Use of androgenic anabolic steroids by patients under treatment for substance use disorder: case series

Abstract

Palavras-chaveAnabolizantes, esteroides, transtornos relacionados ao uso de substâncias. Keywords ABSTRACTThe present study reports several case studies about the use of androgenic-anabolic steroids (AAS) by patients under treatment for substance use disorder (SUD). Ten subjects were interviewed, two women and eight men, ranging from 25 to 43 years old. Regarding treatment regime, eight subjects were inpatients and two, outpatients. ASSIST-WHO and MINI-SUD scales and a semi-structured interview were used as research instruments. Seven subjects reported the use of AAS within fewer than twelve months from the interview date. Mental health professionals did not previously question none of the subjects were about the use of AAS. We discuss the efficacy of the chosen instruments to assess AAS use. RESUMOEste artigo apresenta uma série de casos relatando o uso de esteroides androgênicos anabolizantes (EAA) por pacientes em tratamento para transtorno por uso de substâncias (TUS

No association between psychiatric symptoms and doses of anabolic steroids in a cohort of male and female bodybuilders

“…23 However, substances such as cannabis and sedatives have been reported as been used in an attempt to reduce adverse effects of AAS such as insomnia and anxiety. 48,51 The similar proportions of male and female participants of this study who reported the use of recreational drugs also corroborate a similarity of practices and lifestyle among. 21 The majority of male and female participants presented symptoms of either insomnia, aggressiveness, agitation or depression in the last 3 months, as seen in other studies with AAS users.…”

“…The use of recreational drugs was reported by a minority of participants, which could be associated with the avoidance of drugs adopted by some competitive bodybuilders 23 . However, substances such as cannabis and sedatives have been reported as been used in an attempt to reduce adverse effects of AAS such as insomnia and anxiety 48,51 . The similar proportions of male and female participants of this study who reported the use of recreational drugs also corroborate a similarity of practices and lifestyle among 21 .…”

Effective treatment and prevention of attempted suicide, anxiety, and aggressiveness with fluoxetine, despite proven use of androgenic anabolic steroids

“…Despite all advice, Mr Y was unwilling to suspend the use of AAS, but adhered to the concurrent intake of fluoxetine. No further symptoms of anxiety, aggression, or suicide attempts occurred until the completion of this report, 240 days after admission.4 | DISCUSSIONIt is unusual that AAS users seek psychiatric help for steroid-related symptoms( 17,18 ; Bates et al, 2019) 19. This case is not an exception, since the patient was admitted into treatment by his family after his suicide attempt.…”

“…It is unusual that AAS users seek psychiatric help for steroid‐related symptoms ( 17,18 ; Bates et al, 2019) 19 . This case is not an exception, since the patient was admitted into treatment by his family after his suicide attempt.…”