Analysis of Anabolic Steroids Using GCIMS with Selected Ion Monitoring

Total Page:16

File Type:pdf, Size:1020Kb

Analysis of Anabolic Steroids Using GCIMS with Selected Ion Monitoring Journal of Analytical Toxicology, Vol. 14, March/April 1990 Analysis of Anabolic Steroids Using GCIMS with Selected Ion Monitoring BongChul Chung, Hea-Young P. Choo, TaeWook K/m, KheeDong Eom, OhSeung Kwon, Jawon Suh, Jongsoon Yang, and Jongsei Park* Doping Control Center, Korea Institute of Science & Technology, P.O. Box 131, Cheongryang, Seou/, Korea analyze the steroids either qualitatively or quantitatively (10-23). Abstract ] Anabolic steroids are extensively metabolized: hydroxylation, reduction, oxidation, and conjugation are common metabolic This study describes the use of gas chromatography/mass pathways of anabolic steroids in humans. As far as conjugation spectrometry with selected ion monitoring to screen 18 patterns are concerned, steroids can be divided into two groups, anabolic steroids banned by the International Olympic nonconjugated (free) steroid and conjugated steroid. Donike Committee. These anabolic steroids are analyzed in two reported that methandienone, oxandrolone, fluoxymesterone, fractions depending on their excretion pattern: stanozolol, dehydrochlormethyltestosterone, and formyldieno- nonconjugated (free) or conjugated fraction. The wet lone can be detected somewhat easily in the nonconjugated frac- procedure of extracting steroids from urine consists of an Initial isolation of lipophilic compounds on a column packed tion. These anabolic steroids have a 17/3-hydroxy-17tx-methyl with Amberllte XAD-2 resin, followed by enzymatic group in their structure (Figure 1). The other anabolic steroids hydrolysis with/J-glucuronidase from Escherichis co//. After whose structures are shown in Figure 2 are excreted mainly extraction, the hydrolyzed steroids are derivatized to the as glucuronides. corresponding trimethylsllyl ethers. The derivatized steroids ere analyzed by gas chromatography/mass spectrometry with selected ion monitoring of their characteristic ions. It takes 12 and 26 min to run GC/MS and edit the raw data for Materials nonconjugated and conjugated fractions respectively. Reagents. Amberlite XAD-2 resin, 150-200 #m, from Serva was used. Methanol (500 mL) was distilled at 64~ the first Introduction 50 mL was discarded and the next 300 mL was collected. The In 1974, steroids were added to the list of doping agents phosphate buffer, pH 7.0, was 250 mL of 0.2M K2HPO, mixed banned by the International Olympic Committee on the grounds with 50 mL of 0.2M KH2PO,. Diethylether was distilled with that drug abuse is against the Olympic spirit based on fair play, calcium hydride and stored in a refrigerator at ca. l~ and also it is known that steroid abuse will harm the well-being curonidase from Escherichia coli was from Boeringer. N-methyl- of athletes. Nevertheless, it is suspected that the use of steroids N-trimethylsilyl trifluoroacetamide (MSTFA), trimethyliodosil- ane (TMSI), and trimethylchlorosilane (TMSCI) were from has been steadily increasing among the players, who believe that the use of steroids improves their physical strength remarkably Sigma, and N-methyl-N-trimethylsilyl heptafluorobutyramide (MSHFB) and N-methyl-bisheptafluorobutyramidewere from over a short period of time and who are willing to barter their health for fame and monetary gain. Precise and rapid deter- Macherey-Nagel. mination of anabolic steroids and their metabolites continues Instrumentation. Analyses were performed with a Hewlett- to be of interest. Packard Model 5890A gas chromatograph and Model 5970B Some steroids can be analyzed with high-performance liquid mass selective detector. chromatography (HPLC) (1-5), and it has been possible to detect GC/MS operating conditions for nonconjugated fraction. A 17a-methyl, 17a-ethyl, and 19-nortestosterone steroids by cross-linked 5O/o phenylmethylsiliconecapillary column (length radioimmunoassay (RIA) despite the method's low specificity 17 m, i.d. 0.2 mm, film thickness 0.33/~m) was connected into (6-9). However, both of these methods cannot provide the data the ion source. Samples were injected in the splitless mode. necessary to confirm a presumptive positive sample. Therefore, Temperatures of injector and transfer line were set at 300~ gas chromatography/mass spectrometry (GC/MS) with high Oven temperature was initially 180~ ramped by 25~ to sensitivity and specificity has been regarded as the most reliable 300~ and held for 3 min. The carrier gas was helium at a flow technique so far. In many cases, GC/MS has been used to rate of 0.7 mL/min (at 180~ GC/MS operating conditions for conjugated fraction. The GC was equipped with a 17-m HP-1 fused-silica capillary column, 9Author to whom correspondence should be addressed. 0.2 mm i.d., 0.11-/zm film thickness. The oven temperature was Reproduction (photocopying) of editorial content of this journal is prohibited without publisher's permission, 91 Journal of Analytical Toxicology,Vol. 14, March/April 1990 programmed from 180~ to 224~ at a rate of 4~ and Enzymatic hydrolysis and derivaUzationof conjugated steroid then to 300~ at a rate of 15~ The carrier gas was To the phosphate buffer layer, 25 #L of ~-glucuronidase were hydrogen with a flow rate of 1.2 mL/min (at 180~ The split added and the mixture was heated at 55~ for 1 h. After cooling, ratio was 1:10. Mass spectral confirmation was performed on 1,2-dideuterotestosterone (10 ppm, 20 #L), internal standard a Hewlett-Packard Model 5988A GC/MS system. for conjugated steroid analysis, 100 mg of K2CO3, and 5 mL of diethylether were added. After 30 seconds of shaking in a vortex-mixer, 1 g of anhydrous sodium sulfate was added under continuous vortex- Experimental (see Scheme 1) mixing. After 10 min at room temperature, the tubes were cen- trifuged at 2500 rpm. The ethereal phase was transferred to Preparation of XAD-2 column another centrifuge tube and was concentrated by use of a A 3-mm diameter glass ball was introduced in the pasteur vacuum rotary evaporator. Before subjecting the residue to the pipette. The XAD-2 slurry was washed with acetone, methanol, derivatization procedure it was dried in a desiccator over and distilled water and was filled into the column until a bed P20,-KOH for 30 min. of 25-mm height was achieved. A final washing with 2 mL of To the dried residue, 50 #L of MSTFA-TMSI (1000:2) con- distilled water was carried out before applying the urine. taining 2 mg/mL of dithioerythritol was added and the tubes were heated at 60~ for 15 min. To derivatize the hydroxyl Isolation and derivatization of the nonconjugatedsteroids groups only, 50 ttL of MSTFA-TMSCI (100:2) was added and Urine (5 mE) and the internal standard, stanozolol (2 ppm, heated at 60~ for 3 min. 25/LL), were applied to the column. The XAD-2 column was washed with the same volume of water. The lipophilic adsorbed fraction containing both the free and conjugated steroids was eluted with 2.7 mL of distilled methanol applied in 0.9-mL frac- OH tions. The methanolic extract was brought to dryness with a vacuum rotary evaporator. The dried residues were redissolved in 1 mL of 0.2M phosphate buffer (pH 7.0) and 5 mL of ether. After shaking for 5 min and centrifugation at 2500 rpm for 5 min, two layers were separated. The phosphate buffer layer was cloetebol oxymesterone subjected to enzymatic hydrolysis. The ether layer was dried with a rotating evaporator, and the residue was dried in a vacuum desiccator over P~O,-KOH for at least 30 min. The residue was treated with 35 #L of the reagent mixture MSTFA-TMS-CI-TMS-imidazole(100:5:2, v/v/v) and heated to 80~ for 5 min. Then 5/zL of MBHFB was added and the oJ mesterolone boldenone solution was heated for an additional l0 min. OH OH Me methenolone oxymetholone O~ Me methondienone oxondronone oS oS nandrolone testosterone O~ Me OH OH o~ cH3 o~~.