Indeed as well as correct use it is also abused. By some measures prescription drugs, including Tramadol, are abused in greater quantities in the US than illegal drugs from heroin to cocaine et cetera. Tramadol is abused around the world thanks to its addictive properties, for example it's been widely used.
WADA shall implement measures to ensure that strict anonymity of individual Athletes is maintained with respect to such reports. WADA shall make available to International Federations and National Anti-Doping Organizations, on at least an annual basis, aggregate statistical information by sport regarding the additional substances. The reported use or detected presence of a monitored substance shall not constitute an anti-doping rule violation.
But this was seen as too hardline by some other sports, no second chance or opportunity for reformation. Take for example the new maximum ban of 4 years for a first offence that forms part of the new version of the WADA Code operational Jan 2015. Also WADA took a deal of legal advice, and were warned of a high likeliood of lifetime bans for first offences failing to be upheld if challenged in the courts. The IAAF wanted/wants lifetime bans.
Just for reference: http://www.bbc.co.uk/newsbeat/
people are not going to abuse insulin are they!!!. Apply some common sense Robin…….
Sorry, not yours! But some of the responses are on the knee-jerk side.
It’s back in the news after several people have linked it crashes in the peloton.
prescription abuse is a lot worst than we think. Too true!. i think the use of this drug (and any other that is ‘legal’) in the peloton is a reflection of our current society.
A look at who got medals doesn’t really show the true story of the XC skiing at the olympics, I follow the sport quite heavily and there was just a lot of medals up for grabs as Norway had 2-3 of it’s stars off form and the waxing team made some big mistakes which got a lot of press for men and women.
Great article (again). What has happened to Velonation?.
Whereas some like Sky haven’t signed-up yet have a very public anti-doping stance.
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The russians were no better than they had been all season.
Worryingly WADA’s saying it’s being used in cycling. In short WADA is testing for Tramadol but as it’s not banned, no individual is ID’d and only aggregate stats are reported to UCI, for example the percentage of athletes found with the molecule. We got a letter back from WADA saying that they were going to continue to watch for it and that they were getting a lot of positive tests for it, particularly in cyclists “. Speaking to cyclingnews.com, Garmin-Sharp medic Prentice Steffen said “ The MPCC has gotten behind my request to ask WADA to fast track it from the Monitor List to the banned list. We’ve only got a quote in relation to a letter from WADA so the context of “a lot of positives” is unknown, even one in a hundred tests would be a lot compared to the general population.
Ironic use of the word ‘vein’……………
Interesting stuff inrng, although been in the public domain for some time.
Great article about a great subject.
I was prescribed T after a bike smash – just a few days of it and I felt like my head was encased in a sack of cotton wool – pleasant dreamy distance from reality – not what you need on a bike and absoluy not whilst racing.
An early crash in the Tour of Flanders, long before anyone reached for a “finish bottle”
Until such times as the UCI takes serious steps to remove some of the undesirable characters closely associated with teams at all levels, the problems will continue. The obvious conclusion one can draw is that the corrupt culture many assumed had disappeared, is still alive and well.
This is where pro sports like the Premiership Rugby/Football, abuse these drugs widely. If you dont have depth, you need strength. Be happy to see the end of these drugs being used, however, I can only feel the pressure will be heightened when the WTour teams reduce rider sizes under the newer UCI rules….teams will need riders to do less races, but be guaranteed to race in more overall – possibly – equals rehabilitation through therapeutic recovery.
It would make it difficult for those who welcome dopers back to justify their stances, and most importantly it would hopefully make those in amateur and junior level sport think more than twice. I know this is draconian, but sports people can be their own worst enemy! I think rules like this would make it unpleasant for those considering doping.
Laboratories will report the instances of reported use or detected presence of these substances to WADA periodically on an aggregate basis by sport and whether the samples were collected in-competition or out–of-competition. Such reports shall not contain additional information regarding specific samples.
I’ve was given this recovering from a motor accident but had to stop. If it is making riders crash they should stop using it too, they seem to have no gains. Too strong for the head and the addiction was obvious.
If anything along those lines were agreed I would suggest a two to three year period between agrement and enforcement. Agreed Sam, but the idea would be to get the WADA code changed. I put my ideas out for all sport, not just cycling.
