Medical Exceptions and TUE Procedures: What You Need to Know

"My prescription is a banned substance! Now what?"

It’s that time of year when athletes are returning to campus, the season is starting, and the banned drug list is hanging over everyone’s head. It’s also the time of year that Drug Free Sport receives many phone calls, emails, and online inquiries regarding banned medications and medical exception procedures.

If you are an athlete or parent reading this, please note that it is inherently important to report all medications and supplements to the sports medicine staff at your organization or school. 

Prescription and Over-the-Counter medications can be checked using the Drug Free Sport AXIS™ (formerly the Resource Exchange Center/REC) medication database at drugfreesport.com/axis. By entering the brand or generic name of the medication, you can view the status of the medication as “banned” or “not banned” by your sports organization. 

If the medication registers the response “Drug Class Unassigned,” the medication is not yet categorized in our database. To check the status of this medication, navigate to the Dietary Supplement Inquiry page in the TOOLS menu bar and submit the medication to our AXIS team. A response will be provided within 24-48 hours and the medication will be added to the database. [Images below detail the process of of checking medications in the database and submitting an "unassigned" medication via the Dietary Supplement Inquiry form.]

From the Homepage, select the quick link box on the bottom right (shown above) titled 

"Prescription & Over-the- Counter Medication Database" to begin. 

In the database, simply start typing the name of the medication in the search bar. Once the medication 

appears in the auto-generated drop down menu, click and view the Medication Status in the gray box on the right. 

In this example, Adderall is Banned under the Stimulants drug class. 

If the Medication Status comes back as "Drug Class Unassigned," use the TOOLS menu bar 

shown with the arrow above to select "Dietary Supplement Inquiry" to send it to our team. 

To send the medication to the AXIS team, "Start a new inquiry" and type the name of the medication in the search bar. For example, "Acxion" as shown above. Select the green bar that reads "Don't see your supplement listed? Click here." and enter the medication information in the Supplement Name box. Add to inquiry and click "SEND" to receive a confirmation email that your inquiry has been received by our team.

Commonly, medications (such as those used to treat ADHD) come back as “banned” in the database. Sport organizations understand that some banned substances are warranted for treating specific medical conditions. In this case, each organization has a medical exception or Therapeutic Use Exemption (TUE) process that athletes and sports medicine personnel can follow to clear an athlete for competition. Before pursuing a medical exception or TUE, prescribing physicians should always consider alternative medications that do not contain banned substances, when appropriate for certain treatment plans.

Below are links for more information about the medical exception or TUE process for differing organizations. We have also shared additional insights and notes regarding the NCAA medical exception process specifically as you read on. 

NCAA

USATF

LPGA

PGA Tour: Page 36

World Surf League

For NCAA athletes, preapproval from the NCAA is only required if the medication or treatment plan aligns with the Peptide Hormones and Analogues or Anabolic Agents drug classes. Medical exceptions are NOT granted for any substances within the “Street Drugs” class, regardless of the possession of a medical prescription. All other banned drug classes do NOT require preapproval, but it is recommended to have all documentation in place prior to competition.

For medications that are banned under the Diuretics & Masking Agents, Beta-2 Agonists, and Alcohol/Beta Blockers (banned for rifle only) drug classes, the athletic department will maintain appropriate documentation in the student-athlete’s medical record in the event that the athlete tests positive for the prescribed substance. This documentation includes: the current diagnosis, medical history, course of treatment, and a current prescription/dosage for the medication.

Note: Many asthma medications are Beta-2 Agonists that appear as banned substances. However, the NCAA Banned Drug List states that “Beta-2 Agonists [are] permitted only by prescription and inhalation.” By this account, prescription inhalers such as albuterol are permitted with a current prescription documented in the student-athletes medical record.

