Hawkpeter wrote: ↑Mon Feb 06, 2023 12:22 am
I note today's article about Karlos Nasar and it reminded me about a rarely spoken about issue in training and doping regimes. The use of stimulants and narcotics in training.
In power sports, do countries whether access is not illegal have an unfair advantage? I speculate that a training block where stimulants are used on a selection of training days would achieve better competition results. Especially if legal stimulants like caffeine were swapped out to build sensitivity then re-included for competition.
All comments below are my own thoughts and do not represent any association I am a part of, obviously.
The short answer would be no, but I think there are a number of interesting facets and conversations to be had about this scenario.
I have some personal experience, having been prescribed a variety of drugs (including amphetamines) for my alphabet soup folder at the psychiatrist. I should also note that I've only ever seen amphetamine use at medical doses (e.g. up to 70mg ED) and little knowledge of its use as a narcotic.
I can't speak to the sensitivity of stimulant doping tests and how they've evolved over time as it's not something I've researched. I believe that stimulant usage (as PED) has actually decreased over the last few years, but have no hard evidence to prove it. There are a lot of stimulants that used to be legal, then were made illegal. Awareness about legality of stimulants also seems to have improved.
I do think we'll see more sanctions or punishments for stimulant usage, not because of increased use but because we live in different times now compared to the 70s, 80s, 90s, 00s etc. A decade or two ago, I think Nasar would've just been told off by the cops.
Another aspect is that many weightlifters appear neurodivergent in some way, regardless of whether or not they are professionally diagnosed.
There are serious epistemological issues with current psychiatric diagnoses but I'll put that aside for a second and say that the character traits associated with what we call ADHD (attention deficit hyperactivity disorder), ASD (autism spectrum disorder), and various other forms of neurodivergence are incredibly common amongst weightlifters.
Basically every weightlifter is weird in some way, and more weird than a "normal person's" weirdness, so to speak.
People with diagnosed ADHD are often prescribed stimulants (especially amphetamines), and people with undiagnosed ADHD often unknowingly self-medicate by using stimulants like caffeine, nicotine (often cigarettes), amphetamines or other drugs. Typically dopaminergic ones.
As for effects on training adaptation, I think that is a very complex conversation.
Acute use of amphetamines is slightly different to chronic use and most stimulants have a tolerance-building effect (especially caffeine, a bit with amphetamines/nicotine).
As with pretty much all neurological/psychiatric drugs, stimulant effects can be very individual and opposite.
For example, some people, more commonly people with ADHD, become calm, relaxed and (rarely) sleepy after taking amphetamines.
It enables higher intensities to be hit acutely, which may ultimately improve performance. But it may also cause poorer recovery due to overtraining, increased SNS activation outside of training, anxiety/stress, or poor sleep. If it has positive effects on lifters' mental health/anxiety/stress, it may improve recovery.
If someone is habituated to training with stimulants, then the sessions that they have without it will likely feel worse, for both psychological and physiological reasons. This is why I'm not keen on people snorting a line of pre-workout, drinking a Monster energy, playing hardstyle and screaming every day in the gym. Chill the fuck out.
Firstly, that's not going to happen at the competition. Secondly, that can blunt your awareness and relationship with your body and understanding when to push or pull back based on fatigue etc.
Most people also find an appetite blunting effect with dopamine agonists, whether it's caffeine, amphetamines, nicotine or other drugs. This can help psychologically with dieting for a new weight class. However, the double-edged sword is the aforementioned awareness/body relationship with fatigue. Anecdotally, when things seem to be going a bit too well with training and dieting, the athlete will shortly get hurt. For athletes attempting to gain weight, but not adhering to a strict diet, amphetamines can hinder appetite and result in lack of weight gain, which is obviously bad for performance.
There is a lot that I haven't touched on, but as you can see, it's complex and complicated.
Every neuro drug can have effect A, or effect B, or effect anti-A.