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Sport in Society
Cultures, Commerce, Media, Politics
Volume 16, 2013 - Issue 6
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Original Articles

Enhancement drug use in society and in sport: the science and sociology of stimulant use and the importance of perception

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Pages 789-804 | Published online: 17 Jan 2013
 

Abstract

The use of enhancement drugs attracts considerable academic, media and public attention. Such enhancement practices range from the illicit use of medications to the legal use of caffeine. This paper reviews the risks, benefits and regulatory status of those drugs associated with both sporting and cognitive enhancement. The purpose of this paper is to forefront what we know about such drugs – and especially stimulants – prior to entering into discussion over their ethical implications. While the evidence suggests stimulants can improve sporting performance, the evidence to confirm cognitive gains is much weaker. We consequently recommend that academics, the media and regulators should avoid making exaggerated claims about such drugs, and avoid implying that their use is more common than evidence currently suggests.

Notes

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 4Citationvan Hilvoorde, Vos, and de Wert, ‘Flopping, Klapping and Gene Doping’; CitationYesalis and Bahrke, ‘History of Doping’.

 5CitationWADA, The World Anti-Doping Code.

 6CitationSavulescu, Foddy, and Clayton, ‘Why We Should Allow Performance Enhancing Drugs’; CitationPipe and Ayotte, ‘Nutritional Supplements and Doping’; CitationMason and Lavallee, ‘Emerging Supplements in Sports’.

 7CitationFarah et al., ‘When We Enhance Cognition’.

 8CitationDeventer et al., ‘Prevalence of Legal and Illegal Stimulating Agents’; CitationJones and Pichot, ‘Stimulant Use in Sports’; CitationMottram, Drugs in Sport.

 9CitationMottram, Drugs in Sport; CitationHemmersbach and de la Torre, ‘Stimulants, Narcotics and β-Blockers’; CitationRepantis et al., ‘Modafinil and Methylphenidate’; CitationSmith and Farah, ‘Are Prescription Stimulants “Smart Pills”?’; CitationSwanson, Wigal, and Volkow. ‘Contrast of Medical and Nonmedical Use’; CitationVolkow et al., ‘Therapeutic Doses of Oral Methylphenidate’.

10CitationCakic, ‘Smart Drugs’; CitationFarah et al., ‘Neurocognitive Enhancement’; CitationGreely et al., ‘Towards Responsible Use’; CitationSahakian and Morein-Zamir, ‘Professor's Little Helper’.

11CitationBoyd et al., ‘Prescription Drug Abuse’; CitationFischer, Bibby, and Bouchard, ‘The Global Diversion’.

12CitationElliott et al., ‘Effects of Methylphenidate’.

13CitationSchermer et al., ‘The Future of Psychopharmacological Enhancements’.

14CitationFarah et al., ‘Neurocognitive Enhancement’.

15CitationRepantis et al., ‘Modafinil and Methylphenidate’.

16CitationDeventer et al., ‘Prevalence of Legal and Illegal Stimulating Agents’.

17CitationSwart et al., ‘Exercising with Reserve’.

18CitationRoelands et al., ‘The Effects of Acute Dopamine’.

19CitationRepantis et al., ‘Modafinil and Methylphenidate’.

20CitationKaufman, ‘Modafinil in Sports’.

21CitationRepantis et al., ‘Modafinil and Methylphenidate’.

22CitationWesensten et al., ‘Maintaining Alertness’.

23CitationKaufman, ‘Modafinil in Sports’; CitationWilliams et al., ‘Waking Up to Sleepiness’.

24CitationJacobs and Bell, ‘Effects of Acute Modafinil Ingestion’.

25CitationRepantis et al., ‘Modafinil and Methylphenidate’.

26CitationGreely et al., ‘Towards Responsible Use’; CitationFarah et al., ‘When We Enhance Cognition’.

27CitationFarah et al., ‘When We Enhance Cognition’.

28CitationWhite, ‘Cognitive Enhancement’.

29CitationWhite, ‘Cognitive Enhancement’.

30CitationJones and Pichot, ‘Stimulant Use in Sports’.

