Abstract
Dietary supplement use is very popular among athletes, to enhance performance, speed recovery or ease pain. Many of these products contain numerous ingredients that are not prohibited substances in sport, such as amino acids, proteins, creatine and caffeine. However, unscrupulous manufacturers also use these nutritional supplements as cover-ups to sell prohibited substances, such as synthetic psychoactive drugs. These substances are commonly undeclared on the supplements label or identified with names of natural products, pretending to be harmless. The inclusion of novel psychoactive substances (NPS) in supplements is even more problematic because neither the parent compound nor the metabolites are detected in routine drug tests. This chapter describes the historic evolution of the use of dietary supplements containing psychoactive substances (PS) for sports doping and proposes means to curb their availability and consumption.
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References
Karunamoorthi K, Jegajeevanram K, Vijayalakshmi J, Mengistie E (2013) Traditional medicinal plants: a source of Phytotherapeutic modality in resource-constrained health care settings. J Evid Based Compl Altern Med 18:67–74
Fabricant D, Fansworth NR (2001) The value of plants used in traditional medicine for drug discovery. Environ Heath Perspect 109(Suppl 1):69–75
Falzon C, Balabanova A (2017) Phytotherapy: an introduction to herbal medicine. Prim Care 44:217–227
Bamola N, Verma P, Negi C (2018) A review on some traditional medicinal plants. Int J Life Sci Scienti Res 4:1550–1556
Sen T, Samanta SK (2015) Medicinal plants, human health and biodiversity: a broad review. Adv Biochem Eng Biotechnol 147:59–110
Taylor JLS, Rabe T, McGaw LJ, Jäger AK, van Staden J (2001) Towards the scientific validation of traditional medicinal plants. Plant Growth Reg 34:23–47
Shorter W, Kathryn Segesser K (2013) Traditional Chinese medicine and Western psychopharmacology: building bridges. Phytother Res 27:1739–1744
Campbel R, Young SP (2014) Central nervous system stimulants: basic pharmacology and relevance to anaesthesia and critical care. Anaesth Intensive Care Med 16:21–25
Patocka J (2015) Strychnine. In: Gupta RC (ed) Handbook of toxicology of chemical warfare agents, 2nd edn. Elsevier Inc, Amsterdam, pp 215–222
Henry TA (1949) The plant alkaloids, 4th edn. J & A Churchill
Taylor DA (2003) Central nervous system stimulants. In: IV Drugs affecting the central nervous system
Norn S, Kruse PR (2004) Cardiac glycosides: from ancient history through Withering’s foxglove to endogeneous cardiac glycosides. Dan Medicinhist Arbog:119–132
Stolberg VB (2011) The use of coca: prehistory, history, and ethnography. J Ethnicity Subs Abuse 10:126–146
Lyon PJ (2004) The more things change. Latin Am Anthropol Rev 6:29–32
Presley CC, Lindsley CW (2018) DARK classics in chemical neuroscience: opium, a historical. Perspective ACS Chem Neurosci 9:2503–2518
Cassels BK, Sáez-Briones P (2018) Dark classics in chemical neuroscience: mescaline. ACS Chem Neurosci 9:2448–2458
Blainey MG (2015) Forbidden therapies: Santo Daime, Ayahuasca, and the prohibition of entheogens in Western society. J Relig Health 54:287–302
Geiger HA, Wurst MG, Daniels RN (2018) DARK classics in chemical neuroscience: psilocybin. ACS Chem Neurosci 9:2438–2447
Wasko MJ, Witt-Enderby PA, Surratt CK (2018) DARK classics in chemical neuroscience: Ibogaine. ACS Chem Neurosci 9:2475–2483
Chowdhury AN (1995) Drug abuse and eco-stress adaptation. Addiction 90:19–20
Kamienski L (2016) Shooting up. A short history of drugs and war. Oxford University Press, pp 31–304
Rasmussen N (2011) Medical science and the military: the Allies’ use of amphetamine during world war II. J Interdiscip Hist 42:205–233
