In the pursuit of more muscle, enhanced strength, sustained endurance and idealised physiques, an increasing number of elite athletes, recreational sport enthusiasts and body-conscious gym-users are turning to performance and image enhancing drugs and substances (PIEDS). In many instances, such use occurs with little regard for the health, social and economic consequences. This book presents a nuanced, evidence-based examination of PIEDS. It provides a classification of PIEDS types, physical impacts, rates of use, user profiles, legal and sporting status, and remedial program interventions, covering both elite and recreational use. It offers the perfect guide to assist students, government policy makers and sport managers in understanding the complex issues surrounding PIEDS consumption.

Doping, Performance-Enhancing Drugs, and Hormones in Sport: Mechanisms of Action and Methods of Detection examines the biochemistry and bioanalytical aspects of performance-enhancing drugs (PEDs) and other questionable procedures used by athletes to enhance performance. The book informs the specialist of emerging knowledge and techniques and allows the non-specialist to grasp the underlying science and current practice of the discipline. With clear and compelling language appropriate for a broad spectrum of readers, this book provides background on prevalence, types of agents, their actual or supposed benefits, and their negative effects on health. The technical aspects of detection are discussed, followed by a discussion of why detection is a problematic and still-evolving science. To facilitate comprehension, each chapter is organized in a uniform way with six sections: (1) standard medical uses, (2) why the drugs are used by athletes, (3) biological mechanism of action, (4) what research says about efficacy in improving performance, (5) major health side effects from use and abuse in sport, and 6) concluding key points. - Presents the scientific concepts of how performance enhancers work, how they are used, and how they are detected and masked from detection - Features language that is neither simplistic to scientists nor too sophisticated for a large, diverse global audience - Provides a short "close-up in each chapter to illustrate key topics that engage, entertain, and create a novel synthesis of thought

Despite increasing interest in the use of human enhancement drugs (HEDs), our understanding of this phenomenon and the regulatory framework used to address it has lagged behind. Encompassing public health, epidemiology, neuroethics, sport science, criminology, and sociology, this book brings together a broad spectrum of scholarly insights and research expertise from leading authorities to examine key international issues in the field of HEDs. As "traditional" and other "new" drug markets have occupied much of the academic attention, there has been a lack of scholarly focus on human enhancement drugs. This book provides readers with a much-needed understanding of the illicit drug market of HEDs. The authors, from a variety of cultural contexts, disciplines and perspectives, include both academics and practitioners. Topics explored in this collection amongst others include: • The anti-doping industry and performance and image enhancing drugs • Steroids and gender • The use of cognitive enhancing drugs in academia • The use of sunless synthetic tanning products • The (online) trade of HEDs • Regulations of the enhancement drugs market This collection will serve as a reference for students, academics, practitioners, law enforcement and others working in this area to reflect on the current state of research and consider future priorities. This detailed exploration will provide a valuable knowledge base for those interested in human enhancement drugs, while also promoting critical discussion.

"Sports Pharmacy, Performance Enhancing Drugs, and the Athlete provides a comprehensive compilation of information in a single location on performance enhancing substances by United States collegiate, amateur and professional athletes. The pharmacology of all classes of performance enhancing drugs is discussed as well as any data that supports their use, covering a wide range of laws, policies, regulations concerning the use of substances by athletes. Questions are included throughout the text as well as case studies to demonstrate the complexity of the issues associated with the general topic of performance enhancing drugs. Comprehensive overview of drug polices for all amateur and professional sports organizations in the US. A single source handbook for clinicians and athletes as a comprehensive overview of performance enhancing drugs. Provides a comprehensive overview of therapeutic use exemptions in athletics. Overview of dietary supplement use in athletics, including risk vs. benefit, discussion of evidence, or lack of, for performance enhancing effects. Opportunities for pharmacists to specialize in "sports pharmacy" practice and their potential value as a member of a sports medicine team"--

Athletes are always aiming to be faster, better, stronger. New techniques to enhance their sporting performance have increasingly been linked to use of novel psychoactive substances (NPS) and other hard-to-detect substances like performance-enhancing drugs. This book offers a timely analysis of the new challenges posed by this phenomenon in the anti-doping community. The authors present the first comprehensive perspective on the rapidly shifting doping scenario and reflect on use, regulation, policy, and market structure of NPS used in sports. They highlight the challenges with the list of prohibited substances and methods in and out of competition. They also evaluate how methods to detect new drugs present an ongoing battle for doping control as they have to be adapted constantly. Topics covered within the chapters include: Contamination of Sports Supplements with Novel Psychoactive Substances Untested Supplement Use Among Athletes: An Overlooked Phenomenon? International Drug Control: Protecting the Health of the Athlete Analysis of New Chemical Entities in a Sport Context Emerging Drugs in Sport establishes a clear benchmark on the policy discussion, drawing from available evidence and sources, including athletes' personal experiences, to generate a fact-based resource that informs a research as well as wider audience. The book is essential reading for those working in anti-doping, substance misuse, sports, ethics, and human enhancement. It also is useful for policy-makers, legislative personnel, and other professionals with an interest in protecting clean sport. "Doping is one of the greatest threats to the integrity of sport. We must never be tempted to turn our back on the problem and hope it will disappear. The benefits and values of clean sport have never been more important to the world. That is why this book with its wide-ranging approach is so valuable." Thomas Bach, President, International Olympic Committee "Physical activity is vital to a healthy living, which is why doping is not just an assault on fair competition, but also on health. I strongly commend this book for compiling advanced knowledge on performance-enhancing drugs and promoting health through sport." Tedros Adhanom Ghebreyesus, Director-General, World Health Organization.

This book is about gym culture, the pursuit of fit, muscular bodies and the use of drugs as a means to get there. Building on the international research literature and in-depth interviews with men who have experience of image and performance enhancing drugs (IPEDs), the book explores the fascination with muscles, motivations for using drugs to enhance them, assessments of risks, and experience of side effects. The book examines what the altered body does to the men’s identity, self-image and relationships with peers and partners. Taking an evolutionary psychological approach, it also investigates the biological and psychological foundations of the fascination with the muscular body and discusses the notion of precarious manhood. Building on these analyses the book considers the political and regulatory initiatives in place to prevent the use of IPEDs and assesses those strategies’ potential to reach their aims. This is essential reading for anybody with an interest in the issue of drugs in sport, the ethics of sport, sociology of sport, sociology of the body, masculinity or public health.

This BMA report discusses the current situation regarding performance enhancing drugs as well as the effects of prescribed medication on sports people's performance. Written with expert advice, and rigorously reviewed by specialists, the report addresses the physician's role and responsibilities in this highly sensitive area. It will prove an invaluable guide for all doctors who are involved with the well being of sports people.