31CitationRoelands and Meeusen, ‘Alterations in Central Fatigue’.

32CitationAvois et al., ‘Central Nervous System’.

33CitationDeventer et al., ‘Prevalence of Legal and Illegal Stimulating Agents’; CitationJones and Pichot, ‘Stimulant Use in Sports’; CitationMottram, Drugs in Sport.

34CitationWADA, The World Anti-Doping Code.

35CitationAvois et al., ‘Central Nervous System’.

36CitationMagkos and Kavouras, ‘Caffeine and Ephedrine’.

37CitationMoolenaar et al., ‘The Effects of Ephedrine’.

38CitationAvois et al., ‘Central Nervous System’; CitationEichner, ‘Stimulants in Sports’.

39CitationBell, McLellan, and Sabiston, ‘Effect of Ingesting Caffeine’.

40CitationBell, Jacobs, and Zamecnik, ‘Effects of Caffeine’.

41CitationHodges et al., ‘Pseudoephedrine Enhances Performance’.

42CitationBohn, Khodaee, and Schwenk, ‘Ephedrine and Other Stimulants’.

43CitationMagkos and Kavouras, ‘Caffeine and Ephedrine’; CitationBohn, Khodaee, and Schwenk, ‘Ephedrine and Other Stimulants’.

44CitationMagkos and Kavouras, ‘Caffeine Use in Sports’; CitationSinclair and Geiger, ‘Caffeine Use in Sports’; CitationBurke, ‘Caffeine and Sports Performance’.

45CitationWesensten et al., ‘Maintaining Alertness’.

46CitationRichardson et al., ‘Mood and Performance Effects of Caffeine’.

47CitationDoherty and Smith, ‘Effects of Caffeine Ingestion’.

48CitationBurke, ‘Caffeine and Sports Performance’.

49CitationWADA, The World Anti-Doping Code.

50CitationRoelands and Meeusen, ‘Caffeine, Dopamine and Thermoregulation’; CitationNoakes, ‘Time to Move’.

51CitationHall and Lucke, ‘The Enhancement Use’.

52CitationMottram, Drugs in Sport; CitationEichner, ‘Stimulants in Sports’; CitationHall, ‘Feeling “Better than Well”’.

53CitationWADA, The World Anti-Doping Code; CitationMaher, ‘Poll Results’.

54CitationJohnston et al., Monitoring the Future National Survey Results; Citationde Hass, NCAA Study of Substance Use.

55CitationMottram, Drugs in Sport.

56CitationOutram, ‘The Future of Enhancement’; CitationDownie, Outram, and Campbell, ‘Caveat Emptor, Venditor, Et Praescribor’.

57CitationBarrett et al., ‘Characteristics of Methylphenidate Misuse’; CitationMcCabe, Boyd, and Teter, ‘Subtypes of Nonmedical Prescription Drug’; CitationWhite, Becker-Blease, and Grace-Bishop, ‘Stimulant Medication Use’.

58CitationForlini and Racine, ‘Autonomy and Coercion’.

59CitationHemphill, ‘Performance Enhancement and Drug Control’.

60CitationPetróczi et al., ‘Comfort in Big Numbers’; CitationPetróczi and Aidman, ‘Psychological Drivers in Doping’.

61CitationMcDuff and Baron, ‘Substance Use in Athletics’.

62CitationBerning, Adams, and Stamford, ‘Anabolic Steroid Usage’.

63CitationOutram, ‘The Future of Enhancement’; CitationPartridge et al., ‘Smart Drugs’.

64CitationPetróczi and Aidman, ‘Psychological Drivers in Doping’.

65CitationMottram, Drugs in Sport.

66CitationKönig, ‘Criticism of Doping’; CitationParens, ‘Authenticity and Ambivalence’.

67CitationSavulescu, ‘Justice, Fairness, and Enhancement’.

68CitationFlower et al., ‘Efficacy, Safety, and Ethics’.

69CitationWilliams, Martin, and Gabe, ‘The Pharmaceuticalisation of Society’.

70CitationWilliams, Martin, and Gabe, ‘The Pharmaceuticalisation of Society’.

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