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Dbol Only Cycle? Pharma TRT

# Quick‑Reference Guide for Sports‑Related Drugs & Supplements
*(For athletes, coaches, parents, and medical staff)*

> **Purpose:** Give you the essentials on what’s commonly used in sport – why people take them, how they’re dosed, what can go wrong, and whether they’re legal or banned.
> **Scope:** Covers pain‑relievers, anti‑inflammatory drugs, hormonal boosters, performance enhancers, and everyday supplements.

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## 1. Pain Relief & Anti‑Inflammation

| Drug | Main Use | Typical Dose (adult) | Key Side Effects | Legal/Banned |
|------|----------|---------------------|------------------|--------------|
| **Acetaminophen** (Tylenol) | Mild to moderate pain, fever | 500–1000 mg every 4–6 h; max 4000 mg/day | Liver toxicity at high doses | Legal (OTC) |
| **Ibuprofen** (Advil, Motrin) | Pain, inflammation | 200–400 mg every 4–6 h; max 3200 mg/day | GI bleeding, kidney issues, hypertension | Legal (OTC) |
| **Naproxen** (Aleve) | Pain, inflammation | 220 mg twice daily; max 660 mg/day | Similar to ibuprofen | Legal (OTC) |
| **Acetaminophen + Codeine** (Tylenol with codeine) | Moderate pain | Acetaminophen 325–650 mg + codeine 5–10 mg every 6 h; max 3000 mg acetaminophen/day | Addiction risk, liver toxicity | Prescription |
| **Morphine** (for severe pain) | Severe pain | 2.5–30 mg orally or via IV | High addiction potential | Prescription |

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## 3. Pain Management in the Emergency Department

1. **Initial Triage & Assessment**
- Use the *Numeric Rating Scale* (0‑10) or *Visual Analogue Scale*.
- Document onset, location, radiation, associated symptoms.
- Perform a focused physical exam and relevant imaging if indicated.

2. **Analgesic Strategy**
- **Non‑Opioid** first for mild‑moderate pain: acetaminophen 650–1000 mg q6h (max 4000 mg/day), NSAIDs as per contraindications.
- **Opioids** reserved for moderate‑to‑severe pain or when non‑opioids are ineffective/contraindicated:
- Start with low‑dose oral oxycodone 5 mg PO q4-6h PRN (max 30 mg/day) or morphine 10 mg PO q4h PRN (max 60 mg/day). Adjust per response and tolerability.
- Monitor for adverse effects; use adjunctive anti‑emetics/anticholinergics if needed.

### 2. **Chronic Pain Management**

| Modality | Goal | Typical Use in this Patient |
|----------|------|-----------------------------|
| **Pharmacologic** | Reduce nociceptive signaling, improve function | - Continue current opioid at lowest effective dose

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