Defalque RJ, Wright AJ (2011) Methamphetamine for Hitler’s Germany: 1937 to 1945. Bull Anesth Hist 29:21–24
Zvejniece L, Svalbe B, Veinberg G, Grinberga S, Vorona M, Kalvinsh I, Dambrova M (2011) Investigation into stereoselective pharmacological activity of phenotropil. Basic Clin Pharmacol Toxicol 109:407–412
Pedersen W, Sandberg S, Copes H (2015) High speed: amphetamine use in the context of conventional culture. Deviant Behav 36:146–165
Lakhan SE, Kirchgessner A (2012) Prescription stimulants in individuals with and without attention deficit hyperactivity disorder: misuse, cognitive impact, and adverse effects. Brain Behav 2:661–677
Yesalis CE, Bahrke MS (2002) History of doping in sport. In: Bahrke MS, Yesalis CE (eds) Performance-enhancing substances in sport and exercise. Human Kinetics, Champaign, IL, pp 1–20
Abbott K (2012) The 1904 Olympic Marathon may have been the strangest ever. Smithsonian Magazine, August 7 2012 https://wwwsmithsonianmagcom/history/the-1904-olympic-marathon-may-have-been-the-strangest-ever-14910747 Accessed 13 Oct 2020
Baron DA, Reardon CL, Baron SH (2013) Doping in sport. In: Baron DA, Reardon CL, Baron SH (eds) Clinical sports psychiatry: an international perspective. Wiley, Oxford, UK, pp 18–32
Verroken M (2000) Drug use and abuse in sport. Bailliere’s Clin Endocrinol Met 14:1–23
Annex VIII (1968) Doping, report of the medical commission, minutes of the 66th session of the International Olympic Committee. New Town Hall, Grenoble, February 1–5
World Anti-Doping Agency. List of prohibited substances and methods (2004). https://www.wada-ama.org/sites/default/files/resources/files/WADA_Prohibited_List_2004_EN.pdf. Accessed 13 Oct 2020
World Anti-Doping Agency. List of prohibited substances and methods. (2020). https://www.wada-ama.org/sites/default/files/wada_2020_english_prohibited_list_0.pdf. Accessed 13 Oct 2020
World Anti-Doping Agency. Anti-Doping Testing Figures Report 2006–2018. https://www.wada-ama.org/en/resources/laboratories/anti-doping-testing-figures-report. Accessed 13 Oct 2020
Gurley BJ, Gardner SF, White LM, Wang PL (1998) Ephedrine pharmacokinetics after the ingestion of nutritional supplements containing Ephedra sinica (Ma Huang). Ther Drug Monit 20:439–445
Lee MR (2011) The history of ephedra (ma-huang) J Roy Coll Phys Edinburgh 41:78–84
Morton SC (2005) Ephedra. Stat Sci 20:242–248
Roman MC (2004) Determination of ephedrine alkaloids in botanicals and dietary supplements by HPLC-UV: collaborative study. J AOAC Int 87:1–14
Chang CW, Hsu SY, Huang GQ, Hsu MC (2018) Ephedra alkaloid contents of Chinese herbal formulae sold in Taiwan. Drug Test Anal 10:350–356
Miller SC (2004) Safety concerns regarding ephedrine-type alkaloid-containing dietary supplements. Military Med 169:87–93
Josefson D (1996) Herbal stimulant causes US deaths. Br Med J 312:1378–1379
Doyle H, Kargin M (1996) Herbal stimulant containing ephedrine has also caused psychosis. Br Med J 313:756
Ault A (1997) FDA proposes limits on ephedrine supplements. Lancet 349:1753
Nightingale SL (1996) Warning issued about the street drugs containing botanical sources of ephedrine. JAMA 275:1534
Haller C, Benowitz N (2000) Adverse cardiovascular and central nervous system events associated with dietary supplements containing ephedra alkaloids. N Engl J Med 343:1833–1838
Onakpoya IJ, Heneghan CJ, Aronson JK (2016) Post-marketing withdrawal of anti-obesity medicinal products because of adverse drug reactions: a systematic review. BMC Med 14:191–202
Lee MK, Cheng BWH, Che CT, Hsieh DPH (2000) Cytotoxicity assessment of Ma-huang (Ephedra) under different conditions of preparation. Toxicol Sci 56:424–430
Knight J (2004) Safety concerns prompt US ban on dietary supplement. Nature 427:90
