The NCAA, or National Collegiate Athletic Association, serves as the governing body for college sports in the United States, overseeing the rules and regulations that student-athletes must adhere to.
Central to the NCAA’s commitment to fair play and athlete welfare is its comprehensive anti-doping program, which aims to maintain a level playing field and safeguard the health and integrity of collegiate sports.
One key aspect of this program is the list of banned substances, carefully curated to prevent the use of performance-enhancing drugs and substances that could compromise the principles of fair competition.
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This page explores the NCAA’s role in governing collegiate athletics and delves into the significance of its strict policies regarding banned substances, emphasizing the organization’s dedication to upholding the values of sportsmanship and maintaining a level and equitable athletic environment.
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Jump To: Stimulants | Anabolic Agents | Beta Blockers | Diuretics & Masking Agents | Narcotics | Cannabinoids | Peptide Hormones, Growth Factors, Related Substances, and Mimetics | Hormone and Metabolic Modulators | Beta-2 Agonists
NCAA Division I Bylaw 12 and NCAA Divisions II and III Bylaw 14 require that schools provide drug education to all student-athletes. The athletics director or athletics director’s designee shall disseminate the list of banned drug classes to all student-athletes and educate them about products that might contain banned substances. All student-athletes are to be notified that the list may change during the academic year and that updates may be found on the NCAA website (ncaa.org). They should also be informed of the appropriate athletics department procedures for disseminating updates to the list. It is the student-athlete’s responsibility to check with the appropriate or designated athletics staff before using any substance. SOURCE

Stimulants
What Is A Stimulant?
A stimulant drug is a type of psychoactive substance that increases alertness, attention, and energy while also elevating mood. Stimulants primarily target the central nervous system, enhancing neural activity and neurotransmitter levels. Commonly, they affect neurotransmitters like dopamine and norepinephrine, leading to increased arousal and cognitive function.
Stimulants can be prescribed for medical purposes, but they are also commonly misused or abused recreationally.
Stimulants can enhance athletic performance through various physiological and psychological mechanisms.
What Stimulants Are Banned By NCAA?
- Amphetamine (Adderall)
- Caffeine (Guarana)
- Cocaine
- Dimethylbutylamine (DMBA; AMP)
- Dimethylhexylamine (DMHA; Octodrine)
- Ephedrine
- Heptaminol
- Hordenine
- Lisdexamfetamine (Vyvanse)
- Methamphetamine
- Methylhexanamine (DMAA; Forthane)
- Methylphenidate (Ritalin)
- Mephedrone (bath salts)
- Modafinil
- Octopamine
- Phenethylamine (PEAs) and its derivatives
- Phentermine
- Synephrine (bitter orange)
- Exceptions: Phenylephrine and Pseudoephedrine are not banned.
How Do Stimulants Enhance Performance?
It is crucial to understand that while stimulants may provide immediate performance advantages, the improper use or abuse of these substances can result in significant health risks.
Athletes need to be conscious of the potential hazards and carefully weigh the ethical and legal considerations associated with the use of stimulants in sports.
Moreover, specific stimulants are frequently banned by anti-doping agencies, necessitating athletes to be vigilant about adhering to the rules and regulations governing their respective sports.
Here are some ways in which stimulants may contribute to improved athletic performance:
Increased Alertness and Focus
Stimulants, such as amphetamines and caffeine, can enhance cognitive function by increasing alertness and focus. Athletes may experience improved concentration, decision-making, and reaction time during competitions.
Enhanced Energy Levels
Stimulants stimulate the central nervous system, leading to an increase in energy levels. This can result in reduced perceived effort during physical activities and allow athletes to train or compete at a higher intensity.
Improved Endurance
Stimulants can enhance endurance by increasing the availability of certain neurotransmitters, such as dopamine and norepinephrine. This can delay the onset of fatigue and improve an athlete’s ability to sustain prolonged efforts.
Increased Metabolism and Fat Oxidation
Some stimulants, like caffeine, can increase the metabolic rate and promote the oxidation of fats. This can be beneficial for endurance athletes, as it may spare glycogen stores and improve the utilization of fat as an energy source.