~ CH3 fluoxymesferone stanozolol HO~Me methyltestosterone bolasterone CI dehydrochloromethyl- formyidienolone testosterone norethondrolone dromostanolone Figure 1. Structuresof anabolic steroids in the free fraction. Figure 2. Structuresof anabolic steroids in the conjugatedfraction. 92 Journal of Analytical Toxicology, Vol. 14, March/April 1990 Results and Discussion Table I. SIM Characteristic Ions and Retention Times of Derivatized Main Metabolites of Anabolic Steroids Screening step (Free Fraction) Steroids were administered to volunteers and their urine was RRT Selected analyzed to determine the presence of metabolites of banned Steroid Metab01ite Derivative (rain) ions (re~z) steroids. In most cases, more than one metabolite was found Fluoxymesterone 6-0H-Flu0xy- 6,11,17-tris- 0.799 143, 642 in the urine samples collected during 5-20 h after ingestion. In mester0ne O-TMS,3-en01- 522, 462 some cases, such as oxymesterone, the parent steroid is the most TMS abundant in GC profiles. To optimize the steroid screening pro- Methandien0ne 6-0H-Methan- 6,17-bis-0-TMS 0.885 143, 209 cedure, the method was designed so that the major metabolites dienone 281, 460 or parent steroids and one or two other metabolites would be Oxandrolone 17-O-TMS 0,915 143, 309 321,363 detected. In addition, 2-3 characteristic ions for each metabolite Stanozolol 3'-OH-epista-N-HFB-3',17- 0,947 143, 669 were selected on the basis of their mass fragmentation. The nozolol bis-O-TMS 684 relative retention times of the chosen metabolites and the (3'-OH-Stano- N-HFB-3',17- 1,085 634, 378 selected ions are listed in Table I (free fraction) and Table 11 zolol) bis-O-TMS (conjugated fraction). IS (stanozolol) N-HFB-O-TMS 1,000 143, 581 596 Also, as shown in Table 1, most anabolic steroids in the free Oral-turinabol 6-OH-0ral 6,17-bis-O-TMS 1,042 143, 315 fraction are metabolized via 6-hydroxylation and all of these turinabol 317, 243 metabolites have the m/z 143 ion in their mass spectra.
Recommended publications
  • Cancer Palliative Care and Anabolic Therapies
    Cancer Palliative Care and Anabolic Therapies Aminah Jatoi, M.D. Professor of Oncology Mayo Clinic, Rochester, Minnesota USA • 2 Androgens • Creatine • Comments von Haehling S, et al, 2017 Oxandrolone: androgen that causes less virilization oxandrolone RANDOMIZE megestrol acetate #1: Oxandrolone (Lesser, et al, ASCO abstract 9513; 2008) • N=155 patients receiving chemotherapy • oxandrolone (10 mg twice a day x 12 weeks) versus megestrol acetate (800 mg/day x 12 weeks) • oxandrolone led to – a non-statistically significant increase in lean body mass (bioelectrical impedance) at 12 weeks (2.67 versus 0.82 pounds with megestrol acetate, p = 0.12), but – a decrease in overall weight as compared with megestrol acetate (-3.3 versus +5.8 pounds, respectively). • more oxandrolone patients dropped out prior to completing 12 weeks (63% versus 39 %). #2: Oxandrolone (von Roenn, et al, ASCO, 2003) • N=131 • Single arm • 81% of patients gained/maintained weight • Safe (PRIMARY ENDPOINT): 19% edema; 18% dyspnea; mild liver function test abnormalities #3: Oxandrolone: placebo controlled trial • results unknown SUMMARY OF OXANDROLONE: • Multiple studies (not yet peer-reviewed) • Hints of augmentation of lean tissue • High drop out in the phase 3 oxandrolone arm raises concern Enobosarm: selective androgen receptor modulator (less virilizing) ENOBOSARM RANDOMIZE* PLACEBO *All patients had non-small cell lung cancer, and chemotherapy was given concomittantly. percentage of subjects at day 84 with stair climb power change >=10% from their baseline value percentage of subjects at day 84 with lean body mass change >=0% from their baseline value SUMMARY OF ENOBOSARM: • Leads to incremental lean body mass, but functionality not demonstrated • Pivotal registration trial (not yet peer- reviewed (but FDA-reviewed….)) • 2 Androgens • Creatine • Comments Creatine: an amino acid derivative This study was funded by R21CA098477 and the Alliance for Clinical Trials NCORP grant.