Rocha T, Amaral JS, Oliveira MBPP (2016) Adulteration of dietary supplements by the illegal addition of synthetic drugs: a review. Comprehensive Rev Food Sci Food Safety 15:43–62
Wabe NT (2011) Chemistry, pharmacology, and toxicology of Khat (Catha Edulis Forsk): a review. Addict Health 3:137–149
Ros JJ, Pelders MG, De Smet PA (1999) A case of positive doping associated with a botanical food supplement. Pharm World Sci 21:44–46
(1950) New and nonofficial remedies: methylhexamine; Forthane. JAMA 143:1156
Lisi A, Hasick N, Kazlauskas R, Goebel C (2011) Studies of methylhexaneamine in supplements and geranium oil. Drug Test Anal 3:873–876
Elsohly MA, Gul W, Elsohly KM, Murphy TP, Weerasooriya A, Chittiboyina AG, Avula B, Khan I, Eichner A, Bowers LD (2012) Pelargonium oil and methyl hexaneamine (MHA): analytical approaches supporting the absence of MHA in authenticated Pelargonium graveolens plant material and oil. J Anal Toxicol 36:457–471
ElSohly MA, Gul W, Tolbert C, ElSohly KM, Murphy TP, Avula B, Chittiboyina AG, Wang M, Khan IA, Yang M, Guo D, Zhang WD, Su J (2015) Methylhexanamine is not detectable in Pelargonium or Geranium species and their essential oils: a multi-Centre investigation. Drug Test Anal 7:645–654
Austin KG, Travis J, Pace G, Lieberman HR (2014) Analysis of 1,3 dimethylamylamine concentrations in Geraniaceae, geranium oil and dietary supplements. Drug Test Anal 6:797–804
Pawar RS, Grundel E (2017) Overview of regulation of dietary supplements in the USA and issues of adulteration with phenethylamines (PEAs). Drug Test Anal 9:500–517
Venhuis B, Keizers P, van Riel A, de Kaste D (2014) A cocktail of synthetic stimulants found in a dietary supplement associated with serious adverse events. Drug Test Anal 6:578–581
Pawar RS, Sagi S, Leontyev D (2020) Analysis of bitter orange dietary supplements for natural and synthetic phenethylamines by LC-MS/MS. Drug Test Anal. https://doi.org/10.1002/dta.2871
Pohl K, Kriech W (1991) Therapy of orthostatic disorders of cardiovascular regulation. Placebo controlled double-blind study with oxilofrine. Fortschr Med 109:685–688
Yuen YP, Lai CK, Poon WT, Ng SW, Chan AY, Mak TW (2007) Adulteration of over-the-counter slimming products with pharmaceutical analogue-an emerging threat. Hong Kong Med J 13:216–220
De Carvalho LM, Cohen PA, Silva CV, Moreira APL, Falcao TM, Dal Molin TR, Zemolin G, Martini M (2012) A new approach to determining pharmacologic adulteration of herbal weight loss products. Food Addit Contam A 29:1661–1667
Park S, Lee JG, Roh SH, Kim G, Kwon CH, Park HR, Kwon KS, Kim D, Kwon SW (2012) Determination of PDE-5 inhibitors and appetite suppressants in adulterated dietary supplements using LC/PDA and LC/MS. Food Addit Contam B 5:29–32
UNODC Early warning advisory on new psychoactive substances. What are NPS? https://www.unodc.org/LSS/Page/NPS#:~:text=UNODC%20uses%20the%20term%20%E2%80%9Cnew,pose%20a%20public%20health%20threat%E2%80%9D. Accessed 13 Oct 2020
UNODC Early warning advisory on new psychoactive substances. pharmacology. https://www.unodc.org/LSS/Page/NPS/pharmacology Accessed 13 Oct 2020
World Anti-Doping Agency. World Anti-Doping Code 2015. https://www.wada-ama.org/sites/default/files/resources/files/wada_anti-doping_code_2019_english_final_revised_v1_linked.pdf Accessed 13 Oct 2020
World Anti-Doping Agency. World Anti-Doping Code 2021 https://www.wada-ama.org/sites/default/files/resources/files/2021_wada_code.pdf Accessed 13 Oct 2020
World Anti-Doping Agency. List of prohibited substances and methods. (2021). https://www.wada-ama.org/sites/default/files/resources/files/2021list_en.pdf Accessed 13 Oct 2020
Fantegrossia WE, Murnanea AC, Reissigb CJ (2008) The behavioral pharmacology of hallucinogens. Biochem Pharmacol 75:17–33
