British Journal of Sports Medicine 2009;43:548-549
EDITORIALS
Prophylactic misuse and recommended use of non-steroidal anti-inflammatory drugs by athletes
Correspondence to Dr Stuart J Warden, Department of Physical Therapy, School of Health and Rehabilitation Sciences, Indiana University, 1140 W Michigan St, CF-326, Indianapolis, IN 46202, USA; stwarden@iupui.edu
Accepted 16 December 2008
| The first 150 words of the full text of this article appear below. |
Superstitions and rituals are commonplace in sports and range from simple activities such as each player touching a special inanimate object before entering the field of play to more extreme behaviours such as not washing a uniform or wearing the same underwear during a winning streak. These practices are relatively harmless and may reduce precompetition anxiety, but a concerning ritual that has recently developed in sports is the prophylactic use of non-steroidal anti-inflammatory drugs (NSAIDs).
Athletes misuse NSAIDs
Athletes have relatively unrestricted access to NSAIDs, as they are readily available over-the-counter preparations and not considered as performance-enhancing drugs by the World Anti-Doping Agency.1 It has been known for some years that athletes are frequent users of NSAIDS,2 with approximately a quarter of athletes competing at the Sydney 2000 Olympic Games reporting NSAID use in the 3 days before random drug testing.3 Such prevalent NSAID use may reflect the physical rigors of elite athletic
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