    [Show full text]
  • Anabolic-Androgenic Steroids in Horses: Natural Presence and Underlying Biomechanisms
    ANABOLIC-ANDROGENIC STEROIDS IN HORSES: NATURAL PRESENCE AND UNDERLYING BIOMECHANISMS Anneleen Decloedt Dissertation submitted in the fulfilment of the requirements for the degree of Doctor of philosophy (PhD) in Veterinary Sciences, Faculty of Veterinary Medicine, Ghent University PROMOTER Prof. dr. ir. Lynn Vanhaecke Ghent University, Faculty of Veterinary Medicine Department of Veterinary Public Health and Food Safety Laboratory of Chemical Analysis MEMBERS OF THE READING COMMITTEE Prof. dr. James Scarth HFL Sport Science, Cambridgeshire, United-Kingdom Prof. dr. Peter Van Eenoo Ghent University, DoCoLab, Zwijnaarde, Belgium Prof. dr. Ann Van Soom Ghent University, Faculty of Veterinary Medicine, Merelbeke, Belgium MEMBERS OF THE EXAMINATION COMMITTEE Dr. Ludovic Bailly-Chouriberry Laboratoires des Courses Hippiques, Verrières-le-Buisson, France Dr. Leen Van Ginkel Wageningen University, RIKILT, Wageningen, The Netherlands Prof. dr. Myriam Hesta Ghent University, Faculty of Veterinary Medicine, Merelbeke, Belgium This work was funded by the Fédération Nationale des Courses Françaises (via the Laboratoire des Courses Hippiques) and executed at the Laboratory of Chemical Analysis (Faculty of Veterinary Medicine, Ghent University, Merelbeke). The author and the promoter give the authorisation to consult and to copy parts of this work for personal use only. Every other use is subject to the copyright laws. Permission to reproduce any material contained in this work should be obtained from the author. “The universe is full of magic, Just patiently waiting for our wits to grow sharper” TABLE OF CONTENTS TABLE OF CONTENTS Chapter I – General Introduction 1 1. Steroids 3 1.1 Chemical structure 1.2 (Steroid) hormones and their role in the endocrine system 1.3 Biosynthesis of steroid hormones 1.4 Anabolic-androgenic steroids (AAS) 1.5 Synthesis and absorption of the steroid precursor cholesterol 2.
    [Show full text]
  • Title 16. Crimes and Offenses Chapter 13. Controlled Substances Article 1
    TITLE 16. CRIMES AND OFFENSES CHAPTER 13. CONTROLLED SUBSTANCES ARTICLE 1. GENERAL PROVISIONS § 16-13-1. Drug related objects (a) As used in this Code section, the term: (1) "Controlled substance" shall have the same meaning as defined in Article 2 of this chapter, relating to controlled substances. For the purposes of this Code section, the term "controlled substance" shall include marijuana as defined by paragraph (16) of Code Section 16-13-21. (2) "Dangerous drug" shall have the same meaning as defined in Article 3 of this chapter, relating to dangerous drugs. (3) "Drug related object" means any machine, instrument, tool, equipment, contrivance, or device which an average person would reasonably conclude is intended to be used for one or more of the following purposes: (A) To introduce into the human body any dangerous drug or controlled substance under circumstances in violation of the laws of this state; (B) To enhance the effect on the human body of any dangerous drug or controlled substance under circumstances in violation of the laws of this state; (C) To conceal any quantity of any dangerous drug or controlled substance under circumstances in violation of the laws of this state; or (D) To test the strength, effectiveness, or purity of any dangerous drug or controlled substance under circumstances in violation of the laws of this state. (4) "Knowingly" means having general knowledge that a machine, instrument, tool, item of equipment, contrivance, or device is a drug related object or having reasonable grounds to believe that any such object is or may, to an average person, appear to be a drug related object.