Elevated Heart Rate and Oxygen Consumption
Stimulants can increase heart rate and oxygen consumption, leading to improved cardiovascular performance. This is particularly relevant for activities that require sustained aerobic effort.
Improved Respiratory Function
Stimulants may enhance respiratory function by dilating bronchioles and increasing airway diameter. This can lead to improved oxygen delivery to the muscles and better respiratory efficiency.
Enhanced Motivation and Reduced Perception of Effort
Stimulants can influence mood and motivation, making exercise feel less strenuous. Athletes may perceive physical exertion as less challenging, allowing them to push harder and endure longer.

Anabolic Agents
What Is An Anabolic Agent?
An anabolic agent refers to a substance or compound that promotes the growth, development, and maintenance of muscle tissue and bone. These substances typically have anabolic (tissue-building) effects on the body, particularly on muscles. Anabolic agents are often associated with the enhancement of athletic performance, bodybuilding, and the treatment of certain medical conditions.
In the context of sports and performance enhancement, anabolic agents are frequently used to increase muscle mass, strength, and endurance. They can include synthetic hormones, such as anabolic steroids, as well as other compounds that stimulate muscle growth.
What Anabolic Agents Are Banned By NCAA?
- Androstenedione
- Boldenone
- Clenbuterol
- Clostebol
- DHCMT (Oral Turinabol)
- DHEA
- Drostanolone
- Epitrenbolone
- Etiocholanolone
- Methandienone
- Methasterone
- Nandrolone (19-nortestosterone)
- Oxandrolone
- SARMS [Ligandrol (LGD-4033); Ostarine; RAD140; S-23]
- Stanozolol
- Stenbolone
- Testosterone
- Trenbolone
How Do Anabolic Agents Enhance Performance?
Anabolic agents enhance performance through various physiological mechanisms, primarily by promoting the growth, development, and repair of muscle tissues.
Here are key ways in which anabolic agents contribute to improved athletic performance:
Increased Protein Synthesis
Anabolic agents, such as anabolic steroids and selective androgen receptor modulators (SARMS), stimulate protein synthesis in muscle cells. This results in an increased production of proteins, the building blocks of muscle tissue, leading to muscle growth.
Enhanced Nitrogen Retention
Anabolic agents improve the body’s ability to retain nitrogen, an essential component of proteins. Positive nitrogen balance is crucial for muscle growth, as it indicates that the body is in an anabolic state, favoring muscle protein synthesis over protein breakdown.
Stimulation of Androgen Receptors
Anabolic steroids and related compounds work by binding to androgen receptors in cells, especially muscle cells. This activation triggers a cascade of cellular events that contribute to increased muscle mass and strength.
Increased Red Blood Cell Production
Some anabolic agents, such as erythropoietin (EPO), stimulate the production of red blood cells. This can enhance oxygen-carrying capacity, improving endurance and delaying fatigue during aerobic activities.
Enhanced Recovery
Anabolic agents can accelerate the recovery process by reducing muscle damage and inflammation. This allows athletes to train more frequently and with higher intensity, leading to improved overall performance.
Anti-Catabolic Effects
Anabolic agents counteract the effects of catabolic hormones, such as cortisol, which promote the breakdown of muscle tissue. By inhibiting catabolism, these substances help preserve and promote muscle mass.
Increased Muscle Fiber Size and Number
Anabolic agents can lead to hypertrophy (increase in muscle fiber size) and hyperplasia (increase in the number of muscle fibers). This contributes to greater muscle mass and strength.
Improved Bone Density
Some anabolic agents have positive effects on bone density, which can be beneficial for athletes involved in weight-bearing activities.
While anabolic agents can offer performance-enhancing effects, their misuse or abuse poses significant health risks. Athletes using these substances may experience adverse side effects, including cardiovascular issues, liver damage, hormonal imbalances, and psychological effects.
Moreover, the use of anabolic agents is often against the rules and regulations of sports organizations and is considered unethical in competitive sports. Athletes should prioritize natural and legal methods of training and performance improvement to ensure long-term health and fair play.

Beta Blockers
What Is A Beta Blocker?
