As for drugs, the ones that do by far the most damage are the ones mis-prescribed and mal-administered by an out of control, for-profit health care system. Drugs of choice -- including anabolic steroids, by the way -- do no harm at all in comparison.
Part of the job of the propagandists hired by the people who make all the profits from these profit-driven systems is to come up with phony reasons to blame the people being hurt by them for their own injuries. Rapists used to try that sort of blame-the-victim thing back in the day, but we don't let them get way with that anymore. Some people need to make the same kind of progress in a few other areas.