Zamberlan F, Sanz C, Martínez Vivot R, Pallavicini C, Erowid F, Erowid E, Tagliazucchi E (2018) The varieties of the psychedelic experience: a preliminary study of the association between the reported subjective effects and the binding affinity profiles of substituted phenethylamines and tryptamines. Front Integrative Neurosci 12:1–22
Calinski DM, Kisor DF, Sprague JE (2019) A review of the influence of functional group modifications to the core scaffold of synthetic cathinones on drug pharmacokinetics. Psychopharmacol (Berl) 236:881–890
Peters FT, Martinez-Ramirez JA (2010) Analytical toxicology of emerging drugs of abuse. Ther Drug Monit 32:532–539
King LA (2014) New phenethylamines in Europe. Drug Test Anal 6:808–818
El Sohly MA, Gul W (2014) LC–MS-MS analysis of dietary supplements for N-ethyl-a-ethyl-phenethylamine (ETH), N, N-diethylphenethylamine and phenethylamine. J Anal Toxicol 38:63–72
Kwiatkowska D, Wójtowicz M, Jarek A, Goebel C, Chajewska K, Turek-Lepa E, Pokrywka A, Kazlauskas R (2015) N,N-dimethyl-2-phenylpropan-1-amine – new designer agent found in athlete urine and nutritional supplement. Drug Test Anal 7:331–335
Wójtowicz M, Jarek A, Chajewska K, Turek-Lepa E, Kwiatkowska D (2015) Determination of designer doping agent--2-ethylamino-1-phenylbutane--in dietary supplements and excretion study following single oral supplement dose. J Pharm Biomed Anal 115:523–533
Wójtowicz M, Jarek A, Chajewska K, Kwiatkowska D (2016) N,N-dimethyl-2-phenylpropan-1-amine quantification in urine: application to excretion study following single oral dietary supplement dose. Anal Bioanal Chem 408:5041–5047
Uralets V, App M, Rana S, Morgan S, Ross W (2014) Designer phenethylamines routinely found in human urine: 2-ethylamino-1-phenylbutane and 2-amino-1-phenylbutane. J Anal Toxicol 38:106–109
Cohen PA, Travis JC, Venhuis BJ (2014) A methamphetamine analog (N,-diethyl-phenylethylamine) identified in a mainstream dietary supplement. Drug Test Anal 6:805–807
Baumann MH, Walters HM, Niello M, Sitte HH (2018) Neuropharmacology of synthetic cathinones. Handb Exp Pharmacol 252:113–142
Riley AL, Nelson KH, To P, López-Arnau R, Xu P, Wang D, Wang Y, Shen HW, Kuhn DM, Angoa-Perez M, Anneken JH, Muskiewicz D, Hall FS (2020) Abuse potential and toxicity of the synthetic cathinones (i.e., “Bath salts”). Neurosci Biobehav Rev 110:150–173
Majchrzak M, Celiński R, Kuś P, Kowalska T, Sajewicz M (2018) The newest cathinone derivatives as designer drugs: an analytical and toxicological review. Forensic Toxicol 36:33–50
Cohen PA, Travis JC, Venhuis BJ (2015) A synthetic stimulant never tested in humans, 1,3-dimethylbutylamine (DMBA), is identified in multiple dietary supplements. Drug Test Anal 7:83–87
Cohen PA, Travis JC, Keizers PJH, Deuster P, Venhuis BJ (2018) Four experimental stimulants found in sports and weight loss supplements: 2-amino-6-methylheptane (octodrine), 1,4-dimethylamylamine (1,4-DMAA), 1,3-dimethylamylamine (1,3-DMAA) and 1,3-dimethylbutylamine (1,3-DMBA). Clin Toxicol (Phila) 56:421–426
Riley PA (2012) DMAA as a dietary supplement ingredient. Arch Intern Med 172:1038–1039
Han C, Schmitt J, Gilliland KM (2020) DARK classics in chemical neuroscience: Kratom. ACS Chem Neurosci. doi: https://doi.org/10.1021/acschemneuro.9b00535
Mudge EM, Brown PN (2018) Determination of alkaloids in Mitragyna speciosa (Kratom) raw materials and dietary supplements by HPLC-UV: single-laboratory validation, first action 2017.14. J AOAC Int 101:964–965
Chien GCC, Odonkor C, Amorapanth P (2017) Is Kratom the new ‘legal high’ on the block?: the case of an emerging opioid receptor agonist with substance abuse potential. Pain Phys 20:E195–E198
