Ephedra
By:Kaitlin Meade
What is Ephedra?
   AKA ma huang
   Contains ephedrine alkaloid - stimulates the CNS
   Used mainly as a decongestant
What does it do?
   Expand breathing passages
   Constrict blood vessels
   Increase arterial BP
How has it been used?
   Notoriously known as an herbal supplement in weight loss products
   Athletes have been known to use it for reducing their fat to muscle weight
    ratio
   Students have used it to stay awake to study
   Truck drivers
   Used in amphetamine/hallucinogenic drugs ie ecstasy
History
   Used in Traditional Chinese Medicine for more than 5000 years
   Ephedra plants have been reported being used since 1500 B.C. in India
   Mormon tea
   Synthetic form as a treatment for arthritis in 1930
   1940s - used more aggressively for asthma
   Only recently been discovered as a thermogenic
Benefits
   Known as the supplement that can curb your appetite, increase your energy
    levels, and cause your metabolism to speed up
   Thermogenic - calories burned in order to generate heat
   Used to treat medical conditions such as asthma, cough, bronchitis, allergic
    rhinitis, sinusitis, and nasal congestion
   BUT are there really any benefits at all in the athletic realm?
Side Effects
   Irritability          Hypertension
   Restlessness          Rapid/irregular
                           heartbeat
   Insomnia
                          Stroke
   Headaches             Seizures
   Nausea                Addiction
   Vomiting              Death
   Urinary problems
Research
   Banned by FDA in OTC drugs in May 2004
   Low doses of ephedra have been proven not to give ergogenic effects in
    multiple studies (Sidney and Lefcoe, Cycle ergometry time trial, more recent
    study of pseudoephedrine, etc.)
   Walton study and another study found increases in power output during
    cycling tests
   Threshold dosage level may exist to reap ergogenic effects
   Ephedra and Caffeine
So what?
   Too risky, no matter what the dose
   The consequences have a high likelihood of outweighing the benefits
References
Magkos, Faidon and Stavros A. Kavouras. "Caffeine and Ephedrine: Physiological, Metabolic and Performance-Enhancing Effects." Sports
Medicine, vol. 34, no. 13, Oct. 2004, pp. 871-889. EBSCOhost,
search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=14752603&site=ehost-live.
Ehlers, B. E. (2001). The History of Ephedra. Retrieved April 10, 2017, from
https://dash.harvard.edu/bitstream/handle/1/8852148/Ehlers.html?sequence=2
Ehrlich, S. D., NMD. (2016, February 2). Ephedra. Retrieved April 10, 2017, from http://www.umm.edu/health/medical/altmed/herb/ephedra
Publications, H. H. (2004, March). Why the FDA banned ephedra. Retrieved April 13, 2017, from
http://www.health.harvard.edu/staying-healthy/ephedra-ban
Eichner, E Randy. "Stimulants in Sports." Current Sports Medicine Reports, vol. 7, no. 5, Sept. 2008, pp. 244-245. EBSCOhost,
doi:10.1249/JSR.0b013e318186bf44.
Peters Jr, Ronald J., et al. "Beliefs and Social Norms about Ephedra Onset and Perceived Addiction among College Male and Female Athletes."
Substance Use & Misuse, vol. 40, no. 1, Jan. 2005, pp. 125-135. EBSCOhost,
search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=16133242&site=ehost-live.