IV infusions (greater than 50ml in a 6 hour period) are prohibited by the World Anti-Doping Agency both in- and out-of-competition. Exceptions include infusions received during hospital admissions, surgical procedures or clinical investigations, which are permitted and do not require a Therapeutic Use Exemption (TUE).
What information is required for a TUE application?
- A completed TUE application form signed by the treating doctor and athlete.
- Detailed typed clinical letter(s) from treating doctor that includes:
- diagnosis – summary of clinical history and examination leading to diagnosis and clarification of need for the IV infusion
- a detailed description of the fluid that was/will be infused, the rate of infusion and any other additional relevant clinical information from the treating physician, and
- clarification of why alternative measures can/could not be used, specifically oral fluids.
NOTE: A clinical letter can be a copy of a specialist’s letter to another doctor (e.g. a GP), and at least one of the clinical letters submitted with the application must have been written in the last 12 months.
NOTE: The use of IV fluid replacement following exercise to correct mild to moderate dehydration is not clinically indicated nor substantiated by the medical literature.
For additional information please refer to the medical information relating to the condition on the WADA website.