A beta blocker is a type of medication that belongs to the class of drugs known as beta-adrenergic blocking agents. These medications work by blocking the effects of adrenaline (epinephrine) and other similar hormones. Adrenaline is a hormone and neurotransmitter that plays a key role in the “fight or flight” response, and it exerts its effects by binding to beta receptors.
Beta-blockers specifically target beta receptors, which are found in various tissues throughout the body, including the heart. By blocking these receptors, beta blockers reduce the effects of adrenaline on the cardiovascular system. This results in several physiological changes, including a decrease in heart rate and blood pressure.
What Beta Blockers Are Banned By NCAA?
* Beta Blockers are banned for rifle only.
- Atenolol
- Metoprolol
- Nadolol
- Pindolol
- Propranolol
- Timolol
How Do Beta Blockers Enhance Performance?
Beta-blockers are not typically used to enhance physical performance in the context of sports or athletic activities. In fact, their primary use is in medical situations to manage conditions such as high blood pressure, heart arrhythmias, angina (chest pain), and certain cardiac issues.
However, beta-blockers may have some indirect effects that could be perceived as performance-related in specific situations.
Here are a few scenarios where beta blockers might have an impact:
Anxiety and Precision Sports
Beta-blockers may be used in situations where anxiety or nervousness could adversely affect performance, especially in precision sports like shooting or archery. By reducing the physiological symptoms of anxiety, such as a rapid heartbeat and trembling, beta-blockers may help individuals maintain steadiness and focus.
Stage Fright or Performance Anxiety
In non-athletic contexts, beta blockers are sometimes used to manage stage fright or performance anxiety. Musicians, public speakers, and actors may use beta blockers to reduce symptoms of nervousness and stage fright.
It’s crucial to note that while beta blockers might have some benefits in specific scenarios related to anxiety, their use to enhance physical performance is generally considered inappropriate and may be against the rules of sports organizations, including the NCAA.
Furthermore, beta-blockers can have side effects and may not be suitable for everyone. Athletes should always consult with healthcare professionals before considering the use of any medication, and they should be aware of the rules and regulations regarding drug use in their respective sports. Misuse of medications can have serious consequences for both health and eligibility in competitive sports.

Diuretics and Masking Agents
What Are Diuretics and Masking Agents?
Diuretics and masking agents are substances that can be used to manipulate urine volume and composition. While diuretics primarily increase urine production, masking agents are intended to interfere with the detection of banned substances in drug tests. Both categories of substances can have potential misuse in sports, leading to their prohibition by anti-doping agencies.
It’s important to note that the misuse of diuretics and masking agents in sports is against the rules and regulations of sports organizations, including the NCAA. Athletes should be aware of the potential risks associated with the misuse of these substances, both in terms of health and eligibility and should prioritize fair play and ethical practices in their athletic pursuits.
What Diuretics and Masking Agents Are Banned By NCAA?
- Bumetanide
- Canrenone (Spironolactone)
- Chlorothiazide
- Furosemide
- Hydrochlorothiazide
- Probenecid
- Triamterene
- Trichlormethiazide
- Exceptions: Finasteride is not banned.
How Do Diuretics and Masking Agents Enhance Performance?
Diuretics and masking agents are not used to enhance physical performance in the traditional sense. Instead, they are often misused by athletes for purposes that may seem performance-related but are, in fact, contrary to the principles of fair play and sportsmanship. It’s important to note that the use of diuretics and masking agents for performance enhancement is strictly prohibited by anti-doping agencies, including the NCAA.
Here are the ways in which athletes may misuse diuretics and masking agents, though these actions are not considered ethical or legal in the realm of sports:
Diuretics
Temporary Weight Loss
Athletes competing in weight-class sports may misuse diuretics to achieve rapid and temporary weight loss by promoting fluid loss through increased urine production.
Avoiding Detection
Diuretics may be used to dilute urine and reduce the concentration of banned substances, making them more challenging to detect in drug tests. However, this practice is against anti-doping regulations.
Masking Agents
Concealing Banned Substances
Masking agents are used to interfere with drug testing procedures, making it harder to detect the presence of banned substances in urine samples.
Avoiding Detection of Doping
Athletes may use masking agents to conceal the use of prohibited substances, such as performance-enhancing drugs or recreational drugs, during anti-doping tests. This is a violation of anti-doping rules.
