Performance & Grey-Market Pharma
Meldonium (Mildronate)
Street names: Mildronate, Meldonium, Sharapova drug
Overdose? Act now. Call emergency services — say "unresponsive, not breathing". Give naloxone for opioid-like signs. Hotlines
⚡What it does
- Shifts energy metabolism — marketed for endurance and recovery
⚠Key risks
- The Sharapova ban made it famous — hundreds of athletes tested positive after 2016
- Genuine cardiac patients need it; healthy users get unknown long-term effects
- Gray-market supply is counterfeited heavily
✚Overdose signs
- Low blood pressure
- Racing heart
- Headache, dizziness
Category comparison — Performance & Grey-Market Pharma
| Substance | Class | Top risks | Street price |
|---|---|---|---|
| Meldonium (Mildronate) | Prescription-only | The Sharapova ban made it famous — hundreds of athletes tested positive after 2016; Genuine cardiac patients need it; healthy users get unknown long-term effects | ~$20–$50 per pack online |
| AICAR (Acadesine) | Unscheduled | No human safety data — cancer-risk flags in cell studies; Sold as research chemical, zero quality control | ~$50–$150 per gram |
| Clenbuterol HCl | Not approved for human use | Racing heart, arrhythmia, tremors; Overdose: dangerous potassium shifts, cardiac events | ~$0.50–$2 per 40 mcg tablet |
| Anastrozole (Arimidex) | Rx-only | Bone density loss, joint pain with long-term use; Crash estrogen too low → depression, libido loss | ~$2–$8 per 1 mg tablet |
| Liraglutide (Saxenda) | Rx-only — not a controlled drug | Sold grey-market at huge markups with counterfeit/refilled pens; Nausea, pancreatitis risk | ~$200–$500 per pen grey-market |
| Naltrexone–Bupropion (Contrave) | Rx-only — not controlled | Bupropion lowers seizure threshold; Misuse for stimulant-like effect is possible but weak | ~$1–$4 per tablet grey-market |
Street prices are regional estimates. Potency and cuts vary constantly.
?Frequently asked questions
What does Meldonium (Mildronate) look like?
Capsules and injection; popular in Russia/Eastern Europe as a 'heart vitamin'
What are the signs of a Meldonium (Mildronate) overdose?
Low blood pressure; Racing heart; Headache, dizziness Call emergency services immediately.
How addictive is it?
The Sharapova ban made it famous — hundreds of athletes tested positive after 2016 Dependence can develop with regular use.
🔗Sources & further reading
Facts on this page are compiled from these primary sources. External links open in a new tab.