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 for athletes needing an in-advance TUE.

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

If your sport is not listed, 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 or not.

Note: On 1 January each year the details of sports and criteria requiring an in-advance TUE is updated . Please ensure that you check your circumstances on or after 1 January.

 

Apply for an in-advance TUE

If your sport is listed 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 

 

Retroactive TUE

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

 

TUE application form