There are three main ways that people abuse anabolic steroids. They’re either taken orally, injected, or applied to the skin through gels or creams. 

Anadrol is only taken orally as a pill or as a liquid. This makes it especially easy to abuse the drug. However, when steroids like Anadrol are taken orally rather than through injection, the drugs can be especially damaging to the liver. As a result, many Anadrol abusers may also take the drug alongside compounds meant to improve the health of the liver. 

According to NIDA, there are four patterns that many people commonly use while abusing Anadrol: 

• Cycling – This pattern involves taking multiple doses of Anadrol for a period, stopping, and then taking them again. This can help cut down on serious side effects and drug tolerance. 
• Stacking – Stacking is when multiple steroids are used at the same time. For instance, Anadrol might be mixed with Trenbolone and Equipoise, two other anabolic-androgenic steroids. This is used to facilitate even more muscle gains.
• Pyramiding – As the name implies, pyramiding is when an abuser increases their dose or frequency of use over time. And once the effects reach a “peak” level, they then gradually taper off to zero. 
• Plateauing – The final pattern is plateauing. This is when abusers alternate between using other steroids, overlap with other kinds, or substitute them altogether. This helps cut down on the development of a tolerance, making the Anadrol more effective. 

It’s important to note, however, that there is no scientific research showing that any of these patterns actually reduces the negative effects of using Anadrol.

Yes, steroids like Anadrol can certainly be addictive. 

But like other anabolic steroids, Anadrol is different than other illicit drugs. 

That’s because unlike other drugs such as heroin, cocaine, or crystal meth, Anadrol doesn’t actually affect the “pleasure center” of the brain. There is no high, no flooding of dopamine, and no rush of pleasurable feelings that usually causes other types of addicts to keep on using. 

But even so, many Anadrol abusers still feel an intense drive to keep on using it. There are a few main reasons behind this drive.

1. Anadrol abusers tend to be especially concerned with their physical appearance and strength. After all, it’s why most people start taking the drug in the first place. And when it comes to anabolic steroids, the muscle gains achieved while on the drug tend to disappear especially quickly. Within just a few weeks of coming off of the drug, abusers may notice a dramatic decrease in their muscle mass and strength. And the fear of that alone can often be enough to keep on using. 
2. Withdrawal is the second reason abusers feel a drive to keep on abusing Anadrol. And it can be just as powerful as the first. This is the process where the body gets used to functioning normally without the addictive drug. While this transition period is necessary for getting clean, it can often involve a host of uncomfortable symptoms including cravings, paranoia, and even nausea. And the discomfort alone caused here can sometimes be enough to drive users back to abusing Anadrol, just to get some relief.

The physical side effects of abusing steroids like Anadrol are extensive.

Since Anadrol is essentially a manmade version of testosterone, it tends to cause a range of physical side effects related to male sex characteristics. 

In men:

• shrinking testicles
• decreased sperm count
• baldness
• development of breasts
• increased risk for prostate cancer

In women:

• growth of facial hair or excess body hair
• decreased breast size
• male-pattern baldness
• changes in or stop in the menstrual cycle
• enlarged clitoris
• deepened voice

In teens:

• stunted growth (when high hormone levels from steroids signal to the body to stop bone growth too early)
• stunted height (if teens use steroids before their growth spurt)

Many users also tend to experience a variety of uncomfortable side effects related to the skin, including: 

• Severe acne and cysts
• Oily scalp and skin
• Jaundice (an indicator of liver damage)

But there are also serious side effects of abusing Anadrol that impact internal organs as well. These include: 

• Kidney problems or failure
• Serious Liver damage and tumors (since Anadrol is taken orally, it is processed by the liver unlike other steroids that are injected)
• Enlarged heart, high blood pressure, and changes in blood cholesterol, all of which increase the risk of stroke and heart attack, even in young people
• Increased risk of blood clots

Steroids like Anadrol can also have a drastic effect on the way someone thinks and feels about the world around them. While the effects can be quite different among individuals, steroid abuse has been associated with: 

• Paranoia
• Delusions
• Mania
• Aggression (“roid rage”)
• Anxiety
• Depression

As a result, these mental side effects can lead to:

• Alienation from friends
• Emotional or physical abuse of family members or spouses
• Getting into fights
• Divorce
• Losing one’s job
• Dropping out of school
• Bad run-ins with the law

On top of that, the mood disorders above can also lead to serious disturbances that may increase the risk of suicide as well. 