For medications banned under the Stimulants drug class (such as those used to treat ADHD), the institution will need to maintain the same documentation as for the other drug classes, in addition to the ADHD Reporting Form that can be found here.  Again, this form and all other documentation do not need to be sent to the NCAA until the student-athlete tests positive on a NCAA drug test, at which time the institution may request an exception.

For additional questions about medical exceptions procedures for your institution or sport organization, please use the links provided above or email our Education Department at axis@drugfreesport.com.

Social Media: Benefitting A Drug-Free Sports Culture

Millennials’ use of the digital world is well-known and documented. This group of people, born between 1982 and 2004 according to most sources, are accustomed to immediate access to information. Long gone are the days of flipping through encyclopedias or even reference books for information; a simple Google search provides many more options. According to the American Press Institute, 88% of Millennials get news from Facebook, with 33% getting news from Twitter. They say that it exposes them to multiple opinions and views, making them have sculpted opinions from several sources. Many find out about sports results, health news and recommendations from peers and sources that they’ve never met – forming new camaraderie and trust in the process. Three-quarters of Millennials have an account on a social networking site, compared with only half of Generation Xers and less than a third of the Baby Boomers, according to Ibid and a White House report on the age group.

Courtesy, American Press Institute.

This group, varying in age from 12 – 34, is the core range of most high school, collegiate, amateur, and professional athletes.

While it’s impressive and convenient to get an immediate pulse on issues and news, one needs to be mindful of the accuracy and misinformation that is quickly disseminated in the race to be first to market or the first to “post”. They’re checking their accounts and acting upon the information.

It’s no coincidence that at Drug Free Sport, we have increased our social media outreach within the past six months, in an effort to provide informative posts on supplements (including FDA recalls), sport drug education, sport drug testing, events, and other current happenings in the world of sports that will benefit our athletes, their families, and their support teams. Additionally, it’s a way to listen, learn and engage with peers on topics that could benefit the entire sports community. Drug Free Sport is proud to have industry-leading technology and awareness on digital trends, including in social media.

We encourage all of our athletic administration partners, student-athletes, professional athletes and their support team members to follow us on Facebook, Twitter and/or LinkedIn, to hear about up-to-date events in the field. As we further develop our Webinar content, this will expand our digital footprint onto video-based social media outlets. It’s a great – and often times fun – reminder of the importance of making and encouraging good decisions within your circles of influence.

Drug Free Sport on Social Media:

Facebook: http://www.facebook.com/drugfreesport
Twitter: @drug_free_sport 

LinkedIn: https://www.linkedin.com/company/the-national-center-for-drug-free-sport-inc-

Hashtag: #DrugFreeSport 

Drug Free Sport Talks International Business: IDTM and WADA-Compliant Testing

Drug Free Sport engaged in a new partnership with IDTM, a European leader in anti-doping and drug testing. We sat down for a Q&A with Ben Mosier, Director of Professional Sports Drug Testing at Drug Free Sport, to gain more insight on the details of our partnership with IDTM and WADA-Compliant Drug Testing.

 Copyright © 2014- IDTM-
All rights reserved.

Q: So, Drug Free Sport has a partnership with IDTM. Can you explain the partnership to me?

A: IDTM stands for International Doping Tests & Management. They are a world-wide anti-doping service provider that is based out of Stockholm, Sweden. Essentially, IDTM and Drug Free Sport are peer companies, separated by an ocean. IDTM takes care of European drug tests, while Drug Free Sport takes care of American drug tests.

Q: Does IDTM test in the same high-quality structure that Drug Free Sport does?

A: Yes, IDTM has a global network of certified Doping Control Officers (DCO) and Blood Collection Officers (BCO). These individuals provide collection services to International Sports Federations, World Anti-Doping Agency (WADA), National Anti-Doping Organizations, and Independent Sports Organizations.

Q: What is IDTM’s main focus?

A: They mainly test Olympic sport testing, both In-Competition and Out-of-Competition. However, they are also allowed to perform services for non-Olympic sports as well, since they are a third-party administrator.