The Inner Ring.
Many crashes in the peloton occur early in the race, long before anyone is consuming a drink of water, yet alone a “finish bottle”. Only at the end did Tramadol appear. Tramadol isn’t turning the peloton into opium-den zombies, it’s a matter of nuance matters where the painkiller could be a possible contributory factor in some incidents. In the original interview he lists a range of risk factors from weather – warm conditions mean more riders are present in the finish – to the street furniture polynesia. That’s a headline from Cycling Weekly but it’s not quite what Doctor Jan Mathieu said.
What is Tramadol Tramadol hydrochloride is the full name. It’s sold under a range of brand names, a veritable A-Z from Acugesic to Zytrim. To borrow from Wikipedia it’s “a centrally acting opioid analgesic used to treat moderate to moderay severe pain”.
Cyclingtips has a good read on it.
The key word is ‘prescription’ this means you are under a doctors ‘care’ for an illness or injury. And for athletes this mean no competition or systematic training. Inner; The main issues is as you stated in your article, if you are ill or injured enough to take any prescription drugs, then you should be off work. Once you are off the ‘prescription’ then you can come back to training and completion.
This testing is to paid for by the athlete. 3) Every rider on a team that hires a convicted doper on their return to the sport must be subjected to testing at every event regardless of finishing position, or DNF/DNS, on top of the standard testing to be paid for by the team. 2) An elite level athlete returning to sport (any sport) after the ban should be subjected two extra years of enhanced drug testing, namely once or twice a week when not competing and in every event, regardless of finishing position or DNF/DNS (on top of the standard testing). 4) Any non-elite level athlete, especially those under the age of 21 caught doping should banned for life from all competition in any sport. 1) Every elite level athlete who tests positive should be given a 2 year ban.
There are far more minor drugs one the list. Nearly all opiates are banned now. Time will l but it won’t be long I suspect. Very surprising as I can’t see how it’s NOT been banned.
Really interesting – and depressing – thanks. What about Xenon gas that seems to be have a miracle effect? Anyone know what the real story is?.
I got given that stuff after breaking my neck participating in one of life’s other extreme sports – serving in Afghanistan. Horrible stuff, lost a week of my life to it.
It seems a ban is only a matter of time. In recent years it’s been haematology first with the haematocrit count then EPO and DIY blood doping. Now a quick look at analgesia thanks to Tramadol, a powerful painkiller that’s being used and abused in the peloton. One of the unwelcome side effects of following pro cycling is a passing acquaintance with medicine.
I’m just amused at the list of teams which have signed-up to MPCC – Astana and Katyusha are ‘credible’ are they…hmm.
Tuesday, 8 April 2014.
It is a storm in a tea cup, but a fairly addictive one and unsporting at that.
These drugs certainly are abused in other sports, but then those sports almost come with the guarantee of physical contact and how often do we admire the athlete who shows up to play through an injury as bad as it could be for him? But then, this isn’t a drug to help him recover from an injury – something I more than support them taking – but rather to hide the pain of an injury that still exists.
And how do you define ‘significant health risk’? If it has to be more risky that riding into the Trouee d’Arenberg with 100 riders all doing 60 kmh you can take almost anything off the list. Interesting point of view. That would take a lot of stuff off the list. Masking agents. Blood doping for example, if you can do it in a proper way and not with smuggled bags in a ho bath room.
This is a drug to be avoided wherever possible and reserved only for real analgesic use but it’s showing up in anti-doping control samples. It seems like it’s only a matter time until it’s banned by WADA. What if the UCI ruled first?.
I don’t know any more but it won’t be worth much if it’s just old news. Journalist Shane Stokes mentioned something like the owner was thinking of selling.
Decent journalism…..missing the sensationalism yet getting the point across.
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Russian men went 1-2-3 sprint finish in longest XC Olympic distance race (50km) @Sochi.
Note : if so this could be pure placebo given ingested Tramadol typically needs one hour to start acting and even two or three before it reaches peak levels in the blood stream.
I wonder what the reasoning is behind allowing opiates of any type? As noted above, if you’re in so much pain that they are needed, you probably shouldn’t be racing anyway.