While the misuse of diuretics and masking agents may provide short-term advantages, their use is associated with serious health risks, and athletes can face severe consequences, including disqualification, suspension, and damage to their reputation.
Athletes are encouraged to pursue performance enhancement through legal and ethical means, such as proper training, nutrition, and adherence to anti-doping regulations. Misuse of these substances not only undermines the spirit of fair competition but also poses significant risks to the health and well-being of the athletes involved.

Narcotics
What Are Narcotics?
Narcotics, also known as opioids, are a class of drugs that act on the central nervous system to relieve pain. These substances are derived from or chemically similar to compounds found in the opium poppy plant. Opioids have both therapeutic medical uses, primarily for pain management, and a potential for abuse due to their psychoactive effects.
It’s important to note that while narcotics are valuable in medical settings for managing pain, their misuse and abuse can lead to serious health consequences, including addiction, respiratory depression, and overdose. The misuse of narcotics is a significant public health concern, and their prescription and use are strictly regulated by healthcare professionals. In sports, the use of narcotics without proper medical supervision is against the rules of sports organizations, including the NCAA, and can have serious consequences for an athlete’s eligibility.
What Narcotics Are Banned By NCAA?
- Buprenorphine
- Dextromoramide
- Diamorphine (heroin)
- Fentanyl and its derivatives
- Hydrocodone
- Hydromorphone
- Meperidine
- Methadone
- Morphine
- Nicomorphine
- Oxycodone
- Oxymorphone
- Pentazocine
- Tramadol
How Do Narcotics Enhance Performance?
Narcotics, or opioids, do not enhance physical performance in the context of sports or athletic activities. The use of narcotics for performance enhancement is not only inappropriate but also poses significant health risks and ethical concerns.
Narcotics are primarily used for pain relief and are powerful analgesics. They work by binding to specific receptors in the central nervous system, known as opioid receptors, to modulate the perception of pain. The use of narcotics is typically reserved for medical situations where pain management is essential, such as post-surgery recovery, severe injuries, or chronic conditions like cancer.
While narcotics can provide effective pain relief, they also have sedative and psychoactive effects, including feelings of euphoria and drowsiness. These effects can impair cognitive and physical functioning, making them unsuitable for activities that require alertness, coordination, and focus—qualities crucial for athletic performance.
Misuse or abuse of narcotics can have serious consequences, including addiction, respiratory depression, and overdose. In the world of sports, the use of narcotics for non-medical reasons is against the rules and regulations of sports organizations, including the NCAA. Athletes are advised to prioritize natural and ethical methods for performance enhancement, seek medical guidance for pain management, and be aware of the potential risks associated with the use of certain medications.

Cannabinoids
What Are Cannabinoids?
Cannabinoids are chemical compounds found in the cannabis plant (Cannabis sativa). They interact with the endocannabinoid system, a complex signaling network in the human body involved in regulating various physiological processes. The two primary types of cannabinoids are endocannabinoids, which are naturally produced in the body, and phytocannabinoids, which are found in plants like cannabis.
It’s important to note that while cannabinoids, especially CBD, are explored for potential therapeutic benefits, the recreational use of cannabis and its cannabinoids can have legal and health implications. Athletes should be aware of the rules and regulations regarding the use of cannabinoids in sports, as they may be subject to anti-doping policies. Additionally, the legality of cannabis and its derivatives varies by jurisdiction.
What Cannabinoids Are Banned By NCAA?
- Marijuana
- Synthetic cannabinoids (Spice; K2; JWH-018; JWH-073)
- Tetrahydrocannabinol (THC, Delta-8)
How Do Cannabinoids Enhance Performance?
Cannabinoids, particularly those found in cannabis, are not typically considered performance-enhancing substances in the traditional sense. The use of cannabinoids for performance enhancement is generally discouraged in sports due to potential negative effects on cognitive and motor functions.
Here are key points related to the use of cannabinoids and their potential impact on performance:
Psychoactive Effects
The primary psychoactive cannabinoid in cannabis is tetrahydrocannabinol (THC). THC can alter perception, coordination, and cognitive functions, which are essential for athletic performance.
