The “war on steroids” in the United States has been highly effective in one regard; it has limited the availability of anabolic steroids for those individuals who use steroids as a matter of medical necessity. Nelson Vergel has written about the problems arising from the nation’s steroid hysteria as it affects the medical applications of steroids. These problems include Watson Pharmaceuticals discontinuation of nandrolone decanoate (Deca Durabolin) and the increasingly limited number of compounding pharmacies that offer nandrolone.

Since nandrolone decanoate is no longer manufacturer by any U.S. pharmaceutical company, it is difficult to find in the United States with availability limited to compounding pharmacies. Members of Vergel’s Yahoo Group PozHealth have researched and identified only five compounding pharmacies nationwide that still offer nandrolone decanoate with a valid medical prescription (and in some cases, additional requirements) ["Nandrolone Prices at Compounding Pharmacies," March 28).

Prices of a 10mL vial Nandrolone Decanoate (200 mg/ml) at Compounding Pharmacies

[NOTE: Pricing and compounding pharmacy has been removed per request. The publication of such information has regrettably caused adverse attention for at least one compounding pharmacy.]

Two other compounding pharmacies have ceased production of nandrolone decanoate due to federal pressure and/or limited availability of the raw materials (Applied Pharmacy Services and Leiter’s Pharmacy, respectively).

We desperately need a rational discussion on anabolics steroids to replace the steroid demonization and steroid hysteria sweeping our country. Legislation and federal actions involving anabolic steroids over the past several years have arguably done nothing to decrease steroid use among professional athletes or high school athletes; the war on steroids has indisputably compromised the available of anabolic steroids for medical purposes in affected populations. This is the real crime.