Iff Samuel, Gähwiler Roman, Butzke Ingo, Quednow Boris B, Claussen Malte Christian
Klinik für Psychiatrie, Psychotherapie und Psychosomatik, Psychiatrische Universitätsklinik Zürich, Universität Zürich, Zürich, Schweiz.
Klink für Psychose und Abhängigkeit, PZM Psychiatriezentrum Münsingen AG, Münsingen, Schweiz.
Praxis (Bern 1994). 2022 Apr;111(6):333-337. doi: 10.1024/1661-8157/a003846.
Recognizing IPED Use in Clinical Practice The non-medical use of image- and performance-enhancing drugs (IPEDs) is widespread in the fitness and bodybuilding scene. The reasons for IPED use are often hedonistic in nature and they are used in so-called "cycles" over several weeks. The most common side effects are: testicular atrophy, acne, hypersexuality, hypertension, gynecomastia, lipid metabolism disorders, mood swings, hair loss, and policythemia. Common consequences following IPED use are: decreased libido, oligo- or azoospermia, and erectile dysfunction. To reduce undesirable side effects and consequences, IPED users often take medications for self-treatment; occasionally IPED users also mention such medications and ask for them in the general medical practice.
在临床实践中识别合成代谢类固醇的使用 合成代谢类固醇的非医疗用途在健身和健美领域广泛存在。使用合成代谢类固醇的原因通常本质上是享乐主义的，并且它们会在数周内以所谓的“周期”使用。最常见的副作用包括：睾丸萎缩、痤疮、性欲亢进、高血压、男性乳房发育、脂质代谢紊乱、情绪波动、脱发和红细胞增多症。使用合成代谢类固醇后的常见后果包括：性欲减退、少精子症或无精子症以及勃起功能障碍。为了减少不良副作用和后果，合成代谢类固醇使用者经常自行服药治疗；偶尔，合成代谢类固醇使用者也会提及此类药物并在普通医疗实践中索要。
