walker also said that people are concerned internationally about the number of Australian triathletes who are asthmatic. Apparently the drugs used commonly in asthma inhalers can have an anabolic effect if taken orally or by injection. What about all the Australian swimmers who are asthmatic? Don’t tell me there is concern over them as well? I see plenty of asthma inhalers at the pool in the morning. I knew there was a reason why I can’t keep up with Kieren in the mornings. Kevin Austin, Department of Mechanical Engineering The University of Queensland Brisbane, Australia.
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As reported in the Australian newspaper today (Thursday 20 Aug). "Three caught in drug ‘trap’" Loretta Harrop, Nicole Andronicus and Nicole Hackett are the three involved. They are registered asthmatics whose medications are approved for use by inhaler. On their drug testing forms they used the Australian brand names rather than the generic names and the French authorities misunderstood (so Triathlon Australia president Bill Walker says).
france is a bad place for asthmatics to race, as i recall. i believe it was rolf eggert a couple of years ago that raced in france and had a doctor’s letter (which is required), but the french still disqualified him if i remember correctly, because his letter was from a german doctor, not a french one. salbutamol, also called albuterol, the generic names for ventolin (glaxo) and proventil (schering) are allowed if used in inhaled form, so long as a doctor’s letter is included. they are disallowed in pill form. there are some other so-called "rescue medications", these are usually in the class of beta-2-agonists, and the list of approved versions of these is quite short. There are now longer lasting beta-2-agonists, with generic names formoterol and salmeterol (serevent– glaxo), i don’t know if they’ve made it on the approved list (as i recall this is a class where the category is banned, except for certain named drugs that are approved). Walker also said that people are concerned internationally about the number of Australian triathletes who are asthmatic. Apparently the drugs used commonly in asthma inhalers can have an anabolic effect if taken orally or by injection.
this is an urban myth, by the way, in which the IOC still believes. there was a small canadian study years ago that indicated this, but subsequent tests have apparently failed to reproduce anything. i am quite certain that no athletes take inhaled beta-2-agonists for their so-called anabolic effects. asthma inhalers have been around triathlon and cycling for as long as i’ve been in the sport, and they are strictly a way for athletes to get more air. that you can get more air via an inhaler is the other urban myth (if you’re not having an asthma attack). in order for an inhaler to be effective, you have to be in some sort of bronchial spasm. if you aren’t, the inhaler won’t do anything for you. i’ve experimented with my wife’s inhalers, they don’t help me a whit if i’m not having any bronchial problems. but i occasionally get irritation in my bronchial passages through contact with certain triggers or pollution. one time i took a beta-2-agonist in a pill form. WOW. i thought i could breath in the whole atmosphere. but it made me very jumpy. this is the reason, i think, that beta-2-agonists were originally put under scrutiny, not for any anabolic effect, but because they are stimulants. qrman
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- Hide quoted text — Show quoted text -this is an urban myth, by the way, in which the IOC still believes. there was a small canadian study years ago that indicated this, but subsequent tests have apparently failed to reproduce anything. i am quite certain that no athletes take inhaled beta-2-agonists for their so-called anabolic effects. asthma inhalers have been around triathlon and cycling for as long as i’ve been in the sport, and they are strictly a way for athletes to get more air. that you can get more air via an inhaler is the other urban myth (if you’re not having an asthma attack). in order for an inhaler to be effective, you have to be in some sort of bronchial spasm. if you aren’t, the inhaler won’t do anything for you. i’ve experimented with my wife’s inhalers, they don’t help me a whit if i’m not having any bronchial problems. but i occasionally get irritation in my bronchial passages through contact with certain triggers or pollution. one time i took a beta-2-agonist in a pill form. WOW. i thought i could breath in the whole atmosphere. but it made me very jumpy. this is the reason, i think, that beta-2-agonists were originally put under scrutiny, not for any anabolic effect, but because they are stimulants.
