WADA outlines the rules and the process, hears appeals, and audits TUE applications. Athletes do not apply to WADA for a TUE.

When to apply. Athletes should apply for a TUE as soon as possible after being prescribed the medical substance or route of administration. If the substance is prohibited in-competition only, be sure to apply at least 30 days before competition.

What to submit and where to send the application. Physicians are responsible for completing the TUE form and providing the required supporting information. TUEs can only be submitted to one ADO. WADA provides a series of checklists to ensure that all supporting documentation is included with the application.

National-level athletes must apply to their National Anti-Doping Organization NADO. International-level athletes must apply to their International Federation IF. ADOs decide how they define what a national-level or international-level athlete is. Athletes should verify with their ADO before applying for a TUE.

What happens after the application is submitted. ADOs must render a decision within 21 days of receiving a complete application. Athletes will receive a TUE certificate or letter from their ADO with details about their decision. Visit WADA's Anti-Doping Education and Learning ADEL platform to learn more.

On ADEL, you will find eLearning courses and programs that provide in-depth information on TUEs for athletes and your support personnel as well as a guide entitled At-a-Glance: Therapeutic Use Exemptions.

Guidelines for the International Standard for Therapeutic Use Exemptions ISTUE. Athletes may have an illness or medical condition that require them to take a medication or undergo procedures. The List of Prohibited Substances and Methods List indicates what substances and methods are prohibited in sport and when.

The Prohibited List PL is published by WADA and comes into effect on 01 January every year. Many common medications that one may not associate with doping are on the PL such as insulin for diabetes treatment and some high blood pressure medications as well as prohibited methods such as intravenous IV use.

If an athlete needs the treatment for legitimate medical reasons, then they must apply for a TUE. Some ADOs have different rules regarding TUEs so the athlete should always contact their ADO first. See ISTUE Guidelines - Chapter 3: When to apply for a TUE.

If they are unsure of what level they fit into we recommend they contact their NADO who should be able to provide guidance. See ISTUE Guidelines — Chapter 4: Where to Apply?

The athlete should download the TUE application from their anti-doping organizations website or fill it online if they have that option if an athlete has an ADAMS account, they can also submit their application via this route. The athlete should bring the TUE application form and the relevant TUE Checklists with them when they visit their doctor, or have an electronic version readily accessible.

The TUE Checklists are documents specifically designed for athletes and their treating physicians to help them gather required medical evidence to submit a complete TUE application. See ISTUE Guidelines - Chapter 5: What are the responsibilities of an athlete in submitting a TUE application?

All approved TUEs are only valid for a specific duration. This means that after this date the TUE certificate is no longer valid, and if the athlete wishes to continue using the prohibited substance, they will need to reapply for a new TUE. See ISTUE Guidelines - Chapter 7: What happens after a TUE is granted?

A retroactive TUE provides an athlete the opportunity to apply for a TUE for a prohibited substance or prohibited method after using or possessing the substance or method in question. At least one of the five retroactive conditions set out in ISTUE Article 4. In exceptional circumstances Article 4.

Note that WADA does not accept direct TUE applications from athletes unless there is a request for a review. A Therapeutic Use Exemption TUE is an official medical document giving an athlete permission to take a medication that is ordinarily prohibited for the treatment of a legitimate condition.

It is only valid for a given period of time. It is a documented medical file approved by a TUE Committee accepting that there is a legitimate need to take medication and no equal alternative available.

It permits the athlete to take the defined medication while competing without them registering a doping offence. The use of TUEs is carefully monitored to avoid any abuse or manipulation. It is NOT a drug or a medication.

WHAT ARE THE CRITERIA FOR GRANTING A TUE? DO I NEED A TUE? Athletes participating in The World Games may obtain a valid TUE granted by their National Anti-Doping Organisation or International Federation.

Upon arrival at The World Games, it is possible to ask the TUE Committee for emergency TUEs. If an athlete is not sure of where they should apply for a TUE, they should contact the respective International Federation.

Please download the IWGA's TUE Application Form , and once duly completed and signed, send it together with the required medical file to the IWGA TUE Committee. The medical file must include: - A comprehensive medical history, including documentation from the original diagnosing physician s where possible ; - The results of all examinations, laboratory investigations and imaging studies relevant to the application.

Any TUE application that is not complete or legible will not be dealt with and will be returned for completion and re-submission. Keep a complete copy of the TUE application form and all medical information submitted in support of your application, and proof that it has been sent.

A decision to deny a TUE application will include a written explanation of the reason s for the denial. If it is not clear to you, please contact the IWGA TUE Committee to understand exactly why the TUE was denied. Sometimes, there may be a critical piece of information, diagnostic test, laboratory results missing, etc.