    [Show full text]
  • Anabolic Steroids/Androgens Pa Summary
    ANABOLIC STEROIDS/ANDROGENS PA SUMMARY PREFERRED Anadrol-50, Danazol, Fluoxymesterone, Methitest, Oxandrolone, Testosterone Cypionate Injection, Testosterone Enanthate Injection NON-PREFERRED Android, Testred LENGTH OF AUTHORIZATION: Varies NOTE: All preferred and non-preferred agents require prior authorization. See PA criteria labeled “Topical Testosterone” for Androderm, Androgel, Striant, and Testim. The criteria details below are for the outpatient pharmacy program. If an injectable medication is being administered in a physician’s office then the criteria information below does not apply. Instead, the physician’s office must bill this drug through the DCH physician’s injectable program and not the outpatient pharmacy program. Information regarding the physician’s injectable program can be located at www.mmis.georgia.gov. PA CRITERIA: For Anadrol-50 Approvable for the following diagnoses: anemia caused by deficient red blood cell production, acquired or congenital aplastic anemia, myelofibrosis, hypoplastic anemia due to administration of myelotoxic drugs Also approvable for HIV or AIDS wasting when significant weight loss is documented in members currently receiving nutritional support For Danazol Approvable for the following diagnoses: endometriosis, fibrocystic breast disease, hereditary angioedema For Fluoxymesterone, Methyltestosterone (Android, Methitest, Testred), Testosterone Cypionate or Enanthate Injection Approvable in male members 12 years of age or older for the following diagnoses: primary hypogonadism, secondary
    [Show full text]
  • University of Groningen Multi-Residue Analysis of Growth Promotors In
    University of Groningen Multi-residue analysis of growth promotors in food-producing animals Koole, Anneke IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 1998 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Koole, A. (1998). Multi-residue analysis of growth promotors in food-producing animals. s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date: 25-09-2021 APPENDIX 1 OVERVIEW OF RELEVANT SUBSTANCES This appendix consists of two parts. First, substances that are relevant for the research presented in this thesis are given. For each substance CAS number (CAS), molecular weight (MW), bruto formula (formula) and if available UV maxima and alternative names are given. In addition, pKa values for the ß-agonists are listed, if they were available.
    [Show full text]
  • Oxandrin (Oxandrolone Tablets, USP) DESCRIPTION Oxandrin Oral Tablets Contain Either 2.5Mg Or 10Mg of the Anabolic Steroid Oxandrolone
    BTG PHARMACEUTICALS Oxandrin (oxandrolone tablets, USP) DESCRIPTION Oxandrin oral tablets contain either 2.5mg or 10mg of the anabolic steroid oxandrolone. Oxandrolone is 17B-hydroxy-17a-methyl-2- oxa-5a-androstan-3-one with the following structural formula. Inactive ingredients include cornstarch, lactose, magnesium stearate, and hydroxypropyl methyl-cellulose. CLINICAL PHARMACOLOGY Anabolic steroids are synthetic derivatives of testosterone. Certain clinical effects and adverse reactions demonstrate the androgenic properties of this class of drug. Complete dissociation of anabolic and androgenic effects has not been achieved. The actions of anabolic steroids are therefore similar to those of male sex hormones with the possibility of causing serious disturbances of growth and sexual development if given to young children. Anabolic steroids suppress the gonadotropic functions of the pituitary and may exert a direct effect upon the testes. During exogenous administration of anabolic androgens, endogenous testosterone release is inhibited through inhibition of pituitary luteinizing hormore (LH). At large doses, spermatogenesis may be suppressed through feedback inhibition of pituitary follicle-stimulating hormone(FSH). Anabolic steroids have been reported to increase low-density lipoproteins and decrease high-density lipoproteins. These levels revert to normal on discontinuation of treatment. INDICATIONS AND USAGE Oxandrin is indicated as adjunctive therapy to promote weight gain after weight loss following extensive surgery, chronic infections, or severe trauma and in some patients who without definite pathophysiologic reasons fail to gain or to maintain normal weight, to offset the protein catabolism associated with prolonged administration of corticosteroids, and for the relief of the bone pain frequently accompanying osteoporosis (See DOSAGE AND ADMINISTRATION). DRUG ABUSE AND DEPENDENCE Oxandrolone is classified as a controlled substance under the Anabolic Steroids Control Act of 1990 and has been assigned to Schedule III (non-narcotic).