And the problem is agreement across all of the sports federations signed up to WADA, as well as what is deemed to be able to stand up in court if challenged legally.
I think some teams need credibility. It’s easy to sign up to the MPCC but the test comes in upholding the values. It does mean all teams, Astana and Katusha included, can be tested for cortisol and Tramadol which is to be applauded.
Knee-jerk reaction. Wow, such surprising rallying support for banning a substance that is commonly prescribed to treat chronic back pain, among other conditions that weren’t mentioned here.
As I see it new rules should be brought in that are draconian and can be summed up so:. Sad to say we will always be fighting drug war.
Safe dose? Even if it’s not banned it doesn’t mean it’s safe. Bear in mind that those willing to take pharmaceuticals will often exceed the dosage; to make the point look at widespread EPO use in the peloton which, when it was undetectable, saw wild consumption. If medical advice says take two pills then someone will take three and another will take four or even six.
I stopped after about 3 days. I concur. I was prescribed it for a slipped vertebral disc. I could barely make sense of TV, let alone drive or race a bike. There seemed to be a 3 or 4 second delay between my eyes and my brain.
Really?. Just read someone is having a ‘rich vein of form’.
Why isn’t it banned? Because not all drugs are banned. But if an athlete needs such a powerful drug then surely they’re in no healthy state to race?. An athlete might need powerful painkillers following a serious injury, for example broken bones after a bike crash. This invites the question of Therapeutic Use Exemptions, if an athlete is in serious pain following an injury then by all means do the paperwork, get the TUE letter, and use the painkiller.
And I suppose that is where the addiction risks come in. Though that exists with alcohol and cigarettes too and at some point with these sort of things you have to let the athlete police themselves – or at least their teams doctor.
— Taylor Phinney (@taylorphinney) October 13, 2012.
Does that mean a diabetic that has to take insulin couldn’t race? What about an asthmatic?
Thanks INRNG. Calm, rational and non-sensational writing on this subject…more than a few professional journalists could learn a thing or two about that.
Phinney tweet expressed what other were thinking and he expanded on it in an interview with (the now dead) website Velonation. Since then the subject has gained more coverage and there seem to be two uses:.
It works on the brain and nervous system to reduce pain and is a medium to strong pain killer, this is not what people take for a headache. As an opiate it can be addictive. Tramadol is abused around the world thanks to its addictive properties, for example it’s been widely used in Gaza where the opiate properties provide relief to bored kids and tired tunnellers alike while the British are considering banning its sale. Searching the web for information on the molecule for this piece revealed countless websites offering it for sale. By some measures prescription drugs, including Tramadol, are abused in greater quantities in the US than illegal drugs from heroin to cocaine et cetera. Instead it’s used for chronic and acute pain relief. Indeed as well as correct use it is also abused.
When I mentioned the subject on Twitter others said similar things, it’s very powerful and imagine someone mixing an extra “one for the road” into their bottle, it’s a worry.
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FWIW: As a cyclist you need to embrace pain, even at an amateur level. Pain is your friend not your enemy, if pain becomes so unbearable that you need to ingest painkillers to keep going you are causing damage to your body (possibly irreparable).
There’s little evidence outside of Russia that it works and besides, if it was effective the Russian XC ski team and others would have won more medals in Sotchi. In French, an article in Le Monde looks at Xenon and yes, a miracle effect where the people promoting the research seem linked to sales of xenon gas.
It was all quiet until one Tweet launched a thousand words:. Back to cycling and there are tales of it being used in recent years.
Conclusion It might be a contributory factor in some crashes but so are many things from fatigue to weather to street furniture. Maybe tram lines are more dangerous than Tramadol? Crash risks are hard to quantify so let’s put talk of accidents aside. What’s more certain is the first order side-effects of such a powerful drug, from nausea to addiction and that if you need a painkiller this strong then you probably shouldn’t be taking part in a bike race.
Some interesting points raised and I’m still not sure how I feel about it. I don’t like the idea of riders abusing it to help them through a race as opposed to taking it to help enter the race with (for example) a sore knee, but if they did ban it you would have TUE’s coming from all angles as I am sure — especially in the grand tours — many riders are requiring a little pain relief by the third week.