Q: How do Drug Free Sport and IDTM work together?

A: With the large increase in U.S.-based collection work, IDTM has trained a select group of strategically-located Drug Free Sport DCOs to complete collection work for them. Equally, Drug Free Sport has trained and utilized several IDTM DCOs globally for Drug Free Sport client-specific collection work.

Copyright © WADA 2016

Q: You spoke about IDTM providing collections for WADA; can Drug Free Sport do the same?

A: Yes, Drug Free Sport is able to perform WADA-compliant tests like IDTM. However, most of Drug Free Sport’s clients are not bound by the WADA code. This means that they have the ability to customize their own testing programs. For example, they are able to determine the substances tested for, testing frequencies and procedures, and their sanctioning procedures.

Q: The Summer Olympics are starting in August. How will they impact Drug Free Sport’s drug testing?

A: If an athlete is participating or trying out for an Olympic team, but is a player within our U.S.-based client testing program (NBA, PGA Tour, LPGA, and certain NCAA sports), they must adhere to both WADA-sanctioned testing as well as the testing programs of the professional or collegiate leagues they fall under.

Q: How will the Olympics directly impact the athletes competing in both the Olympiad and a professional or collegiate league?

A: The athlete will see an increase in overall testing, both out-of-competition and in-competition. There will also be more stringent policies and sanctions to follow, along with multiple collection agencies and personnel performing the testing. 

Drug Free Sport is enthusiastic about our partnership with IDTM and is ready to further our mission to ‘ensure fair and safe sport’. 

Meldonium (Mildronate): What is it and What does it do?

In light of recent media attention surrounding meldonium and its detection in elite athletes, we thought it best to share reliable information about the drug, its intended purpose, and potential use as a performance-enhancing substance.

Blog Article Contributed by Eric Smith, PharmD.

Expert Consultant for the Resource Exchange Center (REC), Powered by Drug Free Sport™

The World Anti-Doping Agency (WADA) added meldonium (Mildronate) to their 2016 Prohibited List in late September 2015. This modification—among others­­—went into effect January 1, 2016. WADA added meldonium as a prohibited substance due to “evidence of its use by athletes with the intention of enhancing performance.”

A Latvian pharmaceutical company with primary distribution in Eastern Europe and Russia manufactures meldonium under the brand name Mildronate. In the 1970s, Mildronate was developed to promote the growth of livestock. Currently, the drug is marketed to treat a variety of medical conditions including ischemic heart disease, heart failure, stroke, peripheral artery disease, and alcohol withdrawal.  Also indicated for use in healthy individuals experiencing physical and mental stress, Mildronate targets athletes as well.

Recent studies identified Mildronate as having anti-ischemic properties. Ischemia is a medical term used to describe a decrease in blood supply to certain parts of the body. A reduction in blood circulation minimizes the delivery and availability of oxygen and sugars needed by the body’s cells. Having anti-ischemic properties makes Mildronate beneficial for treating situations associated with decreased blood supply.   

The drug primarily functions to increase oxygen efficiency in certain body tissues. This makes sense when you reconsider that decreased blood supply (ischemia) reduces oxygen delivery to the tissues. Mildronate works to optimize energy production by interfering with energy pathways that use more oxygen (less efficient) and alternatively promoting pathways that use less oxygen (more efficient).

Mildronate achieves this by blocking pathways involved in carnitine production. Carnitine is an amino acid derivative used in the process of breaking fats down into fatty acids and converting them into energy.  Mildronate creates lower levels of carnitine thereby reducing the body’s ability to breakdown fats for energy.

The body adjusts by increasing the use of an alternative energy pathway called glycolysis.  Glycolysis is more efficient than fatty acid metabolism because it not only uses less oxygen, but also decreases the amount of toxins (such as lactic acid) that build up in cells during energy production.

For athletes, taking this medication could potentially increase muscle and nervous system oxygen efficiency. Using oxygen more effectively in working tissues may lead to performance enhancing benefits such as improved exercise tolerance, improved recovery, stress protection, and improved central nervous system functions. 