Cognitive Impairment
Cannabis use, especially strains high in THC, can impair cognitive functions, reaction time, and decision-making. These effects are generally considered detrimental to sports performance, where quick and accurate decision-making is crucial.
Motor Coordination
Cannabis can affect motor coordination and balance, which are critical elements in many sports. Impaired coordination may increase the risk of injury during physical activities.
Regulatory Concerns
Many sports organizations, including the World Anti-Doping Agency (WADA) and the NCAA, prohibit the use of cannabinoids. Athletes testing positive for cannabinoids may face disciplinary actions, including suspension, fines, or disqualification.
Individual Responses
Responses to cannabinoids can vary among individuals. Factors such as tolerance, the specific cannabinoid profile, and the method of consumption can influence the extent of impairment.
CBD Consideration
Cannabidiol (CBD), another prominent cannabinoid, does not have psychoactive effects like THC. While CBD is being researched for potential therapeutic applications, its impact on athletic performance is not as well-established. Athletes should be cautious, as CBD products may contain trace amounts of THC.
Athletes must be aware of the rules and regulations regarding the use of cannabinoids in sports, as violating anti-doping policies can result in severe consequences. Athletes are encouraged to prioritize natural and legal methods for performance enhancement, including proper training, nutrition, and recovery practices. The use of cannabinoids for recreational purposes should be approached with caution, considering both the legal and performance-related implications.

Peptide Hormones, Growth Factors, Related Substances, and Mimetics
What Peptide Hormones, Growth Factors, Related Substances, and Mimetics Are Banned By NCAA?
- Growth hormone (hGH)
- Human Chorionic Gonadotropin (hCG)
- Erythropoietin (EPO)
- IGF-1 (colostrum; deer antler velvet)
- Ibutamoren (MK-677)Exceptions: Insulin, Synthroid and Forteo are not banned.
What Are Peptide Hormones, Growth Factors, Related Substances, and Mimetics?
Peptide hormones, growth factors, related substances, and mimetics are categories of compounds that play crucial roles in regulating various physiological processes within the human body.
These substances play critical roles in maintaining homeostasis, supporting growth and development, and regulating various physiological functions. In the context of sports, some of these substances, when used inappropriately or without medical necessity, may be subject to anti-doping regulations due to their potential to enhance performance unfairly. Athletes should be aware of the rules and guidelines established by sports organizations, including the NCAA, regarding the use of these substances.

Hormone and Metabolic Modulators
What are Hormone and Metabolic Modulators?
Hormone and metabolic modulators are substances that influence the endocrine system, hormonal balance, and metabolic processes in the body. These modulators can have various effects on hormone production, receptor interactions, and metabolic pathways. In the context of sports and anti-doping regulations, some of these substances are prohibited due to their potential to enhance performance unfairly.
Athletes should be cautious about the use of hormone and metabolic modulators, as certain substances within these categories may be subject to anti-doping regulations. The misuse of these substances for performance enhancement is not only ethically questionable but can also lead to serious consequences, including disqualification and suspension from competition. Athletes are encouraged to seek guidance from medical professionals and adhere to the rules and regulations established by sports organizations, including the NCAA.
What Hormone and Metabolic Modulators Are Banned?
- Anti-Estrogen (Fulvestrant)
- Aromatase Inhibitors [Anastrozole (Arimidex); ATD (androstatrienedione); Formestane; Letrozole]
- PPAR-d [GW1516 (Cardarine); GW0742]
- SERMS [Clomiphene (Clomid); Raloxifene (Evista); Tamoxifen (Nolvadex)]
How Do Hormone and Metabolic Modulators Enhance Performance?
Hormone and metabolic modulators are substances that can influence the endocrine system and metabolic processes in the body. While some of these substances have legitimate medical uses, their potential for performance enhancement is a concern in the context of sports.
It’s important to note that the use of certain hormone and metabolic modulators is prohibited by anti-doping agencies, including the NCAA, due to the unfair advantage they may confer.
Here’s how these substances might be misused for potential performance enhancement:
Anti-Estrogens
Anti-estrogens can modulate estrogen levels, impacting the hormonal balance in the body. In some cases, athletes may misuse anti-estrogens to counteract the effects of elevated estrogen levels, potentially leading to increased testosterone availability.
