Week 6 - Medications in Sport Flashcards
Discuss corticosteroid use
Corticosteroids are a type of steroid hormone that are used to reduce inflammation and swelling. They are often injected directly into the affected area, such as a joint or muscle. Corticosteroids can be effective in treating conditions such as tendonitis, bursitis, and arthritis. However, they can have serious side effects, including weakened bones, increased risk of infection, and high blood sugar levels.
As of January 2022 all glucocorticoids are banned in competitive sport as per WADA including injection to joints. TUE if within 10 days of competition oink to joint space. Still allowed for eye drops/nasal sprays etc.
Discuss NSAID use
NSAIDs are commonly used to treat pain, swelling, and inflammation in athletes. They are available over the counter and come in various forms, including tablets, capsules, creams, and gels. They are typically taken orally, but topical forms are also available. NSAIDs work by blocking the production of prostaglandins, which are responsible for inflammation and pain. They can be used to treat conditions such as muscle strains, tendonitis, and arthritis. However, long-term use of NSAIDs can increase the risk of stomach ulcers, kidney damage, and cardiovascular disease. Athletes should use NSAIDs with caution, and only under the direction of a healthcare professional.
(Paloni et al 2009) advises paracetamol 1st line for inflammatory conditions eg tenosynovitis. Benefit in chronic inflammation or fracture not proven. Uncertainty recarding impact on muscle injury.
Wait following initial injury and then commence 72 hours following to allow initial heating process (UPDATE THIS SLIDE WHEN YOU FIND THIS INFORMATION)
Whats the McDuff et al paper from 2019
Little is known about substance abuse in elite sport, with no studies on prevalence