In which case, you should re-apply to us. You should send the same information that you submitted to us, and on which the decision to deny the TUE was based on, via a secure on-line method or by registered mail at:. WADA Medical Department World Anti-Doping Agency Stock Exchange Tower Place Victoria Suite P.

Box Montreal Quebec H4Z 1B7 Canada. It should be noted that WADA is not obliged to proceed with a request for a review. For any further information and questions in relation to IWGA's personal information practices, please contact IWGA Executive Committee Member Volker Bernardi.

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A therapeutic use exemption TUE , also known as a temporary use exemption , is a term created in [1] and refers to an official medical document.

An example of a TUE is the World Anti-Doping Agency 's exemption for testosterone replacement therapy. The average for a normal functioning male is a ratio, but WADA allows up to a ratio without testing positive for elevated testosterone.

The Journal of Legal Medicine quotes Dr. In , Russian cyberespionage group Fancy Bear disclosed information about TUEs granted to more than Olympic athletes from over 20 countries, raising concerns over the misuse of TUEs for cheating, [8] including Bradley Wiggins using the corticosteroid triamcinolone acetonide in , , and Abuse of TUEs happens for more than just steroids.

In eight years, the percentage of MLB players with TUEs for Adderall increased from 3 percent to 14 percent, [12] [13] prompting concerns that the substance is again being abused as a performance enhancing drug.

In addition to steroids, insulin is a concern for cheating with TUEs. Contents move to sidebar hide. Article Talk.

Read Edit View history. Tools Tools. All of the four following criteria must be met for obtaining a TUE for more details, please refer to the WADA International Standard for Therapeutic Use Exemptions ISTUE Article 4.

For a TUE to be granted, all four of the above criteria must be met. All TUE applications are reviewed by a panel of experts called the TUE Committee TUEC.

Athletes participating in The World Games are subject to the IWGA TUE Application Process. They need a TUE to take a prohibited substance or use a prohibited method.

Athletes should verify with their International Federation to know to whom they need to apply and how they can apply retroactively. If the athlete participating in The World Games already has a valid TUE granted by their National Anti-Doping Organisation or International Federation, IWGA will recognise it.

If the athlete does not already have a TUE granted by their NADO or IF, the athlete must apply directly to IWGA for a TUE as soon as possible — but no later than 30 days before The World Games deadline is 5 June using the IWGA TUE Application Form.

A TUE granted by IWGA for a specific event is effective for that event only. For example, a TUE granted to an athlete for The World Games is only valid from 5 to 18 July and is not valid for any other event, such as World Championships or future editions of The World Games. In rare and exceptional circumstances and notwithstanding any other provision in the ISTUE, you may apply for and be granted retroactive approval for a therapeutic use of a prohibited substance or method, if considering the purpose of the Code, it would be manifestly unfair not to grant a retroactive TUE.

Using a prohibited substance or method without a TUE could result in an Anti-Doping Rule Violation. In case an application for a retroactive TUE is necessary following sample collection, you are strongly advised to have a medical file prepared and ready to submit for evaluation. A Therapeutic Use Exemption must always be approved prior to the start of the treatment.

In emergency or exceptional cases, a retroactive TUE may be granted. Athletes participating in The World Games may obtain a valid TUE granted by their National Anti-Doping Organisation or International Federation.

Upon arrival at The World Games, it is possible to ask the TUE Committee for emergency TUEs. If an athlete is not sure of where they should apply for a TUE, they should contact the respective International Federation.

Please download the IWGA's TUE Application Form , and once duly completed and signed, send it together with the required medical file to the IWGA TUE Committee. The medical file must include: - A comprehensive medical history, including documentation from the original diagnosing physician s where possible ; - The results of all examinations, laboratory investigations and imaging studies relevant to the application.

Any TUE application that is not complete or legible will not be dealt with and will be returned for completion and re-submission. Keep a complete copy of the TUE application form and all medical information submitted in support of your application, and proof that it has been sent.

A decision to deny a TUE application will include a written explanation of the reason s for the denial. If it is not clear to you, please contact the IWGA TUE Committee to understand exactly why the TUE was denied. Sometimes, there may be a critical piece of information, diagnostic test, laboratory results missing, etc.

In which case, you should re-apply to us. You should send the same information that you submitted to us, and on which the decision to deny the TUE was based on, via a secure on-line method or by registered mail at:. WADA Medical Department World Anti-Doping Agency Stock Exchange Tower Place Victoria Suite P.

Box Montreal Quebec H4Z 1B7 Canada. It should be noted that WADA is not obliged to proceed with a request for a review. For any further information and questions in relation to IWGA's personal information practices, please contact IWGA Executive Committee Member Volker Bernardi.

You may also need to apply directly to your IF depending on their definition of an international-level athlete. We can help you find out where to apply and how to present your DFSNZ TUE to an IF or MEO for recognition.