Isn’t biochemistry and pharmacology fun?

Mildronate is not approved by the Food and Drug Administration (FDA) for sale in the United States.

Summer Drug-Testing

Summer for student-athletes can be a huge temptation for experimenting with steroids to develop muscle and strength. Student-athletes who are, or have been injured, may look to steroids to shorten their recovery time and the drugs clear an athlete’s system before drug-testing resumes in the fall semester.  Often, athletes are not subject to drug-testing in the summer, so they believe they can clear traces of any banned– substance before they return to campus in the fall.

The purpose of any drug-testing program is to deter use, protect the clean athlete, and ensure a level playing field.  Summer testing was an obvious expansion of the good and effective drug-testing program in effect during the fall and spring semesters and in 2006, Drug Free Sport began testing a random selection of Division I student-athletes during the summer.  The program has expanded to Division II with emphasis on football and baseball participants because they are at a higher risk for abusing performance-enhancing drugs.

Initially, there were many questions about how the student-athletes would be notified, what would happen if the student-athletes were not on campus, etc.  In reality, many student-athletes are on campus during the summer, taking classes, working out in facilities, or working in the local community.  Student-athletes also must fill out a form before leaving campus in the spring letting Drug Free Sport know where they could be found during the summer.

In the beginning, summer drug-testing was challenging for Drug Free Sport staff because collectors were traveling all over the country to conduct the tests. Some of the top baseball players were playing in summer leagues all over the country and Drug Free Sport staff had to find them.  Then Drug Free Sport developed a system, where they would send collectors to summer leagues where a variety of Division I and II student-athletes were located.  The collectors spent a week at a summer league focusing on their roster for the random testing rather than focusing on a particular institution.

One example of a successful summer league testing schedule involved the Cape Cod summer baseball league.  Testing at the Cape Cod summer league provides the opportunity to test ten teams in five days.  When the student-athletes show up for a game, they are notified that they have been selected for a random drug-test.  Testing at summer leagues demonstrates the flexibility of the summer program.  Drug Free Sport collectors still go to campuses, but the process is much smoother now that a fair number of the testing can be done where the student-athletes are clustered.

Since 2006, the number of student-athletes tested in the summer has increased each year. As schools have become used to summer testing and the Drug Free Sport staff adapted to it, they have been able to increase the numbers.

To inquire about our sport drug-testing services for your organization, please contact us by phone at 816-474-8655.

Prescription and Over-The-Counter Drug Abuse

You may remember the days of childhood. It was common to get a cold, flu bug, or other type of illness. Trips to the doctor were never fun, but you knew that the word medicine meant a way to get better. Medicine helped get over the illness and back to school, back to the playground, and back with your friends. You knew that a doctor was prescribing you with the medication to help you recover. However, as you get older, you start to realize that some people abuse these same medications.

According to drugs.com, drugs that are safe and effective for use by the general public, without a prescription, are defined as over-the-counter (OTC) drugs. These drugs are often located on shelves in pharmacies, as well as non-pharmacy outlets. A few examples include grocery stores, convenience stores, and large discount retailers. In the U.S., there are more than 80 classes of OTC drugs. These range from allergy medications, to pain relievers, to weight loss products.

Some medications have psychoactive (mind-altering) properties and, because of that, they are sometimes abused. You could define abusing medications as someone taking a medication in ways or amounts other than what has been instructed in directions or by a doctor, or taken by someone other than the person for whom they are prescribed to. In fact, prescription and over-the-counter (OTC) drugs are, after marijuana (and alcohol), the most commonly abused substances by Americans, ages 14 and older. This is according to the National Institute on Drug Abuse.

