Top 10 Performance-Enhancing Drugs In Sports: 2025 Guide
These substances, ranging from anabolic androgenic steroids to human growth hormone and dietary supplements, have carved a complex and often contentious narrative within sports communities. One of the most commonly abused performance-enhancing drugs, testosterone, comes with a wide range of immediate and long-term side effects. These often start with visible changes, including acne, shrinking testicles, and breast tissue development heroin addiction in men, and the development of an Adam’s apple and additional body hair in women.

Peptide Hormones, Growth Factors, and Related Substances
While creatine is legal and not banned by most sports organizations, there are concerns about its long-term safety, particularly when used in high doses. The use of performance-enhancing drugs strikes at the very heart of sports ethics, undermining the principles of fair competition and integrity that are fundamental to athletic pursuits. PED use creates an uneven playing field, where success is attributed to synthetic enhancement rather than natural talent, dedication, and hard work.
- And last summer, several riders were dismissed from the Tour de France on charges of using banned substances.
- It appears in the WADA Prohibited List as a “substance prohibited in particular sports”.
- This allows for more succinct treatments and therefore more treatments within the same day therefore decreasing the overall timeline for those athletes who have limited time outside their responsibilities to their sport especially during the season.
- Primobolan (methenolone) is a banned steroid has been linked to several major league baseball players, including Alex Rodriguez.
- His drug problem first came to light in 2015, when he was arrested for driving under the influence.
Study Selection

When using is intended to improve athletic performance or mask banned substances, it is considered doping. It is thought that athletes’ attitudes towards drugs are heavily influenced by the culture of sports 1. In the high-stakes world of competitive sports, the quest for peak athletic performance often leads athletes down the controversial path of performance-enhancing drugs (PEDs).
Peptide Hormones
Despite being available online https://ecosoberhouse.com/ and in supplement stores, DHEA is still considered a banned substance by many sports organizations. Also known as “Andro,” androstenedione is a designer steroid that was widely abused by athletes in the 1990s, despite there being little scientific evidence to support its effectiveness. Food and Drug Administration banned the sale of androstenedione due to increasing evidence of serious health risks. Studies included were of levels 1 through 4 evidence, including conference abstracts, that reported on opioid use in athletes. Studies were excluded if they included athletes but did not stratify results by involvement in sports. Although they enhance performance, they are health risks involved in taking them and they’re banned by sports’ governing bodies.
In the MLB, which strengthened its drug penalties in 2005, a player’s first PED violation leads to a 50 game suspension without pay. A second violation leads to a 100 game suspension without pay, and a third violation leads to a lifetime ban. However, violations of drugs of abuse are treated clinically first, rather than through suspension. The NFL and MLB also test for “drugs of abuse” (recreational drugs, i.e., marijuana, cocaine, etc) and the NBA, similarly, tests for cocaine, opiates, PCP, LSD and marijuana. For people nervous about enrolling in addiction treatment, meeting with a therapist can be a more comfortable spot to start.

The International Olympic Committee (IOC) has banned Russia from competing in Tokyo for a systemic state-sponsored doping scheme. Sir Craig Reedie, Wada’s president, maintains more can be done, urging governments to criminalise doping and suggesting, external a blanket ban on countries whose athletes regularly dope could be introduced. Stricter punishments approved by Wada came into effect in January, doubling bans for athletes found guilty of doping from two years to four. Some by-products substance abuse in sports of doping substances are so small they may not produce a strong enough signal for detection.
Instead, talk to your coach about safer options, such as nutrition, alternate forms of training, or the implementation of sports psychology techniques. If you need to increase your red blood cell count for medical reasons, consult with your doctor to develop a treatment plan that makes sense for you. Athletes who test positive for EPO face possible suspension, loss of competition titles, and even a lifetime ban from sports if the PED abuse is especially egregious. Blood doping is in violation of standards set by the World Anti-Doping Agency (WADA) and is banned in professional sports.
