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===Food contamination===
===Food contamination===
In September 2006 over 330 people in [[Shanghai]] were reported to have been [[food poisoning|poisoned]] by eating [[pork]] contaminated by clenbuterol that had been fed to the animals to keep their meat lean. There are also other informal reports on localized food contamination cases by clenbuterol in the U.S., which led to setting rules that limit consumption of this medicine only to horses.<ref>{{cite news|url=http://www.breitbart.com/news/2006/09/19/060919065258.qtzm4eom.html| title= Pigs fed on bodybuilder steroids cause food poisoning in Shanghai | work=AFP|date=2006-09-19|accessdate=2006-09-19| language={{#language:en}}|}}</ref>
In September 2006 over 330 people in [[Shanghai]] were reported to have been [[food poisoning|poisoned]] by eating [[pork]] contaminated by clenbuterol that had been fed to the animals to keep their meat lean.<ref>{{cite news|url=http://www.breitbart.com/article.php?id=060919065258.qtzm4eom&show_article=1| title= Pigs fed on bodybuilder steroids cause food poisoning in Shanghai | work=AFP|date=2006-09-19|accessdate=2006-09-19| language={{#language:en}}|}}</ref>


In February 2009, at least 70 people in one Chinese province (Guangdong) suffered food poisoning after eating pig organs believed to contain clenbuterol residue. The victims complained of stomachaches and diarrhea after eating pig organs bought in local markets.<ref>{{cite news| url=http://www.cnn.com/2009/WORLD/asiapcf/02/22/china.poisonings/index.html | work=CNN | title=China: 70 ill from tainted pig organs - CNN.com | date=2009-02-23 | accessdate=2010-04-30}}</ref><ref>http://www.chinadaily.com.cn/china/2009-02/23/content_7501017.htm</ref>
In February 2009, at least 70 people in one Chinese province (Guangdong) suffered food poisoning after eating pig organs believed to contain clenbuterol residue. The victims complained of stomachaches and diarrhea after eating pig organs bought in local markets.<ref>{{cite news| url=http://www.cnn.com/2009/WORLD/asiapcf/02/22/china.poisonings/index.html | work=CNN | title=China: 70 ill from tainted pig organs - CNN.com | date=2009-02-23 | accessdate=2010-04-30}}</ref><ref>http://www.chinadaily.com.cn/china/2009-02/23/content_7501017.htm</ref>

Revision as of 23:09, 9 June 2011

Clenbuterol
Clinical data
Pregnancy
category
  • C
Routes of
administration
oral
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability89-98% orally
Metabolism?
Elimination half-life36-39 hours
Excretion?
Identifiers
  • (RS)-1-(4-amino-3,5-dichlorophenyl)-2-(tert-butylamino)ethanol
CAS Number
PubChem CID
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.048.499 Edit this at Wikidata
Chemical and physical data
FormulaC12H18Cl2N2O
Molar mass277.19 g·mol−1
3D model (JSmol)
  • Clc1cc(cc(Cl)c1N)C(O)CNC(C)(C)C
  • InChI=1S/C12H18Cl2N2O/c1-12(2,3)16-6-10(17)7-4-8(13)11(15)9(14)5-7/h4-5,10,16-17H,6,15H2,1-3H3 checkY
  • Key:STJMRWALKKWQGH-UHFFFAOYSA-N checkY
  (verify)

Clenbuterol (trade names: Spiropent, Ventipulmin) is a sympathomimetic amine used by sufferers of breathing disorders as a decongestant and bronchodilator. People with chronic breathing disorders such as asthma use this as a bronchodilator to make breathing easier. It is most commonly available as the hydrochloride salt clenbuterol hydrochloride.

Effects and dosage

Clenbuterol is a β2 agonist with some structural and pharmacological similarities to epinephrine and salbutamol, but its effects are more potent and longer-lasting as a stimulant and thermogenic drug. It causes an increase in aerobic capacity, central nervous system stimulation, and an increase in blood pressure and oxygen transportation. It increases the rate at which body fat is metabolized, simultaneously increasing the body's BMR. It is commonly used for smooth muscle relaxant properties. This means that it is a bronchodilator and tocolytic. It is usually used in dosages anywhere from 20-60 micrograms a day when prescribed. A dose of about 120 μg should never be exceeded in a day [citation needed]. It is also prescribed for treatment of horses; however, equestrian usage is usually the liquid form of clenbuterol. Clenbuterol is also a sympathomimetic in the peripheral nervous system.

Human use

Clenbuterol is approved for use in some countries (via prescription only) as a bronchodilator for asthma patients.[1] Recently though, the drug has been publicized for its off-label use as a weight loss drug, similar to usage of other sympathomimetic amines such as ephedrine. It is commonly used as a slimming aid despite lack of sufficient clinical evidence supporting such use.

Clenbuterol is not an ingredient of any therapeutic drug approved by the U.S. Food and Drug Administration[1] and is now banned for IOC-tested athletes.[2] See further at List of doping cases in sport.

Use as performance-enhancing drug

Clenbuterol has also been used as a performance-enhancing drug. In 2010, a number of athletes were banned after using the drug, including Polish canoeist Adam Seroczynski, British hurdler Callum Priestley and Chinese Olympic judo champion Tong Wen. Three cyclists were also accused of taking the drug. Three-time Tour de France champion Alberto Contador of Spain tested positive for the drug at the 2010 Tour de France. The news came out during the UCI Road Cycling World Championships held in Geelong, Australia.[3] In May, the UCI suspended Italian cyclist Alessandro Colo, and Chinese rider Li Fuyu, a member of Team RadioShack, was suspended after testing positive for the drug during a Belgian race.

