When some athletes mention their experiences with the powerful painkiller.

It’s not hard to ascertain why athletes might get hooked into tramadol and other pain medications once they are constantly pushing their bodies to the bounds .That tramadol is being abused in sport. Our job is to make sure that athletes can compete clean and win, and like other narcotics on the WADA Prohibited List, it’s our belief that tramadol abuse threatens athletes’ health and their right to A level playing field.”

 showed that cyclists identified tramadol as a doping agent, meaning that riders clearly understand that tramadol are often wont to enhance performance. consistent with eyewitness reports, tramadol is even handed out freely with water bottles during cycling races to combat late-stage pain.

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On the topic of painkiller use in cycling, elite cyclist Taylor Phinney is quoted in Cycling Tips saying, “You need to ask why are you taking a painkiller? you’re doing that to mask effects that riding a motorcycle goes to possess on your body…essentially, you’re taking a painkiller to reinforce your performance. But the entire reason we get into sport within the first place is to check our bodies, to check our limits. If you’re taking something that’s getting to boost your performance, that’s not exactly being faithful yourself, not exactly being faithful to your sport.”

The 2015 Cycling Independent Reform Commission Report provides further evidence and echoes rider concerns that tramadol has been widely utilized in the peloton due to its non-banned status and potent PED qualities.

More Evidence Against Tramadol

In addition to performance-enhancing benefits, research suggests that tramadol can have serious side effects, including the potential for decreased alertness, seizures, and addiction. In terms of addiction, a Washington Post-Kaiser Family Foundation survey found that “one-third of usa citizens who have taken prescription opioids for a minimum of two months say they became hooked in to , or physically hooked in to , the powerful painkillers.”

Just deemed a Schedule IV drug in 2014, the U.S. Drug Enforcement Administration (DEA) cited that the addictive qualities of tramadol would lead it to be “diverted from legitimate sources, used without medical supervision, and consequently become a security concern to individuals and therefore the community.” The DEA additionally cites that symptoms of tramadol abuse are almost like other opiates and may include serotonin syndrome, seizures, and stopped breathing. Due to its toxic mechanisms, tramadol use does accompany risk of overdose, and therefore the effects range from significant neurologic toxicity, like coma, to cardiovascular toxicity like tachycardia. Tramadol also can have adverse interactions with other products. For instance , the DEA explains that tramadol’s interactions with alcohol are often fatal which deaths related to tramadol are well documented in medical texts.

If overdose does occur, it’s also important to notice that medications like Naloxone (Narcan), often utilized in emergency situations to reverse an opioid overdose, are less effective in treating a Tramadol overdose and reportedly reverses just 30 percent of tramadol’s effects.

Anecdotal accounts also indicate that tramadol use might be at play in pro peloton crashes. for instance , Phinney was quoted in CyclingTips saying, “You see numerous late-race stupid crashes that I almost wouldn’t be surprised if some or most of these crashes are caused by people taking these hard-hitting painkillers at the top of races.” now is substantiated by the very fact that the tramadol product insert within the U.S. [Ultram] can cause you to be sleepy, dizzy, or lightheaded.”

In further support of this theme may be a Johns Hopkins study referenced within the Wall Street Journal. From analyzing ER visits across Sub-Saharan Africa,

Based on tramadol’s serious health effects, the potential for abuse, the various other narcotics on the Prohibited List, and therefore the incontrovertible fact that there are safer non-opioid analgesic alternatives, USADA continues to urge WADA to feature tramadol to the Prohibited List. Prohibiting the utilization of tramadol in sport will both protect athletes and help ensure A level playing field.