INTERNAL MEDICINE
cod. 14353

Academic year 2009/10
2° year of course - Second semester
Professor
Academic discipline
Medicina interna (MED/09)
Field
Biomedico
Type of training activity
Related/supplementary
25 hours
of face-to-face activities
2 credits
hub: -
course unit
in - - -

Learning objectives

The student must know the history of doping, the list of prohibited substances, national and international regulations, current legislation, applicable sanctions, control procedures, short- and long-term desirable and undesirable effects of the drugs used, analytical techniques used in anti-doping controls, characteristics of biological sampling and the variables that influence the reliability of results. Must also be able to set the phenomenon of doping and related issues in the current social-cultural context.

Prerequisites

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Course unit content

<br />Substances and methods consistently prohibited (during and outside competition)<br /><br />S1) Anabolic steroids:<br />           1 ¿ Androgenous anabolic steroids (a - Exogenous b - Endogenous)<br />           2 ¿ Other anabolic steroids (clenbuterol, zeranol, zilpaterol)<br />Anabolism and catabolism<br /><br />S2) Hormones and correlated substances:<br />erythropoietin, somatotrope, IGF-1, MGFs, LH, hCG, insulin, ACTH, tetracosactide.<br />Hematochemical studies: basic and complementary parameters and any supplementary dosages. Endocrine control of energy substrates.<br /><br />S3) Beta2 agonists (salbutamol, salmeterol, formoterol, terbutaline, clenbuterol, ractopamine,   cimaterol.....)<br /><br />S4) Agents with anti-estrogenic activity:<br />      1 ¿ Aromatase inhibitors<br />      2 ¿ Estrogen receptor selective modulators<br />      3 ¿ Other anti-estrogenic substances.<br /><br />S5) Diuretics and other masking agents:<br />       epitestosterone, probenecid, plasma expanders.....<br /><br />M1) Increase in oxygen transport:<br />      a ¿ hematic doping; b ¿ artificial transporters.<br />Concepts in hemorheology.<br /><br />M2) Chemical or physical manipulation <br />masking agents, catheterisation, sample tampering, endovenous infusion.<br /><br />M3) Genetic doping<br /><br />II ¿ Substances and methods prohibited in competition<br /><br />All in section one plus:<br /><br />S6) Stimulants:<br />mimetic sympathetic amine, amphetamine, cocaine.<br />Pharmacology of the autonomous nervous system: neurotrasmittiters; neuromodulators; cholinergic system; adrenergic system. Overview of specialised pharmacology on respiratory apparatus drugs.<br /><br />S7) Narcotics: <br />heroine, morphine, methadone, barbiturates..... .<br />Overview of specialised pharmacology of the central nervous system and drug abuse.<br /><br />S8) Cannabinoids<br /><br />S9) Glucocorticoids<br /><br />III ¿ Substances prohibited in certain sports<br /><br />P1) Alcohol<br /><br />P2) Beta blockers<br /><br />P3) Diuretics<br />Overview of specialised pharmacology in cardiovascular, anti-inflammatory drugs and related alcohol problems.<br /><br />IV ¿ Specific substances<br /><br />      1) Ephedrine, methylephedrine, methylamphetamine. 2) Cannabinoids. 3)  All<br />      beta 2 agonist inhalants, except clenbuterol. 4) Probenecid. 5) All<br />       glucocorticosteroids. 6) All beta-blockers. 7) Alcohol.<br />

Full programme

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Bibliography

D.R. Mottram: Farmaci e Sport. Casa Editrice Ambrosiana<br />

Teaching methods

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Assessment methods and criteria

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Other information

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