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Doping Control: Therapeutic use of prohibited substances

Athletes may at times need to use medicine to treat a recognised medical condition. Sometimes the required medication may contain a substance on the Prohibited List.

Athletes must inform their doctor that they are subject to doping control and to check the status of any medication prior to use.

» Therapeutic Use Exemptions (TUEs)

If an athlete suffers a medical condition that can only be treated with a medication containing a prohibited substance, he or she must first check whether the legitimate therapeutic use of a prohibited substance is permitted under their National Sporting Organisation's and/or International Federation's anti-doping policy.

If the relevant policy allows the therapeutic use of a prohibited substance, the athlete may apply for a TUE (sometimes referred to as a standard TUE).

The TUE may allow the athlete to use, for therapeutic purposes only, medications which are otherwise prohibited for use in sport. Exemptions can be granted by recognised TUE Committees.

The athlete must adhere to the approval procedures set out by their relevant sports federation and the TUE committee granting the approval. More information regarding TUEs is located on the ASDMAC website.

» Abbreviated Therapeutic Use Exemptions (ATUEs)

The use of some common medications only require an ATUE process in accordance with the relevant National Sporting Organisation rules. Substances subject to ATUEs are:

 

• Inhaled Beta-2 Agonists asthma medicines
• Glucocorticosteroids administered via non-systemic routes - anal, aural, inhalation, iontophoretic applications and intra-articular routes.

Athletes should consult their sport to ensure they follow the correct ATUE procedure.

 

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