http://www.medibolics.com/oxandrin2.htm
Anadrol Update - July, 1999
Anadrol has been on the market for over one and one half years now, and we have been surprised that we have not had even one report of elevated liver enzymes from HIV(+) men who call our hotline. We have had males who have had some side effects, including primarily water retention and acne, but we have also had males who have had no problems, only glowing praise that Anadrol was the only steroid that helped them gain weight after severe weight loss, and it was the only steroid besides testosterone that improved their libido and energy. (August, 1999: We now have one report of a negative effect on the liver that appears to have been caused by an interaction with specific AIDS medications. To see the details, go to the article on Oxandrin.)
Doses
Reported doses used have varied from 25 mg per day to 150 mg per day, and as with almost all drugs, side effects are dose related, so a lower dose has less potential for side effects. While the most commonly prescribed dosage is 100 mg per day, Anadrol is a powerful anabolic steroid and a 25 mg daily dose will still elicit a significant effect on muscle growth while having much less potential to cause problems than higher doses, so if you choose to employ Anadrol, work with your doctor to find the lowest dose that gets the desired effect. As with any oral steroid, dividing the daily dose and taking it several times per day will produce the best overall effect with less chance of side effects. Anadrol comes in 50 mg tablets and they are scored so they can be split in two, but some people split them in fourths and take as little as 1/4 tablet twice per day.
Comparison To Oxandrin
In comparison, while we haven't had a lot of males report side effects with the standard 20 mg daily dose of Oxandrin, the other oral steroid that is commonly used in HIV, we have had a few reports of water retention, irritability and acne. Perhaps more important, we have had many reports from HIV(+) people and doctors that Oxandrin can cause elevations of SGOT and SGPT, which may indicate liver problems.
Data from a multi-site dose-ranging study of Oxandrin presented by Dr. Carl Grunfeld at the Geneva AIDS Conference stated that Oxandrin caused elevations of SGOT and SGPT when used in 40 and 80 mg doses. It has been suggested that Oxandrin may interact with the 3A4 P450 enzyme system that metabolizes protease inhibitors while this does not appear to be the case with Anadrol.(1) In comparison, Anadrol did not cause elevations of these enzymes in the Hengge study at a daily dose of 150 mg.(2) It may be that Oxandrin has more potential for liver toxicity than Anadrol when a person is using protease inhibitors.
The Grunfeld study looked at 40 and 80 mg doses of Oxandrin because the standard 20 mg dose appears to be too low to be effective for some HIV(+) men. While some studies have shown good muscle growth with 20 mg per day, this low dose was shown in a study by Salvato to produce little if any muscle muscle growth(1), and we wonder if at comparable milligram doses Anadrol may be a stronger anabolic agent.
Oxandrin produces more muscle growth when it is used in combination with testosterone, and Oxandrin used without testosterone can lower libido, while Anadrol is more androgenic and does not appear to require testosterone for anabolic effects and healthy libido. We suggest that for people who are more prone to side effects, it might be better to use Anadrol alone rather than with testosterone as both are strong androgens so there is more potential for androgenic side effects when they are combined.
References:
1. Thacker DL, et al. Metabolism of an anabolic androgenic steroid, oxymetholone by human cytrochrome p450s. Clinical Pharmacology and Therapeutics. 1999;65(2): Abstract number 75.
2. Hengge, UR, et al. Oxymetholone promotes weight gain in patients with advanced human immunodeficiency virus infection. Brit J Nutr (1996) 75:129-138.
3. Salvato, P, et al. Conference on Nutrition and HIV Infection Cannes, France (1997) April 23-24; Abstract No. 0-003.