 According to a study conducted by the University of Michigan, the most commonly abused prescription drugs are: opioid pain relievers, stimulants for treating ADHD (Attention Deficit Hyperactivity Disorder), and CNS (Central Nervous System) depressants for relieving anxiety. The most commonly abused OTC drugs are cough and cold remedies containing dextromethorphan.

Many people believe that prescription drugs and OTC drugs are safer to use than illicit drugs. This is only true when they are taken exactly as prescribed and for the purpose intended. When these prescription and OTC drugs are abused, they can become addictive and put abusers at risk for other adverse health effects. This includes overdose, especially when taken along with other drugs or alcohol.

There is more than one way for prescription and OTC drugs to be abused. These include taking a medication that has been prescribed for somebody else, taking a drug in a higher quantity or another manner than prescribed, and taking a drug for another purpose than prescribed.

We usually think of drug abuse issues as illicit drugs. However, licit drugs (legal for prescription) are a huge abuse issue. Whether they are being deliberately abused, or accidentally abused while taking them for a medical purpose, the results are disturbing.  People abuse over-the-counter (OTC) products to get high, zone out, hallucinate, etc.  Often times this abuse involves youth since these products are so readily available, either in the home medicine cabinet or simply for purchase.

The importance of educating our youth about the risks associated with the use and abuse of prescription and over-the-counter drugs need not go overlooked. Some of the same “medicines” that we have come to lean on during periods of illness, can harm our kids, family, and friends.

Drug Abuse and Addiction

As a student-athlete, you may know of someone who is struggling with drug abuse and addiction. It may be a close friend, a teammate, classmate or family member. Substance abuse and addiction can cause problems in the classroom, on the playing field and at home. It can often times leave individuals feeling alone and helpless, a potentially dangerous combination. It is for these reasons, that it is important to have a good understanding of the signs and symptoms of drug abuse and addiction.

Common signs of drug abuse and addiction:

-          Skipping class or flunking class, missing practice, and neglecting other day-to-day responsibilities

-          The use of drugs and/or alcohol during high risk situations (drinking and driving, before practice or a game)

-          Mood swings (fights with friends and/or family members, partners)

-          Legal issues (DUI, selling of drugs, possession charges)

-          A built up tolerance to drugs

-          Withdrawal symptoms

-          Constantly thinking about drug use

-          Understanding the risks of drug use, but continuing to participate

-          Losing interest in sports, socializing and other hobbies

Physical, behavioral and psychological warning signs:

-          Deterioration of physical appearance, grooming habits

-          Tremors, slurred speech

-          Bloodshot eyes, larger than normal pupils

-          Changes in appetite or sleep patterns

-          Sudden weight loss or gain

-          Always a need for extra money

-          Acting secretive about everything

-          Sudden change in friends

-          Lack of motivation

-          Anxious, fearful and paranoid

-          Angry outbursts and easily agitated

Recognizing that you or someone you know has a drug abuse or addiction problem is the first step, and often the most difficult step, on the road to recovery. Seeking help and finding support is crucial to any addiction recovery, and it takes a tremendous amount of courage to recognize that you or someone you know may need help.

If you feel that you or someone you know has an addiction problem, be proactive and contact any of the following individuals for support:

-          Family member

-          A close friend

-          A therapist or counselor

-          Your health care provider

-          Your athletic trainer, coach and/or another administrator

 Always remember, you are not alone and there are individuals that are willing to help!

 For more information on drug abuse and addiction, please visit the following resources:

http://www.mayoclinic.com/health/drug-addiction/DS00183 

http://www.drugabuse.gov/publications/drugfacts/understanding-drug-abuse-addiction

http://www.nlm.nih.gov/medlineplus/drugabuse.html

Challenging Student-Athlete Perceptions

According to the National Survey on Drug Use and Health (NSDUH), an adolescents perception of the risks associated with substance use is an important determinant of whether he or she engages in substance use. For example, youths who perceive high risk of harm are less likely to use drugs than youths who perceive low risk of harm. Thus, providing adolescents with credible, accurate, and age-appropriate information about the harm associated with substance use is a key component in prevention.

