Therapeutic Use Exemption (TUE)

Athletes may at times need to use a prohibited medication to treat a legitimate medical condition.

A TUE is an exemption that allows an athlete to use, for therapeutic purposes only, an otherwise prohibited substance or method (of administering a substance).

TUEs are administered by the Australian Sports Drug Medical Advisory Committee (ASDMAC).

TUE approval may protect athletes from receiving a sanction if a prohibited substance is found in their sample.

If an athlete’s doctor has a question regarding the status of a substance, they should check the substance on the ASADA website, or call 13 000 27232, while the athlete is in their office.

An exemption is only granted provided that there is no unfair advantage given to the athlete by taking the substance or using the method.

 

 

About ASDMAC

ASDMAC provides approval for the therapeutic use of prohibited substances or methods to certain athletes if:

  • their sport's anti-doping policy allows for, or permits, the athlete to seek approval to use a medication prohibited in sport for a legitimate therapeutic purpose, and
  • the TUE application contains medical evidence that meets each of the WADA criteria for granting a TUE.

Under the WADC–International Standard-Therapeutic Use Exemptions (January 2016) an athlete may be granted a TUE if they can show that each of the following conditions is met:

  • The prohibited substance or method is needed to treat a medical condition and the athlete would experience a significant impairment to health if the substance were to be withheld.
  • The Therapeutic Use of the substance or method is highly unlikely to produce any additional enhancement of performance beyond what might be anticipated by a return to the athlete’s normal state of health following the treatment of the medical condition.
  • There is no reasonable therapeutic alternative.
  • The necessity for the use of the prohibited substance or method is not a consequence of the prior use of a prohibited substance or method prohibited at the time of such use.

 

Do you need a TUE?

  1. Check the substance on the ASADA website to see if it is prohibited.
  2. If it is prohibited and you need to use the substance, you now need to work out if you need an in-advance or retroactive TUE.

NOTE: not all medications are eligible for a TUE and having a TUE will only guard against a possible ADRV if the medication is used as per the TUE.

 

Check if you are eligible for an in-advance TUE

Only certain, higher level athletes need to apply for a TUE in-advance. In-advance TUEs need to be applied for before taking the medication (except for emergency situations and hospital visits). Other athletes are able to apply for a planned retroactive TUE once they have been tested.

Check the list of sports and criteria below that shows which athletes need an in-advance TUE.

If your sport is listed below and you meet one or more of the criteria, you will need an in-advance TUE. 

If your sport is not listed below or you do not meet any of the criteria, you should prepare information for a planned retroactive TUE.

If you have been notified by ASADA of your inclusion on the ASADA RTP/DTP you are required to apply for an in-advance TUE irrespective if your sport is listed below or not.

Note: The list of sports and criteria listed below requiring an in-advance TUE will be updated on 1 January of each year. Please ensure that you check your circumstances on or after 1 January.

 

Sports eligible for in-advance TUEs
Sport Criteria
Archery Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad (recurve and compound only) - including athletes with a disability
Any athlete who competes at the National Championships (open men/women - recurve and compound only)
Athletics

Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including para athletes
Any athlete who competes at the Australian Athletic Championships (senior)
Any athlete who competes at designated events within the Australian Athletics Calendar 2018. Events include:

