Ephedrine, a central nervous system stimulant is widely available over
the counter in nutritional supplements for body-builders and other at
hletes. Recently, federal agencies in the United States have reported
growing numbers of adverse events attributable to use of this drug. Th
e authors describe preliminary observations of 36 dedicated female ath
letes who reported ephedrine use. Many of these women had used the dru
g for years, often in high doses. Most had experienced at least some a
dverse effects and seven (19%) displayed frank: ephedrine dependence a
t the time of the interview Eating disorders and disorders of body ima
ge appeared to be especially prevalent among ephedrine users.