Kasashi Kumiko
Department of Pharmacy, Hokkaido University Hospital, Sapporo, Japan.
Yakugaku Zasshi. 2009 Dec;129(12):1475-81. doi: 10.1248/yakushi.129.1475.
In recent years, appropriate medication and guarantees of safety are being sought not only by medical circles but also by the world of sport. Under normal circumstances, sport should be wholesome in both mind and body, but "doping" by the misuse and abuse of drugs and such is developing into a social issue. This is not just a result of the deliberate behavior of a certain number of people; many cases include use due to a lack of knowledge of drugs and doping, although eventually the sanctions received are the same. Doping tends to be perceived as the problem of just a section of elite athletes, but since the introduction of doping control at the National Athletic Meet 2003, anti-doping measures continue to be a problem close at hand. In 2004, the World Anti-Doping Code came into effect and subsequently not just the world of sport but various national governments became deeply involved with anti-doping. Anti-doping guidelines in Japan were formulated by the Ministry of Education, Culture, Sports, Science and Technology in 2007, stipulating that doctors and pharmacists should be proactive in anti-doping activities. With the aim of eradicating doping, it was deemed that pharmacists can intervene by providing support regarding such issues as drug enlightenment, consultation; the supply of drug information; database production; and therapeutic use exemption. It can be considered that pharmacists can sufficiently use their knowledge and experience gained in these fields, and that such knowledge could lead to more appropriate drug use in sport.
近年来,不仅医学界,体育界也在寻求合理用药和安全保障。在正常情况下,体育运动应在身心两方面都有益健康,但药物的误用和滥用等“兴奋剂”问题正演变成一个社会问题。这不仅仅是一些人故意行为的结果;许多案例还包括因对药物和兴奋剂缺乏了解而使用,尽管最终受到的制裁是相同的。兴奋剂往往被视为只是一部分精英运动员的问题,但自2003年全国运动会引入兴奋剂检测以来,反兴奋剂措施一直是一个亟待解决的问题。2004年,《世界反兴奋剂条例》生效,随后不仅体育界,各国政府也都深度参与到反兴奋剂工作中。日本的反兴奋剂指导方针由文部科学省于2007年制定,规定医生和药剂师应积极参与反兴奋剂活动。为了根除兴奋剂问题,人们认为药剂师可以通过在药物宣传、咨询、提供药物信息、建立数据库以及治疗用药豁免等问题上提供支持来进行干预。可以认为药剂师能够充分利用他们在这些领域获得的知识和经验,并且这些知识能够使体育运动中的药物使用更加合理。