Monda Vincenzo*, Moscatelli Fiorenzo**,#, Messina Antonietta*, Monda Marcellino*, Tafuri Domenico***, Ambrosi Antonio****, Tartaglia Nicola****, Ametta Alberto*****, Francavilla Vincenzo Cristian******


*Department of Experimental Medicine, Section of Human Physiology and Unit of Dietetic and Sport Medicine, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy - **Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy - ***Department of Motor Sciences and Wellness, University of Naples "Parthenope", Naples, Italy - ****Department of Medical And Surgical Sciences, University of Foggia, Foggia, Italy - *****Department of Economy, University of Foggia, Foggia, Italy - ******School of Engineering, Architecture, and Motor Sciences, Kore University of Enna, Enna, Italy


Introduction: The advent of the widespread use and abuse of Performance Enhancement Substances has resulted in unique ethical challenges for physician and athlete. Advancements in medicine have produced chemical compounds capable of boosting physical performance. 

Material and method: When disparities in talent are minimal, an intervention that provides an edge can mean the difference between victory and defeat. Much attention has been paid to drug use by athletes, and the list of banned substances in competitive sport is lengthy and growing. 

Results: At first glance, the very notion of banning drug use appears to violate respect for autonomy. After all, the risks of using chemical enhancements are assumed entirely by the individual. 

Conclusion: Greater risks for greater gains6 is a philosophy familiar to competitive sport whether referring to individuals or game management decisions made by a coach.


Doping, PEDs, Health risk, adolescent, supplement use.