Social norms represent our perceptions of the behaviors and attitudes of others. Expectations about alcohol, marijuana, and other harmful substances can be powerful influences on behavior. Would you say most student athletes engage in the use of harmful substances? Would you say that most student athletes engage in alcohol, marijuana, or cigarette use? Our perceptions vary among individuals. Data from Prevention Strategies shows that 12.30% of student athletes use marijuana and 7.90 use cigarettes. The data that was provided validates that a very small percentage of student athletes are using tobacco products, marijuana, and alcohol.

Student athletes reported being drunk on an average of 1.4 times in the past 30 days. However, there were a range of answers on this question from 0 to 30 days and the most common answer was 0 days of getting drunk. This shows you that the perception should be shed in a positive light that most student athletes don’t engage in the use of harmful substances. You can also look at it from how you feel about teammates engaging in harmful substances. Out of 5,000 student athletes, 76.1% disapprove of their teammates getting intoxicated frequently.

Some other facts regarding alcohol may not surprise you. In a 2009 NCAA Study of Substance Use of College Student Athletes, overall (Division I, II, III), 83.1% of respondents indicated drinking within the last 12 months. This is factual evidence for both men and women. This is an increase from the 2005 study that showed 77.5%. This leaves the perception, and social norm, that there is an increase in young students engaging in alcohol use over the years. Only 12.6% of these students reported never using alcohol, 47% used alcohol less than two days per week, 54% indicated drinking during both their competitive and off season. The scary part about these statistics is that the majority of respondents indicated obtaining alcohol from a friend, family member, or teammate.

Student athletes are expected to be great at what they do. They are asked to maintain a high level of performance, both athletically and academically. All of this occurs under the constant scrutiny of coaches, teammates, fans, and media. Many problems start well before college and some escalate to levels that require intervention from coaches, parents, etc. Student athletes are different from the rest of the student population and because of their constant exposure and elevated status on campus, college student athletes are typically placed in situations that cause stress and anxiety.

Here are some examples of pressures that student athletes face:

· Balancing sports and academics

· Adapting to social challenges

· Success and failure on field and in the classroom

· Injuries

· Weight management

· Sports career ends due to injury or eligibility.

According to the Drug & Alcohol Addiction Recovery Magazine, coping strategies are tools for dealing with stress without returning to substance abuse. A coping strategy is a personal action plan. It identifies a particular stressor or trigger for substance use, includes an understanding of why or how that particular situation encourages an individual to use, and articulates specific physical and mental actions to counter this influence. It is highly recommended that individuals looking to avoid substance use should avoid places, people, and situations that are connected to their social challenges. Small things such as the time of day and music can also make a difference.

For example, if a recovering alcoholic returns to his favorite bar at night (his habitual time for drinking), sees all his old buddies drinking, and hears his favorite drinking song on the jukebox, his ability to avoid relapse becomes seriously compromised. The place, time of day, people and music are all triggering emotional responses that encourage him to drink. An effective coping strategy, in this case, is to avoid a situation that holds such strong triggers.

Student athletes need to realize that there will always be challenges you face in life. Athletes have a lot to lose. We see it all the time in amateur, collegiate, and professional athletics. There are harmful substances around us, people engage in them, but what will you do? What decisions will you make knowing the affects it can cause? The time will come when you will face challenging decisions. There are supporters around you; use them wisely and always remember that the decision is in your hands.

NCAA Championship Drug Testing

Drug-testing in the NCAA began in 1986 when testing at championship events began.  In 1990, it expanded to a year-round program in Divisions I and II and today, 90 percent of Division I, 65 percent of Division II and 21 percent of Division III schools conduct their own drug-testing programs in addition to the testing that occurs at the NCAA.  