  • Australian IAAF World Cross Country Championships Selection Trials
  • Australian 20km Race Walking Championships
  • SUMMER of ATHS Grand Prix
  • Australian Athletics Championships (Seniors & Juniors)
  • Australian 10,000m Championships (Zatopek:10)
  • Australian 50km Race Walking Championships
Australian rules football Any player participating in the AFL, AFLW, WAFL, NEAFL, VFL, SANFL, QAFL and TSL
Badminton Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad including - athletes with a disability
Any athlete who competes at the Australian National Championships (senior)
Baseball Any member of the Registered Testing Pool or Domestic Testing Pool
Any player competing in the Australian Baseball League
Basketball Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad including wheelchair basketball
Any player participating in the NBL or WNBL
Biathlon Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Australian Championships (open men & women)
Bobsleigh/skeleton Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad -including athletes with a disability
Boxing Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad including athletes with a disability
Any athlete who competes at the Australian Championships (Elite men and Elite Women)
Canoeing Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad including athletes with a disability
Any athlete who competes at the Australian Slalom Championships, National Sprint Championships
Cricket Any player participating in the following events:
Big Bash League (mens and womens)
National One Day Series (mens and womens)
Sheffield Shield
Cycling Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad including athletes with a disability
Any athlete planning to compete at the Elite National Championships (Road, Track, Mountain Bike, BMX)
Any athlete planning to compete in the National Road Series
Diving Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad including athletes with a disability
Any athlete who competes at the Australian Open Diving Championships
Equestrian
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad including athletes with a disability
Eventing - Any athlete competing at the CCI*** or CCI****
Fencing Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Open National Championships
Figure skating Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Australian Figure Skating Championships (elite men and women)
Football/soccer Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any player participating in the A-League Y-League or W-League
Golf Any member of the Registered Testing Pool or Domestic Testing Pool
Gymnastics Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Australian Gymnastics Championships (open age)
Hockey
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any player participating in the Australian Hockey League
Any athlete who competes at the U/18 National Championships
Any athlete who competes in the U21 National Championships
Ice racing
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability, World Cup teams, Junior World Cup teams and World Championship teams
Judo
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the National Championships (Senior Open Competition)
Lawn bowls Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Champion of Champions
Luge Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Modern pentathlon
Any member of the Registered Testing Pool or Domestic Testing Pool
Any athlete who represents Australia at an international event
Netball
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any player contracted to an Suncorp Super Netball team
Powerlifting Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Australian Powerlifting Championships
Rowing Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Australian Rowing Championships (senior)
Rugby league

Any player contracted to an NRL Club and eligible to play in the competition currently known as the NRL Telstra Premiership, including:

- A contracted NRL Top 30 Player or equivalent
- A contracted NRL Development List Player or equivalent
- A contracted NRL Training Contract Player or equivalent.  

Rugby union Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad
Any player contracted to a super rugby team
Any player participating in the National Rugby Championships
Sailing
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad (Olympic or Paralympic classes)
Shooting Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in the Australia Cup event series
Ski and snowboard Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Australian Open Championships (Cross Country), National Mogul Championships, National Alpine Championships
Squash Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes at the Australian Open  
Surf lifesaving Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in any open level event at the Australian Surf Life Saving Championships
Swimming  Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in the Australian Swimming Championship
Any athlete who competes in the Australian Short Course Championships
Any athlete who competes in the Australian Open Water Championships (Open age)
Synchronised swimming Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in the Australian Synchronised Swimming Championships (open)
Table tennis Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Taekwondo Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in the Australian Championships
Tennis Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any player who participates in the Australian Open Wildcard Playoff
Triathlon
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in an elite National Championships (Sprint, Standard, Long, Cross, Duathlon, Aquathon, Aquabike)
Any athlete with a professional licence from Triathlon Australia
Volleyball Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any player who participates in the Australian Volleyball League (Men's and Women's)
Water polo Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any player who participates in the National Water Polo League (Men's and Women's)
Weightlifting Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in the Australian Senior Championships
Wrestling
Any member of the Registered Testing Pool or Domestic Testing Pool
Any member of a national open team/squad - including athletes with a disability
Any athlete who competes in the Australia Cup
Any athlete competing in a national competition
Any athlete participating in a national selection camp/competition

Retroactive TUE

If your sport is not listed above or you do not meet any of the criteria, you should prepare information for a retroactive TUE.

 

Apply for an in-advance TUE

If your sport is listed above and you meet one or more of the criteria you will need to apply for an in-advance TUE. You can apply using the form found at the bottom of this page.

Check the medical evidence to common TUE applications to see what specific medical information you need to provide. If you need assistance with the TUE application, contact asdmac@asada.gov.au 

 

TUE application form