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Sport Drug Testing Adrian Smalley Ryan Simpson Jenessa Dilley Points To Be Reviewed World Anti-Doping Agency (WADA) Prohibited List Standard Testing Protocol False Accusations & Laboratories Chain of Command How to Cheat a Drug Test Prohibited List • Gene Doping • Stimulants (In-Competition) • Anabolic Agents • Narcotics (In-Competition) • Peptide Hormones, Growth Factors and Related Substances • Glucocorticosteroids (InCompetition) • Beta-2 Agonists • Cannabinoids (In-Competition) • Hormone and Metabolic Modulators • Chemical and Physical Manipulation • Beta-Blockers (Some) • Other Non-Approved Substances • Enhancement of Oxygen Transfer • Alcohol (Some) • Diuretic and Other Masking Agents Standard Testing Protocol Urine Analysis Sample A Sample B Blood Analysis WADA Laboratories Strict guidelines to achieve accreditation Malaysian lab false accusations Hossam Ghaly – International footballer Female American marathon runner Previous false accusations Suspended for 3 months First of more than 35 labs in WADA’s worldwide network to be barred from conducting tests Statistics of False Accusations Prescription Drugs Of 161 legally prescribed and over-the-counter drugs, 65 gave a false positive result (40%) Tour de France Of 126 samples taken at 99% specificity, the false-positive rate was 72% Urine Test 15% of all urine test yield a false positive due to cross reacting substances Substances Falsely Identified on Test False Positive Rate Barbiturates 0 – 6% Amphetamines 0 – 37% Cocaine 0 – 6% Morphine 0 – 10% Urine Test False-Positives Substances Falsely Identified on Test Actual Substance False Positive Rate Amphetamine & Methamphetmaine Selegiline & Vicks Inhaler - Barbiturate NSAIDs (Ibuprofen, Naproxen) 0.4% Benzodiazepine Oxaprozin (NSAID) 97% - 100% Cannabinoid NSAIDS (Ibuprofen, Naproxen) - Opiate Fluoroquinolone, Rifampin & Poppy Seeds Phencyclidine Venlafaxine & Dextromethorphan - Substances & Conditions That Cause False-Positives THC • Kidney Infection • Dronabinol • Naproxen (Aleve) • Liver Disease • Riboflavin (B2) • Ibuprofen (Advil, Motrin) Amphetamines • Kidney Infection/Disease • Diabetes • Vicks Nyquil • Liver Disease • Robitussin • Asthma Medication Opiates • Kidney Infection/Disease • Diabetes • Cough Suppressants • Liver Disease • Tylenol (with codeine) • Nasal Sprays • Poppy Seeds Ecstasy • Kidney Infection/Disease • Diabetes • Liver Disease • Robitussin • Asthma Medication Cocaine • Kidney Infection/Disease • Diabetes • Liver Infection/Disease • Tonic Water • Amoxicillin (Antibiotic) Falsely Accused Athletes • Ryan Braun (Baseball) • Christian Hoffmann (Cross-Country Skiing) • Bernard Lagat (Long Distance) • Vegard Hoidalen (Beach Volleyball) • Hossam Ghaly (Soccer) • Mark Hylton (Athletics) • Jay Cutler (Bodybuilding) • Benoit Joachim (Cycling) • Mohammed Asif (Cricket) • Brendan Katin (Baseball) • Richard Gasquet (Tennis) • Agnes Kovacs (Swimming) • Daniel Bailey (Athletics) • Silken Laumann (Rowing) • Simon Daubney (Yachting) • Iban Mayo (Cycling) • Marc Farry (Golf) • Michael Mifsud (Football) • Udi Gal (Sailing) • Diane Modahl (Athletics) • Josep Guardiola (Soccer) • Ross Rebagliati (Snowboarding) • Vincent Guerin (Football) • Greg Rusedski (Tennis) • Michael Rogers (Cycling) • Alessandro Petacchi (Cycling) • Daniel Plaza (Race Walking) • Kristian Smigun (Cross-Country Skiing) Chain of Command Paper Cases 1 & 4 Case 1 Sample replaced with beer Case 4 Officer swapped samples Ryan Braun Basement storage Bribery http://sportsillustrated.cnn.com/video/mlb/2011/12/12/121211. epstein_braun.SportsIllustrated/index.html How to Cheat a Drug Tests All Test Micro-Dosing Epitestosterone Detox Products “Crisis Capsules” Cleanse 1-30 Day Cleanse Tattoos Urine Test Protease Urine Replacement “Oil Change “ Catheterization Whizzinator Diuretics Blood Test Blood Transfusion http://www.passyourdrugtest.com/kits/urine-test.htm