Each year, approximately 13,500 samples are collected and analyzed through the NCAA's national drug-testing program, with the bulk of those tests focused primarily on performance-enhancing drugs (NCAA year-round testing). The NCAA tests at championship events in all three divisions at least once every five years and with some championships tested every year. During championship events, student-athletes are screened for steroids, diuretics and masking agents, stimulants, peptide hormones, anti-estrogens, beta-2 agonists, beta-blockers and street drugs. 

Recently, the NCAA’s Committee on Competitive Safeguards and Medical Aspects of Sports (CSMAS) voted to adjust the threshold for a positive marijuana test at NCAA championships to a level that is consistent with current best practices in drug testing, which will more accurately identify usage among student-athletes.

Beginning August 1, 2013, the threshold level for marijuana will change from 15 ng/mL to 5 ng/mL.  For years, Drug Free Sport has provided institutional clients the 5 ng/mL threshold in testing for marijuana.  Drug Free Sport has recognized testing at lower thresholds as a best practice for deterrence and we continue to provide our clients the best drug-prevention methods possible.

The CSMAS has also established a testing standard for synthetic cannabinoids (K2, Spice, etc.), which have not previously been tested for at NCAA championship events. The committee approved testing for those substances using the World Anti-Doping Agency (WADA) laboratory testing standard for level of detection.  Testing for synthetic cannabinoids will begin with the 2013 fall championships.

Drug Free Sport also has the ability to test for multiple metabolites of synthetic cannabinoids.  To learn more about testing for synthetic cannabinoids please contact Drug Free Sport at 816-474-8655.

Drug Testing: Life of a Student-Athlete

My name is Jarrett Sutton, and I am a former student athlete at the University of Missouri. While at Missouri, I was selected numerous times for random drug tests. The whole time thinking, “What is the point? I’m clean.” I also took part in our athletic department administered drug test we had to complete every year. Speaking from personal experience, all athletes hate to do a drug test. It’s time consuming, it’s a hassle, and you never want to be the person who gets randomly selected. After being at Drug Free Sport for a month, I can assure you that drug testing is vital in the protection of not only the sport, but the health and well-being of student athletes. Sure, it may be a hassle. But the reality is it’s important!

As a former student athlete, and as someone who participated in multiple random drug tests, I know first-hand what drug testing is all about. A drug test is not trying to punish student athletes, or trying to ruin an athlete’s athletic career. A drug test is conducted to keep the integrity of not only the sport, but the student athlete, intact. We are out to give all student athletes a fair playing field, where cheating and doping are banned at the highest level. We want the integrity of athletics to remain clean, and to protect the health of our student athletes for years to come. A work ethic, staying active with exercise, and promoting a healthy lifestyle are the tools to being the best athlete you can be. Cheating is a first class ticket to ruining not only a playing career, but life outside of sport. Drug Free Sport is here to protect the interest and integrity of what athletics are all about. With being an athlete come stress and pressures. As an athlete, at any level, we are pushed to perform at the highest level on and off the field. This sometimes pushes athletes to participate in drug, alcohol, and supplement use. It’s important to stay on track, keep a clear head, and always remember to do things the correct way.

Testing is a necessary and effective drug-use prevention tool to develop athletes who are committed to success on and off the field. Athletic participation is a privilege, and athletes cannot be allowed to abuse drugs at their expense, the expense of their teammates or at the expense of their sport. Research shows that most athletes are drug free. Therefore, we at all times treat athletes with dignity and respect. There are multiple resources around student athletes to go to for help. You have your coaches that can be a great resource to go to first. You can go to your athletic director for help, or in most cases, your athletic trainer who knows the harm alcohol, drugs, and supplement use has on your body.