Dan’s pretty much right on. There are some stimulant effects and a lingering notion that oral or injected B2As are anabolic. However, until the IOC removes them from the list, ITU will continue to test for them. More to the point, this press release was inappropriate and damaging – and for no reason at all. Athletes testing positive for approved meds happens fairly routinely and is a non-issue. Yes, the metabolite shows as a positive in their urine, but as long as the athlete has an authorization on file with the NF, there is no doping violation. Period. I don’t know who or how this was "leaked" to the press, but it causes concerns where none are necessary. I even see it in the LA Times today, so it went out over the wires. As Chairman of the ITU Anti-Doping Commission, I’m appalled that the press are now looking for any and all reasons to write a story…even where none exists. Mark Sisson
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As Chairman of the ITU Anti-Doping Commission, I’m appalled that the press are now looking for any and all reasons to write a story…even where none exists. Mark Sisson
Mark, Considering this happened in France, we should not be surprised given the recent history, most noteably the Tour de France scandal. I suspect that the media in France is a bit hyper active on the the drug front these days. I am not in any way condoniong their actions. Unfortunately, this is the way the media behaves when they smell blood(Urine?) The main stream media in Canada has been acting the same way for ten years now – ever since the Ben Johnson fisaco at the 1988 Olympic Games. Any athlete and drugs story is on the front pages of the sports sections or even on the front page of the whole newspaper. Johnson himself, sadly, still pulls in the headlines, with is quest for reinstatment with the IAAF and Athletics Canada. Steve Fleck
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i’ve experimented with my wife’s inhalers, they don’t help me a whit if i’m not having any bronchial problems.
Actually, most of the beta-2-agonists also work prophylactically if taken pre-exercise. Not that this changes anything else you’ve said. Just a nit. -Ekr —
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Dan posted, i’ve experimented with my wife’s inhalers, they don’t help me a whit if i’m not having any bronchial problems. but i occasionally get irritation in my bronchial passages through contact with certain triggers or pollution. one time i took a beta-2-agonist in a pill form. WOW. i thought i could breath in the whole atmosphere. but it made me very jumpy. this is the reason, i think, that beta-2-agonists were originally put under scrutiny, not for any anabolic effect, but because they are stimulants.
I would strongly discourage anyone from experimenting with someone elses inhalers! ONLY use these (or any other medicine) under the care of a doctor. Beta agonist work because they simulate your bodies sympathetic nervous system. This means that the side effects of taking the drug include tachycardia, hypertension, tremor, nervousness, headache, dizziness, hyperactivity, insomnia, nausea, muscle cramps (last thing I’d want when doing a tri!) and here it comes the big bad ones, the possibility of paradoxical bronchospasm, and even anaphylaxis. Not to mention they can have bad interactions with some antidepressent meds out there. Just thought I’d throw that 2 cents worth out there since I’ve seen much crazier things than someone experimenting with MDIs because they read on the net that somebody felt like "I could breath in the whole atmosphere". No criticism meant to you Dan, I enjoy your posts and think your doing great things for our sport. I just felt like being a mother hen. Don Van Wie 4th year Med Student St. Louis, MO just tri-ing to practice what I preach.
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– Hide quoted text — Show quoted text – Dan posted, i’ve experimented with my wife’s inhalers, they don’t help me a whit if i’m not having any bronchial problems. but i occasionally get irritation in my bronchial passages through contact with certain triggers or pollution. one time i took a beta-2-agonist in a pill form. WOW. i thought i could breath in the whole atmosphere. but it made me very jumpy. this is the reason, i think, that beta-2-agonists were originally put under scrutiny, not for any anabolic effect, but because they are stimulants. I would strongly discourage anyone from experimenting with someone elses inhalers! ONLY use these (or any other medicine) under the care of a doctor. Beta agonist work because they simulate your bodies sympathetic nervous system. This means that the side effects of taking the drug include tachycardia, hypertension, tremor, nervousness, headache, dizziness, hyperactivity, insomnia, nausea, muscle cramps (last thing I’d want when doing a tri!) and here it comes the big bad ones, the possibility of paradoxical bronchospasm, and even anaphylaxis. Not to mention they can have bad interactions with some antidepressent meds out there.