Aromatase Inhibitors
Aromatase inhibitors reduce estrogen production by blocking the conversion of androgens to estrogen. Athletes might misuse these inhibitors to influence the androgen-to-estrogen ratio, potentially leading to increased androgenic effects, including muscle development.
PPAR-d Agonists
PPAR-d agonists can affect lipid metabolism and energy expenditure. Athletes may misuse these substances with the hope of enhancing endurance, increasing fat utilization for energy, and improving overall athletic performance.
Selective Estrogen Receptor Modulators (SERMs)
SERMs can selectively modulate estrogen receptors in different tissues. Misuse of SERMs might be attempted to manipulate hormonal responses, potentially influencing factors like muscle growth and recovery.
It’s crucial to emphasize that the misuse of hormone and metabolic modulators for performance enhancement is not only against anti-doping regulations but also poses serious health risks. Athletes are advised to prioritize natural and ethical means for enhancing performance, such as proper training, nutrition, and recovery practices. Seeking guidance from medical professionals and staying informed about anti-doping rules are essential for athletes to ensure they compete fairly and within the established regulations of their respective sports organizations.

Beta-2 Agonists
What Are Beta-2 Agonists?
Beta-2 agonists are a class of medications that primarily target and stimulate beta-2 adrenergic receptors. These receptors are found in various tissues, including the smooth muscles of the respiratory tract. The activation of beta-2 receptors leads to the relaxation of smooth muscle, bronchodilation (widening of the airways), and other effects. While beta-2 agonists have legitimate medical uses in treating conditions such as asthma and chronic obstructive pulmonary disease (COPD), they are subject to restrictions in sports due to their potential to enhance performance.
Athletes need to work closely with healthcare professionals, follow anti-doping guidelines, and obtain the appropriate approvals if beta-2 agonists are part of their medical treatment plan.
What Beta-2 Agonists Are Banned?
- Albuterol
- Formoterol
- Higenamine
- Salbutamol
- Salmeterol
- Vilanterol
How Do Beta-2 Agonists Enhance Performance?
Beta-2 agonists, while primarily used for their bronchodilatory effects in the treatment of respiratory conditions, have the potential to enhance athletic performance, especially in certain sports.
Here’s how beta-2 agonists may contribute to performance enhancement:
Bronchodilation and Improved Oxygen Flow
Beta-2 agonists activate beta-2 adrenergic receptors in the smooth muscles of the respiratory tract. This leads to bronchodilation, widening the airways and increasing airflow to the lungs.
Improved respiratory function allows athletes to breathe more easily, facilitating increased oxygen intake. This can be particularly advantageous in endurance sports where efficient oxygen utilization is crucial.
Reduced Fatigue and Improved Endurance
Enhanced oxygen delivery to the muscles can delay the onset of fatigue during prolonged physical activity.
Athletes may experience improved endurance and stamina, allowing them to sustain higher levels of exertion for longer periods without succumbing to respiratory limitations.
Potential Anti-Fatigue Effects
Beta-2 agonists may have anti-fatigue effects beyond respiratory benefits. The activation of adrenergic receptors can influence central nervous system functions.
Athletes might experience reduced perception of effort and fatigue, contributing to an overall improvement in performance.
Increased Aerobic Capacity
Improved respiratory efficiency and oxygen transport can enhance aerobic capacity.
Athletes engaging in aerobic activities, such as running or cycling, may achieve higher levels of performance due to increased oxygen availability to the working muscles.
It’s essential to note that while beta-2 agonists have potential performance-enhancing effects, their use is regulated in sports, and athletes must adhere to anti-doping rules. Misuse of these medications without a legitimate medical need or without obtaining the necessary therapeutic use exemptions (TUEs) is considered a violation of anti-doping regulations and can result in penalties, including disqualification and suspension from competition. Athletes should work closely with healthcare professionals to ensure compliance with anti-doping guidelines and ethical standards in sports.
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Important Links About Banned Substances
- NCAA Drug Testing Program 2022-2023
- NCAA Banned Substances List
- US Anit-Doping Agency
- Drug Free Sport Axis (Resource for Athletes and Parents)