The National Center for Drug Free Sport (Drug Free Sport™) is a company devoted to preventing drug abuse in athletics.  As the premier provider of drug-use prevention services for athletic organizations, Drug Free Sport provides strategic alternatives to traditional drug-use prevention programs.  More importantly, Drug Free Sport is a SPORT drug-use prevention company.  Unlike traditional third-party drug-testing administration companies that conduct primarily workplace and insurance testing, Drug Free Sport works exclusively with sports organizations and their athletes. The National Center for Drug Free Sport, Inc. was founded in 1999 by Frank Uryasz, previously director of sports sciences for the National Collegiate Athletic Association (NCAA). Drug Free Sport was created because there was no national entity that focused on the specific needs of sports organizations. Many organizations tried to conduct their own drug testing, using inappropriate workplace models. Moreover, sports organizations needed specific, student-athlete targeted testing, as well as independent drug-testing program management.  Drug Free Sport has developed a number of programs to help institutions evaluate and implement effective policies. Our Speakers Bureau provides expert advice, pertaining to athlete safety and fair game, to student-athletes, athletics directors and athletic trainers.

Introducing myPlaybook: Web-Based Drug and Alcohol Education for Student-Athletes

Drug Free Sport has partnered with Prevention Strategies to bring myPlaybook to colleges, universities, and high schools across the US. myPlaybook is a new, web-based, interactive drug and alcohol education program created specifically for student-athletes.

Background

Prevention Strategies is a research company devoted to providing online education products that aim to prevent alcohol and drug-related harm among teens and young adults. With the support of the NCAA, PS created a program specifically for student-athletes. Over 5,000 current student-athletes have already completed myPlaybook, giving PS data showing the program works to change attitudes, beliefs, and behaviors related to alcohol and drug use.

Because of our involvement with drug testing and the NCAA, Drug Free Sport partnered with Prevention Strategies to make myPlaybook available to institutions across the country.

The Program

myPlaybook is an evidence-based program designed to prevent alcohol and other drug related harm. This interactive, web-based program engages students using state-of-the-art instructional design. There are two separate programs for college and high school. The collegiate program was created specifically for student-athletes. The high school program is designed for the general student population and also includes an extra component for those participating in athletics.

Pilot studies have shown that the program works, with student-athletes demonstrating immediate gains in knowledge of NCAA drug testing procedures and banned substances, negative alcohol expectancies, and negative marijuana expectancies. Over 83% of students felt they benefited from taking myPlaybook.

The core program covers:

• NCAA Banned Substances & Drug Testing
• Alcohol
• Marijuana
• Performance Enhancing Drugs/Dietary Supplements
• Tobacco
• Prescription/Over-the-Counter Drugs

Booster sessions are offered for students who have completed the core program. The boosters contain content that is new and applicable to student-athletes along with content that reinforces the core program. The REC will help choose booster topics based on the questions student-athletes are asking the most.

Want to know more?

You can learn more about myPlaybook by visiting the website (click here) or contacting Ryan Carpenter (816-474-8655). You can also Click here to sign up. Drug Free Sport can set you up with a full user account so that you can see the program the same way student-athletes see it or you can choose to receive a one-on-one tour from a DFS staff member and ask questions as you learn about the program.

Methylhexaneamine – Q & A

Q:  Can my dietary supplement which includes Methylhexaneamine (1, 3 Dimethylamylamine also listed as geranium oil or plant) cause a positive drug test?  More specific, will it cause a positive for Meth?

A:  We consulted with Clinical Reference Laboratory here in the KC Metro area and we discovered that Methylhexaneamine could cause a false-positive screen by immunoassay but would confirm as a negative sample after gas chromatography-mass spectrometry (GC-MS).  So simply put, chemically it is not methamphetamine nor will it ever create amphetamine or methamphetamine in the body.  The chemical structure is too simple to begin with and the body cannot make it into something more complex.

Methylhexaneamine is currently banned by most sport governing bodies including the NCAA and WADA under the stimulants drug class.   So Methylhexaneamine which is commonly found in weight loss preparations and pre-workout dietary supplements will cause a positive drug test for a stimulant.

Below is a recent report published in the Journal of Analytical Toxicology, Vol. 35, April 2011.  The report explains more indepth how a positive drug test can be registered.