    [Show full text]
  • Interactions with COUMADIN
    Interactions with COUMADIN INDICATIONS • have kidney problems • take other medicines that increase your risk of COUMADIN® (warfarin sodium) is a prescription medicine used bleeding, including: to treat blood clots and to lower the chance of blood clots – a medicine that contains heparin forming in your body. Blood clots can cause a stroke, heart – other medicines to prevent or treat blood clots attack, or other serious conditions if they form in the legs or – non-steroidal anti-inflammatory drugs (NSAIDs) lungs. COUMADIN may have been prescribed to help you: • take warfarin sodium for a long time. Warfarin sodium is • Reduce your risk of forming blood clots if you have had a the active ingredient in COUMADIN. heart-valve replacement or if you have an irregular, rapid Call your doctor or seek immediate medical care heartbeat, called atrial fibrillation if you have any of the following signs or symptoms • Lower the risk of death if you’ve had a heart attack, as of bleeding: well as lowering your risk of having another heart attack, • pain, swelling, or discomfort stroke, and having blood clots move to another part of • headaches, dizziness, or weakness your body • unusual bruising (bruises that develop without known It is not known if COUMADIN is safe and effective in children. cause or grow in size) • nosebleeds or bleeding gums IMPORTANT SAFETY INFORMATION • bleeding from cuts takes a long time to stop • menstrual bleeding or vaginal bleeding that is heavier COUMADIN® (warfarin sodium) can cause bleeding than normal which can be serious
    [Show full text]
  • Pharmaceutical Appendix to the Tariff Schedule 2
    Harmonized Tariff Schedule of the United States (2006) – Supplement 1 (Rev. 1) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE HARMONIZED TARIFF SCHEDULE Harmonized Tariff Schedule of the United States (2006) – Supplement 1 (Rev. 1) Annotated for Statistical Reporting Purposes PHARMACEUTICAL APPENDIX TO THE TARIFF SCHEDULE 2 Table 1. This table enumerates products described by International Non-proprietary Names (INN) which shall be entered free of duty under general note 13 to the tariff schedule. The Chemical Abstracts Service (CAS) registry numbers also set forth in this table are included to assist in the identification of the products concerned. For purposes of the tariff schedule, any references to a product enumerated in this table includes such product by whatever name known. Product CAS No. Product CAS No. ABACAVIR 136470-78-5 ACEXAMIC ACID 57-08-9 ABAFUNGIN 129639-79-8 ACICLOVIR 59277-89-3 ABAMECTIN 65195-55-3 ACIFRAN 72420-38-3 ABANOQUIL 90402-40-7 ACIPIMOX 51037-30-0 ABARELIX 183552-38-7 ACITAZANOLAST 114607-46-4 ABCIXIMAB 143653-53-6 ACITEMATE 101197-99-3 ABECARNIL 111841-85-1 ACITRETIN 55079-83-9 ABIRATERONE 154229-19-3 ACIVICIN 42228-92-2 ABITESARTAN 137882-98-5 ACLANTATE 39633-62-0 ABLUKAST 96566-25-5 ACLARUBICIN 57576-44-0 ABUNIDAZOLE 91017-58-2 ACLATONIUM NAPADISILATE 55077-30-0 ACADESINE 2627-69-2 ACODAZOLE 79152-85-5 ACAMPROSATE 77337-76-9 ACONIAZIDE 13410-86-1 ACAPRAZINE 55485-20-6 ACOXATRINE 748-44-7 ACARBOSE 56180-94-0 ACREOZAST 123548-56-1 ACEBROCHOL 514-50-1 ACRIDOREX 47487-22-9 ACEBURIC
    [Show full text]
  • Control Be Implemented. the First Large-Scale Systematic Olympic Games
    Br J Sports Med: first published as 10.1136/bjsm.11.4.162 on 1 December 1977. Downloaded from 162 Brit. J. Sports Med. - Vol. 1 1, No. 4, December 1977, pp. 162-169 RADIOIMMUNOASSAY OF ANABOLIC STEROIDS: AN EVALUATION OF THREE ANTISERA FOR THE DETECTION OF ANABOLIC STEROIDS IN BIOLOGICAL FLUIDS Robert DUGAL, Ph.D., Claire DUPUIS, Ph.D. and Michel J. BERTRAND, Ph.D. Centre de Recherches en Sciences de la Sante, Institut National de la Recherche Scientifique, Centre Hospitalier Louis-H. Lafontaine, Montrdal, Quebec, Canada ABSTRACT Recently developped radioimmunoassays (RIA) for the analysis of anabolic steroids and their metabolites in biological fluids were tested for cross-reactivity with other types of steroids. Results show that the degree of desirable cross-reactivity within the two classes of orally active anabolic steroids vary widely and that the antiserum for 19-Nortestosterone (the active principle of intramuscular, preparations) has a very high degree of undesirable cross- reactivity with components of oral contraceptives. Single and multiple dose studies in human volunteers demonstrate that the detection level and degree of retrospectivity are likewise variable but that the test easily detects most anabolic steroids during treatment. At the present time, the combination of the three antisera for the assay of a sample appears to be a relatively rapid and economic method for screening large numbers of samples in situations where doping control of anabolic steroids is required. The importance of utilizing physico-chemical means for identification of RIA potential positives is emphasized. INTRODUCTION (Sumner, 1974: Brooks et al, 1975) and identification procedures for a limited number of them have also been copyright.