American swimmer Jessica Hardy tested positive at the U.S. trials in July 2008. She served a one-year suspension, having claimed she unknowingly took the drug in a contaminated food supplement. Former New York Mets clubhouse employee Kirk Radomski admitted to distributing clenbuterol to dozens of current and former Major League Baseball players and associates in his plea deal.[4]

Polish sprint canoer Adam Seroczyński was disqualified for taking this drug after he finished fourth in the K-2 1000 m event at the 2008 Summer Olympics in Beijing, and Chinese cyclist Li Fuyu tested positive for it at the Dwars door Vlaanderen race in Belgium on March 24, 2010.[5]

In the 2010 Tour de France, Alberto Contador tested positive for clenbuterol. He claims it was due to food contamination, citing the 50 picogram (5 × 10−11 g) per millilitre concentration of the drug in his sample. He was handed a one-year suspension from competition by the Spanish Cycling Federation (RFEC). On February 14, 2011, Contador was cleared of doping by the Spanish cycling federation, which canceled its January 26 proposal for a one-year ban.[6] Traces of the amine from meat in the diet is regularly turning up in athletes' blood.[7]

In September 2010, St. Louis Cardinals minor league shortstop Lainer Bueno received a 50-game suspension for the 2011 season as a result of testing positive for clenbuterol.[8]

In June 2011, Mexico national soccer team players Francisco Javier Rodriguez, Antonio Naelson, Christian Bermudez, Edgar Duenas, and Guillermo Ochoa tested positive for Clenbuterol in their systems. [9]

Contraindications and cautions

Overdosage

Excessive[clarification needed] usage can cause muscle tremor, headache, dizziness and gastric irritation. Persons self-administering the drug for weight loss or to improve athletic performance have experienced nausea, vomiting, diaphoresis, palpitations, tachycardia and myocardial infarction. Abuse of the drug may be confirmed by detecting its presence in serum or urine.[10]

Food contamination

In September 2006 over 330 people in Shanghai were reported to have been poisoned by eating pork contaminated by clenbuterol that had been fed to the animals to keep their meat lean.[11]

In February 2009, at least 70 people in one Chinese province (Guangdong) suffered food poisoning after eating pig organs believed to contain clenbuterol residue. The victims complained of stomachaches and diarrhea after eating pig organs bought in local markets.[12][13]

In March 2011, China's Ministry of Agriculture (MOA) said that the government would launch a one-year crackdown on illegal additives in pig feed, after a subsidiary of Shuanghui Group, China's largest meat producer, was exposed for using clenbuterol-contaminated pork in its meat products. A total of 72 people in central Henan Province, where Shuanghui is based, were taken into police custody for allegedly producing, selling or using clenbuterol.[14][15]

Veterinary use

The European Union prohibits the use of clenbuterol in food-producing animals. It is, however, used in other parts of the world for the treatment of allergic respiratory disease in horses, as it is a bronchodilator. A common trade name is Ventipulmin. It can be used both orally and intravenously. It is also used in cattle to relax the uterus in cows, usually at the time of parturition.[16] It is also a nonsteroidal anabolic and metabolism accelerator, through a mechanism not well understood. Its ability to increase the muscle-to-fat body ratio makes its illegal use in livestock popular to obtain leaner meats.

References

  1. ^ a b "Clenbuterol", Daily Mail, 2009-10-01, retrieved 2010-04-07
  2. ^ Guest, Katy (2007-04-10). "Clenbuterol: The new weight-loss wonder drug gripping Planet Zero". The Independent. London. Retrieved 2007-04-10.
  3. ^ http://www.google.com/hostednews/ap/article/ALeqM5i3PPjohFh-pxv8X9LPQ4C50npndwD9IHVSIG0?docId=D9IHVSIG0
  4. ^ http://www.huffingtonpost.com/2010/09/30/alberto-contador-tests-po_n_744711.html
  5. ^ Radioshack suspends Li after doping positive
  6. ^ Brendan Gallagher, Alberto Contador has one-year ban for positive clenbuterol test overturned by Spanish National Cycling Federation, telegraph.co.uk, 15 February 2011
  7. ^ WADA investigating tainted beef in China - AP, Feb 22, 2011
  8. ^ "Three Minor League players suspended". MLB.com. September 30, 2010.
  9. ^ "Five Mexico players test positive". June 9,2011. {{cite news}}: Check date values in: |date= (help)
  10. ^ R. Baselt, Disposition of Toxic Drugs and Chemicals in Man, 8th edition, Biomedical Publications, Foster City, CA, 2008, pp. 325-326.
  11. ^ "Pigs fed on bodybuilder steroids cause food poisoning in Shanghai". AFP. 2006-09-19. Retrieved 2006-09-19. {{cite news}}: Cite has empty unknown parameter: |1= (help)
  12. ^ "China: 70 ill from tainted pig organs - CNN.com". CNN. 2009-02-23. Retrieved 2010-04-30.
  13. ^ http://www.chinadaily.com.cn/china/2009-02/23/content_7501017.htm
  14. ^ "China to launch one-year crackdown on contaminated pig feed - xinhuanet.com". Xinhua. 2011-03-28. Retrieved 2011-03-29.
  15. ^ http://news.xinhuanet.com/english2010/china/2011-03/28/c_13802146.htm
  16. ^ http://www.noahcompendium.co.uk/Boehringer_Ingelheim_Limited/Planipart_Solution_for_Injection_30_micrograms_ml/-37725.html