О1. Beta-blockers

What are beta-blockers?

Beta-blockers are a class of medications prescribed to block the effects of adrenaline and noradrenaline – hormones produced by the adrenal glands in stress or exercise. Adrenaline and noradrenaline increase blood pressure and heart rate, thereby preparing the body for intensive activity. The effect of beta-blockers is quite the opposite: they reduce the blood pressure and heart rate and have a relaxing effect on muscle function.

In some sports, like archery and shooting, beta-blockers are also prohibited out-of-competition.

Medical uses of beta-blockers

Beta-blockers have been used to treat medical conditions and diseases prompted directly or indirectly by pressure or anxiety:

• hypertension (high blood pressure);

• angina;

• cardiac arrhythmia (abnormal rhythm of the heart);

• migraine;

• tremors;

• alcohol dependence;

• glaucoma.

Effects on performance

Because of their calming effect, beta-blockers can give a competitive advantage in sports that require precision, balance, concentration, etc.

Beta-blockers are prohibited in-competition only in the following sports: archery (also prohibited out-of-competition), automobile sports, billiards, darts, golf, shooting (also prohibited out-of-competition) and skiing/snowboarding (in ski jumping, freestyle aerials/halfpipe and snowboard halfpipe/big air).

Side-effects of beta-blockers

The side-effects of beta-blockers are:

• bradycardia (abnormally slow heart rate);

• hypotension (low blood pressure);

• exhaustion;

• impaired peripheral circulation (cold hands and/or feet);

• dizziness.

Substances and methods prohibited at all times 

Substances and methods prohibited in-competition

Substances prohibited in particular sports