I think you’re overreacting here. The inhaled beta-2-agonists are really quite safe in most cases. It hardly takes a doctor to read the PDR or the leaflet that comes with the drug and see if the contraindications apply to you. Moreover, most of the side effects you list are unpredictable. All the doctor is going to do is give you the drug and take you off if you complain of nasty side effects. Yes, if you have a cardiovascular problem or are taking tricyclics or MAOIs, you should be careful, but if you’re taking tricyclics or MAOIs you should be careful about whatever you put into your body. -Ekr —
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Just thought I’d throw that 2 cents worth out there since I’ve seen much crazier things than someone experimenting with MDIs because they read on the net that somebody felt like "I could breath in the whole atmosphere". No criticism meant to you Dan, I enjoy your posts and think your doing great things for our sport. I just felt like being a mother hen.
of course you’re right. at the same time, i find it interesting that most of the better pulmonologists and allergists who have a specialty in asthma will tell you that, of the two kinds of drugs, you’re quite a bit better off with a prescribed beta-2-agonist than an over the counter option. in the light of what you described as possible side effects, it kind of makes you wonder about the heavily ad driven OTC stuff than anyone can buy. qrman
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As Chairman of the ITU Anti-Doping Commission, I’m appalled that the press are now looking for any and all reasons to write a story…even where none
exists. you can’t even imagine the shit fight we’re having with a major network affiliate in a large city over incredibly misleading stories (on a subject other than drugs, but this news organization would froth for good drug story, i can tell you). it has been a striking experience. i just can’t trust anyone but jim lehrer anymore. but back to the subject, i have often wonders how one tells the difference, in a test, between oral and inhaled B2A’s? obviously there is a much higher amount running around in the blood taking it orally. is there a threshold amount? qrman
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Actually, Oz has one of, if not the, highest incidence of Asthma per capita, in the world. So I guess that it’s not unreasonable to assume that they will have one of the highest incidence of asthmatic athletes in the world. No-one has yet figured this out, but it’s certainly a painful fact for us Ozzies. I’m a mild asthmatic triathlete myself, and take the basic drugs for this condition — Ventolin and Becotide (brand names). Both are "declarable" drugs, but you end up filling out the form yourself — which can lead to mistakes. The benefits of Ventolin (salbutamol) are zero for non-asthmatics, but a long-term management drug such as Becotide (beclomethasone) tends to raise eyebrows, as it’s a (IOC legal) corti-steroid (spelling?). I wouldn’t recommend anyone experimenting with either. On "bad-air" days, when I’m struggling for air and resort to higher dosages of Ventolin, the side-effects can be pretty nasty. Headspins, tremors, cramps (during swim-sessions) heart palpitations… not good, not good… On the other side of the coin… it’s been speculated that being asthmatic (within reason) may actually provide a competitive edge to some athletes — particularly swimmers. The theory goes that these competitors become so used to dealing with oxygen defecit, and are able to push themselves to levels, during an event, that others would not consider sustainable (and in fact would likely cause panic). An interesting idea, and it’s certainly true that a large number of the world’s top swimmers are asthmatic. — MB. – Hide quoted text — Show quoted text – : several triathletes had been busted for asthma medication, or something like : that? Does anyone know anything about this, or is it just Les McDonald and As reported in the Australian newspaper today (Thursday 20 Aug). "Three caught in drug ‘trap’" Loretta Harrop, Nicole Andronicus and Nicole Hackett are the three involved. They are registered asthmatics whose medications are approved for use by inhaler. On their drug testing forms they used the Australian brand names rather than the generic names and the French authorities misunderstood (so Triathlon Australia president Bill Walker says). Walker also said that people are concerned internationally about the number of Australian triathletes who are asthmatic. Apparently the drugs used commonly in asthma inhalers can have an anabolic effect if taken orally or by injection. What about all the Australian swimmers who are asthmatic? Don’t tell me there is concern over them as well? I see plenty of asthma inhalers at the pool in the morning. I knew there was a reason why I can’t keep up with Kieren in the mornings. Kevin Austin, Department of Mechanical Engineering The University of Queensland Brisbane, Australia.
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