Transcript Mike Olinger, M.D.

Drug Testing Procedures in Motorsports:
IndyCar
History
Rules dating back to inception of the League 1996 under USAC
Sanctioning: The use of illegal substances or the use of alcoholic
beverages during an Event by a Member is strictly prohibited.
2005: IRL reserves the right to conduct random, undeclared
testing for drugs and other substances at its discretion, and the
Member agrees to submit to such testing if requested.
Based upon Recommendations of Dr. Henry Bock, MD, FACEP:
The IRL would conduct drug testing for reasonable suspicion,
(targeted testing) but would not have random screening of
drivers nor a pre-licensing screening of competitors or officials.
2006: IRL Medical agreed to begin random testing of
drivers. Drivers to be tested were selected by the
League and testing was performed by IRL Medical using
commercial point of care testing kits and conducted by
the IRL Nurses.
History
2007 Changed to saliva specimens and added prelicensing testing of all drivers.
History
2008 Formal Policy
History
2008: Formal Policy
◦ Defined prohibited acts and substances(drugs of abuse)
◦ Testing (Targeted, Annual, Random)
◦ Procedure if testing is positive
◦ Signed Authorization and Receipt
Limited Agreement with Professional Drug Testing
Organization
History
2009 Entered into a comprehensive agreement with a
ProfessionalDrug Testing Organization.
History
2009 Entered into a comprehensive agreement with a
Professional Drug Testing Organization.
All random and scheduled testing to be conducted
through this organization
IndyCar nurses would still collect unscheduled specimens
for licensing and send them by FedEX to the Professional
Testing Organization
Program expanded to include all Hard Card Holders.
IRL Medical remained the MRO
Examples of Professional Drug Testing
Organizations SAMHSA Certified
• Aegis Labs
• American Drug Testing Consortium
• Drug Free Sports
• Lab Corp
• National Drug Testing, Inc.
• Quest Diagnostics
• SPORT SAFE Testing Service, Inc
History
2010 Switched back to urine testing
Professional Testing Organization would collect and test all
specimens.
Banned substances included all schedule 1 drugs Schedule 2
Stimulants, Narcotics and Opioid Analgesics,
Benzodiazepines, and Barbiturates
MRO responsibilities assumed by Professional Testing
Organization.
History
2011 and 2012: IndyCar Medical remained involved in
program oversight and lobbied to keep list of prohibited
substances to the drugs of abuse panel which included all
Schedule 1 drugs in addition to Stimulants, Narcotics and
Opioid Analgesic, Benzodiazepines, and Barbiturates.
2012 IndyCar Medical argued that this program was not
really a medical program, but rather an administrative
program, designed to protect the integrity of the league as
a drug free organization. Impairment is not determined by
results of testing received 1-2 days after the event.
History
2013: Program direction and oversight made up of
panel that includes IndyCar Officials and members of
of the Professional Drug Testing Organization . Sales
tactics include activities that have long been banned
for the pharmaceutical companies such as Company
Sponsored Dinners at a Steak House with fine wine
and cocktails.
2014 IndyCar Substance Abuse Policy Key Players
Program
Administrator
(PA)
Medical Review
Officer (MRO)
• Dr. Who, PhD
• Professional Drug
Testing Organization
•
•
•
•
•
•
•
Members to be tested
Specimen/Substances
Determines +/Notifies IndyCar if +
Facilitates Evaluation
•
•
• Dr Why, MD
• Sports Medicine
• Professional Drug
Testing Organization
Reviews Approves Rx
Review testing results
for legitimate medical
use
Direct follow-up exams
Reports to PA
IndyCar
Vince Kremer
Vice President Operations,
IndyCar
• Oversees Policy
• Notifies Members for
Random Testing
• Any Substance Abuse
Policy Related Questions
2014: List of Prohibited Substances in addition to the
drugs of abuse expanded to include:
• Ephedrine Class drugs including pseudoephedrine,
• All beta blockers,
• Sleep aids such as Ambien,
• Muscle relaxants, e.g., SOMA
• Synthetic cannabinoids and cathinones e.g Spice, K2, K-4, bath salts, etc.
• Performance Enhancing Drugs (PEDs) i.e. , Anabolic
Androgenic Steroids.
Individuals Required to have screening prior to participation
IndyCar Officials: Medical, Technical Inspection/Pit Techs,
Track Safety, Pace Car, Race Control, Fuel Service, Spotters
Competitors
COMPETITOR DOES NOT INCLUDE:
o Team Owners
o Guests
o Sponsors
o Sales, Marketing, Public Relations and Media Representatives
o Manufacturers and Suppliers (Engine, tire, chassis, etc.)
o Promoters
2015 Tenative:
Testing to be expanded to include in addition to 2014 List:
• Add More Performance Enhancing Drugs (PED) to include
Growth Factors and Hormones
• Add other non-PEDs to prohibited substance list
• Publish all Policy Rule violations by competitors
• Review Policy and make changes to keep Policy State of
the Art
Program Evaluation
COST:
• Testing: as panel of prohibited substances increases,
per test cost increases, dramatically as you add PEDs
• Program administration
Number of competitor violations to date
• 0
Number of violations to date:
• father of one ladder series driver
• one employee IndyCar marketing
Regulations, Guidelines, and Certifying
DOT rule 49 CFR Part 40
World Anti-Doping Agency
WADA
Substance Abuse and Mental Health Services (SAMHSA)
Questions