As a controlled substance, using Anadrol without a legitimate prescription is illegal. And being caught with unprescribed Anadrol can carry some pretty hefty legal punishments. 

According to the DEA, both using and selling Anadrol without a prescription is illegal. Simple possession comes with a maximum federal penalty of one year in prison and a minimum $1,000 fine. The maximum penalty for trafficking (or selling) it is five years in prison and a fine of $250,000. 

Both of these punishments are only for first offenders. If this is a second offense, both of these punishments are doubled. 

It’s also worth mentioning that these punishments are only federal in nature. Individual states may also have their own laws regarding fines and punishments as well. 

And when it comes to sports organizations like the NFL, MLB, or NBA, there are a host of other punishments for professional athletes caught using. These punishments can be monetary in nature and/or result in a career-ending permanent expulsion from the league. 

One effect of abusing Anadrol that many people don’t know about is the fact that steroid abusers tend to be far more likely to take other illicit drugs than the rest of the population. Using two or more illicit drugs is called “polydrug abuse.”

One study found that among young men being treated for opioid use disorders, an astounding 25% reported using anabolic steroids before. Some of these individuals even reported that they got their illicit opioids from the same people who sold them illicit steroids in the first place. 

Some users report that they take opioids like hydrocodone and oxycodone to help them deal with pain from weightlifting injuries. 

And given the connection between sports injuries and opioid addiction, it isn’t that surprising. 

Others stated that they turned to drugs like opioids to help counteract negative effects of using steroids – namely insomnia, irritability, depression, and withdrawal symptoms. 

In addition to increasing the risk of dangerous interactions, polydrug abuse is also associated with a higher risk of developing a full-blown addiction as well. 

Anadrol can also cause serious problems when taken with other legal medications. 

What makes the threat of these interactions even more serious is the fact that most people taking Anadrol do so without a legitimate prescription from a doctor. And as a result, many doctors won’t be able to spot a dangerous interaction before prescribing other medications because they don’t know their patient is taking an illegal drug. 

This is especially true because the vast majority of users just don’t inform their doctors about whether they are taking Anadrol. One study even found that as many as 56% of anabolic steroid users simply don’t tell their doctors at all. 

And that can create particularly dangerous situations when taking other prescription drugs at the same time. 

It’s just one more reason not to take the drug in the first place. 

Below are some of the most serious medical interactions with Anadrol to be aware of. 

• Anisindione, dicumarol, warfarin – Risk of bleeding much more easily (can lead to dangerous internal bleeding)
• Carfilzomib – Risk of deadly blood clots
• Leflunomide, lomitapide, mipomersen, teriflunomide – Increased risk of serious liver problems

It can be hard to identify an Anadrol problem in friends, family members, and/or spouses. But there are quite a few signs to look for if you suspect abuse or an addiction problem. The most common ones are listed below. 