Please contact tue drugfreesport. Your health always comes first and you should get whatever medical help you need immediately. And if you do require a prohibited substance or method for the sake of your health, make a TUE application immediately after treatment.

This is known as a retroactive TUE. Each TUE has a specific duration, at the end of which it expires automatically. Should you need to continue to use the prohibited substance or method, it is your responsibility to submit a new application for a TUE with updated medical information ahead of the expiry date, so that there is sufficient time for a decision to be made prior to the expiry of the current TUE.

Important note: The presence following sample collection , use, possession or administration of the prohibited substance or method shall be consistent with the terms of your TUE which are present on your certificate.

Therefore, if you require a materially different dosage, frequency, route or duration of administration, you should contact DFSNZ as you may be required to apply for a new TUE.

Some substances and dosages, e. insulin, are often modified during treatment and these possible fluctuations should be mentioned by the treating physician in the TUE application and would usually be accepted by the ADO TUEC.

If a TUE application is declined, you will receive a written explanation of the reasons for that decision. If you need help to understand why the decision was made, feel free to contact us. Sometimes, the application may be missing a critical piece of information, diagnostic test, laboratory results, signature etc.

If you are a National Level or Recreational Level athlete, you may appeal DFSNZ's decision to the Sports Tribunal of New Zealand. For guidance on this process and the required documentation, please visit the Sports Tribunal website. If your International Federation does not recognise your DFSNZ TUE, you and DFSNZ have 21 days to refer the matter to WADA for review after notification of the non-recognition.

You should send the same information that you submitted to DFSNZ, and on which their TUEC based their decision, via a secure online method or by registered mail to:. WADA Medical Department World Anti-Doping Agency Stock Exchange Tower Place Victoria Suite P.

Box Montreal Quebec H4Z 1B7 Canada. If the matter is not referred to WADA for review, DFSNZ determines whether the original TUE granted to you should remain valid for national-level competition and out-of-competition testing.

For more information on how DFSNZ processes personal information refer to our Athlete Privacy Policy. Therapeutic Use Exemptions. Substances Therapeutic Use Exemptions. About Therapeutic Use Exemptions TUEs.

What to do Tell your doctor that you're an athlete and subject to anti-doping rules; If prescribed a medication containing a banned ingredient, ask for a permitted alternative; Know your TUE status in-advance or retroactive ; Keep detailed medical notes for any diagnoses or treatments that involve a banned substance or method; In an emergency, always get the treatment you need.

Ready to apply for a TUE? Check your TUE status. In-advance vs retroactive. In-advance Some athletes must have a TUE before they take a banned substance. Retroactive A retroactive TUE is one that's granted after an athlete has tested positive.

You may apply to us for a retroactive TUE if: You needed emergency or urgent treatment for a medical condition; There was insufficient time, opportunity or other exceptional circumstances that prevented you from submitting the TUE application, or having it evaluated, before getting tested; You weren't allowed or required to apply in advance for a TUE as per the anti-doping rules; You're a lower-level athlete who was tested but isn't under the jurisdiction of an International Federation or National Anti-Doping Organization; You tested positive after using a substance out-of-competition that was only prohibited in-competition e.

g tramadol or glucocorticoids. TUE details. How to apply Download and complete form Download an application form. The form must be completed in full by a medical professional, preferably the prescribing doctor Detailed supporting documentation must be attached.

Note that most applications require specialist support. Submit documentation Submit your TUE application: to us by email at tue drugfreesport.

nz to us by post check our contact details. to your International Federation if appropriate. Application review Your application will be reviewed by the TUE Committee once it is received in full.

Response You and your medical professional will be told whether the application has been accepted or rejected within 21 days. You will be told of any conditions, including the date of expiry and restrictions on the use of the medication.

This includes: Comprehensive medical evidence to justify the use of the treatment, preferably from a specialist; Confirmation that permitted alternative medications have been tried where possible.

Learn more about who should apply to the AIU and when they should do it. A Therapeutic Use Exemption TUE is an official medical document giving an athlete permission to take a medication that is ordinarily prohibited for the treatment of a legitimate condition.

It is only valid for a given period of time. It is a documented medical file approved by a TUE Committee accepting that there is a legitimate need to take medication and no equal alternative available.

It permits the athlete to take the defined medication while competing without them registering a doping offence. The use of TUEs is carefully monitored to avoid any abuse or manipulation. It is NOT a drug or a medication. WHAT ARE THE CRITERIA FOR GRANTING A TUE?

DO I NEED A TUE? TUEs — KNOW THE PROCESS Learn more about the process that is followed while handling a TUE request. Who and When Learn more about who should apply to the AIU and when they should do it. FIND OUT MORE. How Learn about how to apply for a TUE to the AIU.