Some anabolic steroids are taken orally, others are injected intramuscularly, and still others are provided in gels or creams that are rubbed on the skin. Doses taken by abusers can be 10 to 100 times higher than the doses used for medical conditions.
Steroid abusers typically "stack" the drugs, meaning that they take two or more different anabolic steroids, mixing oral and/or injectable types and sometimes even including compounds that are designed for veterinary use. Abusers think that the different steroids interact to produce an effect on muscle size that is greater than the effects of each drug individually, a theory that has not been tested scientifically.
Often, steroid abusers also "pyramid" their doses in cycles of 6 to 12 weeks. At the beginning of a cycle, the person starts with low doses of the drugs being stacked and then slowly increases the doses. In the second half of the cycle, the doses are slowly decreased to zero. This is sometimes followed by a second cycle in which the person continues to train but without drugs. Abusers believe that pyramiding allows the body time to adjust to the high doses and the drug-free cycle allows the body's hormonal system time to recuperate. As with stacking, the perceived benefits of pyramiding and cycling have not been substantiated scientifically.
| Drugs of Abuse | ||
|---|---|---|
| Alcohol | Cocaine/Crack | Ecstasy |
| Heroin | Inhalants | Ketamine |
| Meth | Marijuana | Nicotine |
| Ritalin | Steroids | More Resources |
| • Warning Signs of Teenage Drug Abuse | ||
| • Big Changes From Elementary School to Middle School | ||
| • Pressured Tweens & Teens Turn to Alcohol & Drugs | ||
| • Help for the Innocent | ||
| • Americans in Denial About Drug Abuse | ||
| • Sex Under the Influence of Alcohol and Other Drugs | ||
| • Youth Risk Behaviors | ||
| • Impaired Driving and Teenagers | ||
Source: The National Institute on Drug Abuse (NIDA).
