QuoteOriginally posted by: ppauperQuoteOriginally posted by: ThinkDifferentcan anyone explain to me why meldonium is banned? I mean, what are the harmful side effects?It's not a case of it necessarily having harmful side effects, rather that it is alleged to be "performance enhancing"from wikiQuoteAs a doping drug, Meldonium is used to enhance athletic performance by increasing the overall endurance of the athlete and speeding up their recovery time after a strenuous workout. This helps them with endurance in that they can train for a longer amount of time without needing breaks in between. They also have decreased recovery time, which means that they can return to competition or practice sooner without feeling as sore or tired as they would have without the assistance of the drug.the creator of the drug disagrees, and (again from wiki)QuoteAccording to him, meldonium does not enhance athletic performance in any way, and was rather used by athletes to prevent damage to the heart and muscles caused by lack of oxygen during high-intensity exercise. It's my understanding that if an athlete has a legitimate medical need for a banned drug, they can be given a medical exemption by the doping authoritiesWhy isn't it available in the US? >> "We haven't approved it here in the United States because we simply do not know enough about the drug..."that's very oddly worded.For it to be available in the US, it has to be approved by the FDA, which requires clinical trials (not sure if there's any reciprocal arrangements with other countries, so that a clinical trial in say Germany or Canada would suffice) The trial would be make sure that the drug works is effective to treat whatever condition it is supposed to treat, and doesn't have horrible side effectsI suspect that we in the west have different drugs with for the health problems meldonium is supposed to treat If the russian drug (meldonium) is on the banned list, but the western counterpart is not, then that would be bias against the russians.I've got a suspicion that an awful lot of drug have performance enhancing effectsThere used to be a joke that virtually every elite Canadian triathlete claimed to have asthma, because the steroid used in inhalers is also performance-enhancing.And no doubt some of them really do have asthma, but virtually all of them?It's a real mess.What is the definition of "performance enhancing"? Clearly that category includes drugs one takes 15 minutes before the race and suddenly can run faster for longer. But what about drugs that have that effect over weeks, month, or years?And what is the definition of "legitimate medical need"? What if some people can naturally train harder and more often than others? Would a drug such as meldonium be a treatment for those who can't train as hard?As for the Canadians, I'd think than heavy training in very dry/cold winter air would be quite hard on the lungs (I know it is for me) and induce asthma or asthma-like problems.