Physical Changes:  

• Rapid weight gain and increased muscle mass
• Fluid retention (swollen hands and feet)
• Development of severe acne
• Especially oily skin and hair
• Swelling of breasts in men, shrinking of breasts in women
• Male pattern baldness
• Bowel problems or frequent nausea/vomiting
• Development of facial hair in women
• Shrunken testicles in men
• Enlarged clitoris in women
• Impotence in men
• Deepened voice in women

Mental Changes: 

• Unprompted aggression or violence
• Dramatic shifts in energy levels
• Paranoia and delusions
• Onset of depression or anxiety
• Loss of interest in formerly enjoyable activities
• Insomnia or persistent fatigue
• Inability to focus or concentrate
• Increased or decreased sex drive/interest
• Becoming unusually forgetful

Behavioral Changes:  

• Becoming secretive about behaviors or whereabouts
• Stealing money or objects to fund their drug habit
• Inability to fulfill old obligations anymore (school, work, chores, family requests)
• Hanging around with a new crowd of friends
• Trouble with the law (assaults, arrests, being caught with drugs, etc.)
• Drug paraphernalia (Anadrol is taken orally so this would include pill or liquid bottles. But steroid abusers also tend to abuse other drugs as well. Have a look at this drug paraphernalia guide for more information)

You can also take a short online family member addiction quiz or reach out to a qualified addiction specialist for an expert’s opinion as well.

While it’s easy to know whether or not you’re abusing Anadrol (if you’re taking it without a prescription, it’s abuse), admitting you are struggling with an addiction is much harder. 

That’s because denial and addiction often go hand in hand. And the overwhelming majority of addicts simply won’t or can’t admit that they have a very real problem. 

In fact, a 2017 national survey from the Substance Abuse and Mental Health Services Administration (SAMHSA) found that of the 17.7 million Americans that met the clinical criteria for having a substance use disorder, a whopping 95.5% (16.9 million) didn’t get help because they didn’t think they had a problem!

It helps, then, to get a more objective opinion on what constitutes an addiction. Below are just a few places to start looking to see if your Anadrol abuse has gotten to the point of becoming a full-blown addiction. 

• Take a Short Online Quiz – This may be the quickest and easiest way of getting a better idea of how bad the problem has gotten. It usually only takes a few minutes to complete, and it can go a long way towards putting you on the path to recovery. 
• Use NIDA’s Self-Assessment Tools – These tools are used by one of the country’s most trusted authorities on addiction (NIDA). And there are plenty of different ones to choose from – whether you only have a few minutes to spare or you’d like to take a much deeper dive.
• Have a Look At the DSM-V Guidelines – The Diagnostic and Statistical Manual of Mental Disorders (5th ed.) is the official book used by practicing physicians and psychiatrists all over the world. It provides 11 scenarios that may indicate a substance use disorder (addiction). And if you have experienced more than two in the last year, chances are it means addiction has set in. 
• Talk to An Addiction Professional – Finally, talking to a qualified addiction professional is often the absolute best way of determining whether or not addiction is present. And on top of that, these phone calls require no obligation, are 100% free, and typically last less than 20 minutes. It also offers callers the chance to ask questions, get clarification, and understand what options are best suited for their particular situation. 

There are two stages to professional treatment in particular: detoxification and rehabilitation. 

Detoxification is the first step of most programs. And it deals primarily with the withdrawal phase of treatment. And like other substances of abuse, Anadrol has some very serious withdrawal symptoms that can be hard to get through without professional help. 

These symptoms can be so hard to bear that many Anadrol addicts will turn back to using just to get some relief from them. 

A professional detox program helps treat these troublesome symptoms to make getting through withdrawal far easier. And on top of that, a detox program will also protect the patient from a number of dangerous complications – some of which can be life-threatening.

Anadrol rehabilitation is the next step after detoxification. And it’s concerned more with the mental side of addiction. 

Using strategies like one-on-one counseling, group talk sessions, and behavioral therapies, rehabilitation programs help patients get to the root of their Anadrol addiction and give them science-based tools to overcome it. 

There are a variety of different rehabilitation programs, but the three most common are inpatient, outpatient, and intensive outpatient programs (IOPs). 

Finding the right treatment program is tough. But there are a few things you can do to make your search even easier. 

Have a look at the video below to learn how to find the best Anadrol treatment program to meet your unique needs.