Does it effectively and inequivocally improve performance? If yes, does it, when used in its assumed optimal performance-enhancing dosage, cause significant health damage or present a significant health risk? Only with 2 “yes”, I’d think a ban would be appropriate. As with all substances that could be banned, the usual questions. Very interesting.
that last post is in response to Dave’s, 2 posts up.
Purest of the pure!. I love to see @StevoCummings win. He, like me, follows his own personal policy of no caffeine pills and no painkillers.
is it not too simple a solution to stop a rider racing whilst taking anything needing a TUE? Teams may not be ‘running’ doping programmes as they (allegedly) once were, but the pressure on riders to perform and get results, even when injured, is nearly as bad.
I agree with the comments, depressing stuff. It’s a worry when you think that some people have died unintentionally through Paracetamol intake. If a blanket 2 year ban came in for this type of thing then it should also the Olympics subsequently following that 2 year period.
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So anyone asking for a TUE to use Tramadol should also be at home rather than in a race. I think the MPCC Cortisol example is the right model: if you need to take cortisone then you need to rest. This doesn’t fix everything, like training on it but it can distance it from racing.
Maybe it is time to put dopers on the same level as thieves. Think of it like this, it could be argued that an elite level athlete who dopes and wins prise money has stolen the results and prise money from those who do not cheat. And it could also be argued that a person or junior who dopes to get into elite level sport have stolen from those who want to get in clean. In the same way that it could be argued that a person who dopes to stay in elite level sport are stealing the livelihood of the non-doper who gets dropped from a team.
This cortisol test is a good idea but also an mirror for Tramadol testing. Again if a rider needs to take cortisone then they probably need to stop racing and rest, an identical argument applies to anyone who needs to take Tramadol. Sometimes mocked the group has actually achieved plenty, for example it’s behind the “no needles” policy in pro cycling and it tests cortisol levels as part of a “health check” which stops many resorting to cortisone abuse. Indeed this seems to be the approach that’s being taken as the MPCC teams ask for it to be banned. The MPCC is a group of teams and others looking to go beyond the WADA Code.
A normal phrase… or is someone having fun with it?. I’ve seen that too.
There are 11 World Tour teams but that means seven outside. The MPCC teams have agreed not to use it but I don’t think they test for it so there’s no way to prevent its use. It doesn’t mean the seven are using it either, for example Team Sky have backed a ban for Tramadol and a recent Humans Invent podcast reported that Geraint Thomas wasn’t using as he rode the Tour de France with a fractured hip.
The rules are severe, the next thing is to increase the chances of detection, to test more riders more often. But that’s for another day. The WADA Code for 2015 onwards is a lot tougher.
But rather than taking painkillers following injury they are being consumed before. This could be anything from paracetamol to Tramadol. As a painkiller it’s probably got greater uses in other sports, for example where injury during play is more common, for example football. One study by football governing body FIFA revealed about one third of the players in the 2010 World Cup were regularly taking painkillers prior to a game. The point is that this drug is being used and abused all round us.
Finishing bottles, sounds like the old days of butterfly’s fluttering above the peloton!
Here’s WADA’s explainer on their monitoring programme :. We can’t reduce the street furniture very easily but we can ask why anyone would consume a powerful opiate during the final hour of a race. It’s not banned in competition but it is on the World Anti-Doping Agency’s monitored list. But it still matters.
I know what you mean but if you bang up your knee in the 2nd week of the Tour de France should you have to withdraw if there’s a painkiller that can help you through? I’m not saying it’s good for your health to ride through an injury, but plenty of athletes through plenty of sports are willing to play/race hurt. I agree on the cortisone point and staying home to use it to recover from an injury.
the only thing I would change on that Dave, is to make it 4yrs not 2, to take any athlete out of one complete Olympic cycle. the only concern I would have on under 21s is that they might be influenced by a coach/mentor etc at that age, so a 4yr ban would suffice to get it out of their system.
life-time bans outside of the WADA code parameters) it would fail as soon as the first athlete subjected to it, appealed to CAS. A good amount of that is outside the WADA Code, and IF any sport signed up to the code tried to impose them (e.g.