    [Show full text]
  • Androgens and Anabolic Steroids Prior Authorization with Quantity
    Androgens and Anabolic Steroids Prior Authorization with Quantity Limit Through Preferred Topical Androgen Criteria Program Summary This prior authorization program will apply only to the Oral and Topical Androgens and Anabolic Steroids. Preferred topical agents is Androgel 1.62%. This program applies to Commercial, GenPlus, NetResults A series, SourceRx and Health Insurance Marketplace formularies. Quantity limits only apply to the topical androgen agents. OBJECTIVE The intent of the Androgens and Anabolic Steroids Prior Authorization with Quantity Limit (PA) program is to appropriately select patients for therapy according to product labeling and/or clinical guidelines and/or clinical studies and according to dosing recommended in product labeling. The PA criteria will approve these agents for the FDA approved indications and off label use that is medically necessary for certain indications (e.g. AIDS/HIV-associated wasting syndrome, Turner Syndrome). In addition, the program will encourage use of two preferred topical androgen agents (Androgel and Axiron) prior to a non-preferred topical androgen agent. Use of a non-preferred topical androgen agent will be evaluated if the prescriber indicates a history of a trial of or documented intolerance, FDA labeled contraindication, or hypersensitivity to two preferred topical androgen agents. Additionally, stand-alone topical agents will not require the use of preferred topical agents, nor be a requirement prior to use of non-preferred topical agents. The program will approve only one of these agents at a time. The program will approve topical androgens for doses within the FDA labeled dosage range. Determination of quantity limits takes into account the packaging of the agents.
    [Show full text]
  • Drugs Affectin the Autonomic Nervous System
    Fundamentals of Medical Pharmacology Paterson Public Schools Written by Néstor Collazo, Ph.D. Jonathan Hodges, M.D. Tatiana Mikhaelovsky, M.D. for Health and Related Professions (H.A.R.P.) Academy March 2007 Course Description This fourth year course is designed to give students in the Health and Related Professions (H.A.R.P.) Academy a general and coherent explanation of the science of pharmacology in terms of its basic concepts and principles. Students will learn the properties and interactions between chemical agents (drugs) and living organisms for the rational and safe use of drugs in the control, prevention, and therapy of human disease. The emphasis will be on the fundamental concepts as they apply to the actions of most prototype drugs. In order to exemplify important underlying principles, many of the agents in current use will be singled out for fuller discussion. The course will include the following topics: ¾ The History of Pharmacology ¾ Terminology Used in Pharmacology ¾ Drug Action on Living Organisms ¾ Principles of Pharmacokinetics ¾ Dose-Response Relationships ¾ Time-Response Relationships ¾ Human Variability: Factors that will modify effects of drugs on individuals ¾ Effects of Drugs Attributable to Varying Modes of Administration ¾ Drug Toxicity ¾ Pharmacologic Aspects of Drug Abuse and Drug Dependence Pre-requisites Students must have completed successfully the following courses: Biology, Chemistry, Anatomy and Physiology, Algebra I and II Credits: 5 credits Basic Principles of Drug Action Introduction to Pharmacology a. Basic Mechanisms of Drug Actions b. Dose-response relationships c. Drug absorption d. Biotransformation of Drugs e. Pharmacokinetics f. Factors Affecting Drug Distribution g. Drug Allergy and Pharmacogenetics h.
    [Show full text]
  • A28 Anabolic Steroids
    Anabolic SteroidsSteroids A guide for users & professionals his booklet is designed to provide information about the use of anabolic steroids and some of the other drugs Tthat are used in conjunction with them. We have tried to keep the booklet free from technical jargon but on occasions it has proven necessary to include some medical, chemical or biological terminology. I hope that this will not prevent the information being accessible to all readers. The first section explaining how steroids work is the most complex, but it gets easier to understand after that (promise). The booklet is not intended to encourage anyone to use these drugs but provides basic information about how they work, how they are used and the possible consequences of using them. Anabolic Steroids A guide for users & professionals Contents Introduction .........................................................7 Formation of Testosterone ...............................................................8 Method of Action ..............................................................................9 How Steroids Work (illustration).......................................................10 Section 1 How Steroids are Used ....................................... 13 What Steroid? ................................................................................ 14 How Much to Use? ......................................................................... 15 Length of Courses? ........................................................................ 15 How Often to Use Steroids?
    [Show full text]