Alipour A, Patel PB, Shabbir Z, Gabrielson S (2019) Review of the many faces of synthetic cannabinoid toxicities. Ment Health Clin 9:93–99
Walsh KB, Andersen HK (2020) Molecular pharmacology of synthetic cannabinoids: delineating CB1 receptor-mediated cell signaling. Int J Mol Sci. https://doi.org/10.3390/ijms21176115
Heo S, Yoo GJ, Choi JY, Park HJ, Do JA, Cho S, Baek SY, Park SK (2016) Simultaneous analysis of cannabinoid and synthetic cannabinoids in dietary supplements using UPLC with UV and UPLC–MS-MS. J Ana Toxicol 40:350–359
Choi H, Heo S, Choe S, Yang W, Park Y, Kim E, Chung H, Lee J (2013) Simultaneous analysis of synthetic cannabinoids in the materials seized during drug trafficking using GC-MS. Anal Bioanal Chem 405:3937–3944
Rianprakaisang T, Gerona R, Hendrickson RG (2020) Commercial cannabidiol oil contaminated with the synthetic cannabinoid AB-FUBINACA given to a pediatric patient. Clin Toxicol (Phila) 58:215–216
Parr MK, Pokrywka A, Kwiatkowska D, Schänzer W (2011) Ingestion of designer supplements produced positive doping cases unexpected by the athletes. Biol Sport 28:153–157
US Anti-Doping Agency. Case studies and arbitration decisions. https://www.usada.org/athletes/substances/supplement-411/realize-safety-issues-exist/case-studies-arbitration-decisions/ Accessed 14 Oct 2020
Walpurgis K, Thomas A, Geyer H, Mareck U, Thevis M (2020) Dietary supplement and food contaminations and their implications for doping controls. Foods. https://doi.org/10.3390/foods9081012
Martínez-Sanz JM, Sospedra I, Ortiz CM, Baladía E, Gil-Izquierdo A, Ortiz-Moncada R (2017) Intended or unintended doping? A review of the presence of doping substances in dietary supplements used in sports. Nutrients 9:1093. https://doi.org/10.3390/nu9101093
Geyer H, Parr MK, Koehler K, Mareck U, Schänzer W, Thevis M (2008) Nutritional supplements cross-contaminated and faked with doping substances. J Mass Spectrom 43:892–902
Kohler M, Thomas A, Geyer H, Petrou M, Schänzer W, Thevis M (2010) Confiscated black market products and nutritional supplements with non-approved ingredients analyzed in the Cologne doping control laboratory 2009. Drug Test Anal 2:533–537
Attipoe S, Cohen PA, Eichner A, Deuster PA (2016) Variability of stimulant levels in nine sports supplements over a 9-month period. Int J Sport Nutr Exerc Metab 26:413–420
Uchiyama N, Matsuda S, Kawamura M, Kikura-Hanajiri R, Goda Y (2014) Identification of two new-type designer drugs, piperazine derivative MT-45 (I-C6) and synthetic peptide Noopept (GVS-111), with synthetic cannabinoid A-834735, cathinone derivative 4-methoxy-α-PVP, and phenethylamine derivative 4-methylbuphedrine from illegal products. Forensic Toxicol 32:9–18
Australian Sports Anti-Doping Authority Supplements in sport. https://www.asada.gov.au/substances/supplements-sport Accessed 14 Oct 2020
UK Anti-Doping Managing supplements risks. https://www.ukad.org.uk/athletes/managing-supplement-risks Accessed 14 Oct 2020
de Hon O, Coumans B (2007) The continuing story of nutritional supplements and doping infractions. Br J Sports Med 41:800–805
Drug Enforcement Administration. National Forensic Laboratory Information System. https://www.nflis.deadiversion.usdoj.gov/ Accessed 14 Oct 2020
European Monitoring Centre for Drugs and Drug Addiction. https://www.emcdda.europa.eu/ Accessed 14 Oct 2020
Inter-American Drug Abuse Control Commission. http://www.cicad.oas.org/main/default_eng.asp Accessed 14 Oct 2020
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Mazzoni, I.E. (2022). Contamination of Sports Supplements with Novel Psychoactive Substances: An Old History with New Players. In: Rabin, O., Corazza, O. (eds) Emerging Drugs in Sport. Springer, Cham. https://doi.org/10.1007/978-3-030-79293-0_2
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