Australian Government: Australian Sports Drug Medical Advisory Committee

Skip Navigation and go to ContentAustralian Government: Australian Sports Anti-Doping Authority

Apply for a Therapeutic Use Exemption (TUE)

 

A Therapeutic Use Exemption (TUE) is an exemption provided by a TUE committee to allow an athlete to use a substance (or method) on the WADA Prohibited List for legitimate therapeutic purposes.

Do I need a TUE?

To understand whether you require a TUE and what type of TUE you require please follow the steps below:-

1. Are you taking a medication or using a method that is on the WADA prohibited list? (To check on your medication or method, search using ASADA’s online Check Your Substances (CYS) tool,  https://checksubstances.asada.gov.au/ and/or on WADA’s Prohibited List, http://list.wada-ama.org/ ). If yes then

2. What is your level of competition?

  • International-level athletes - (defined as: a member of an International Federation (IF) testing pool and/or competing at an International sporting events as defined by the IF for that sport).

    You should; for a ‘first-time’ TUE, apply directly to your IF. If you already have a national level (ASDMAC) TUE, check with your IF (or ASDMAC) to see if it will be recognized by the IF. ASDMAC can assist you in your application to your International Federation if required.

  • National-level athletes - (defined as: a member of an ASADA testing pool, competing at open-age ‘national events’ or competing in a sport under an ASADA contract or anti-doping arrangement).

    You should apply for an in-advance TUE to ASDMAC (i.e. obtain the TUE prior to Using the substance or method in question)
    .
  • All other athletes - (defined as: not being an ‘International’ level or ‘National’ level athlete (as above), e.g. junior national, state, club, youth or masters).

You are not required to apply for an in-advance TUE (for certain medications – see below), so you can therefore apply for a TUE via the Planned Retroactive TUE process outlined below.

 

TYPES OF Therapeutic Use Exemptions (TUEs)

In-advance TUE

A TUE that is applied for prior to commencing the medication or competing in sport using the medication. This has been the standard approach for applying for TUEs in the past but now only applies to National and International level Athletes.

Planned Retroactive TUEs

This is a new process from 1st January 2015
All athletes below International and/or National level should apply for a Planned Retroactive TUE if…

1) The Prohibited Substance the athlete is taking is on the following list
i)  Inhaled B2 agonists – Terbutaline (not required for salbutamol, formoterol and salmeterol)
ii) Aromatase inhibitors used in the treatment of breast and ovarian cancer e.g. anastrazole
iii) SERMs used in the treatment of breast cancer e.g. tamoxifen, raloxifene
iv) Insulin for the treatment of diabetes
v)  Diuretics for the treatment of cardiovascular disease including hypertension
vi) Intravenous infusions for the treatment of acute dehydration- usually due to acute gastroenteritis
vii) Stimulants – methylphenidate, dexamphetamine, modafinil- for the treatment of ADHD or sleep disorders
viii) Narcotics - in the treatment of acute or chronic pain e.g. morphine
ix) Glucocorticoids – prednisolone, cortisone in the treatment of acute inflammatory illness such as asthma, inflammatory bowel disease or inflammatory arthritis
x) Beta-blockers for the treatment of cardiovascular disease

If the prohibited substance is not included in the list above then the athlete MUST apply for an in-advance TUE regardless of their level of competition.

AND

2) After and only if the athlete is subjected to Doping Control  (within 21 days of receiving notification by ASADA of an Adverse Analytical Finding (i.e. a positive doping control test)

Please note that if you are using a Prohibited Substance or Method for an acute or chronic medical condition and you are eligible for a planned retroactive TUE you should keep a medical file prepared in case an application is necessary.


Other Retroactive TUEs

Other than the planned retroactive TUE outlined above, any athlete may also be granted a retroactive approval for his/her Therapeutic Use of a Prohibited Substance or Prohibited Method (i.e., a retroactive TUE) if they did not have an in-advance TUE and one of the following situations occurred:

a. Emergency treatment or treatment of an acute medical condition was
necessary; or

b. Due to other exceptional circumstances, there was insufficient time or
opportunity for the Athlete to submit, or for the TUEC to consider, an
application for the TUE prior to Sample collection; or

c. It is agreed, by WADA and by the Anti-Doping Organization to whom the
application for a retroactive TUE is or would be made, that fairness
requires the granting of a retroactive TUE.

 

More Information:

Please contact the ASDMAC secretariat office for clarification or with any questions via:

(02) 6222 4283
13 000 27232 (Option 4)
asdmac@asada.gov.au

 


From 1st January 2015 (due to the new 2015 WADA Code and International Standard for Therapeutic Use Exemptions - ISTUE) the type of TUE needed for athletes competing below International and National level of competition has changed. There are no major changes for National and International level athletes.

Always tell your
doctor you are an
athlete

Always remember to tell your doctors that you are subject to doping control, and ask them to check substances before prescribing them to you.

Check your substances online or phone the ASADA Hotline 13 000 ASADA (13 000 27232) while you are still in their office.

To apply for a TUE an athlete needs to complete the TUE application form in conjunction with their doctor.

Detailed medical information is required, you cannot complete this form without seeing your doctor.

 

Download the TUE form:

PDF - 280KB

Word DOC - 144KB

RTF - 598KB

Please attach and/or forward all relevant medical information that will assist ASDMAC in its consideration of your request.

Once the application has been assessed, ASDMAC will communicate its decision to the applicant by mail.

The applicant’s doctor can discuss the TUE application with an ASDMAC member.

You must supply appropriate and separate medical evidence with your application. Applications are returned when appropriate medical evidence is not provided.

Medical emergencies

In emergencies, your health comes first.

Always seek medical attention immediately and advise all medical staff that you are an athlete subject to doping control.

If your health depends on a prohibited substance or method, submit a TUE application immediately after treatment has occurred (retroactive TUE).

In these situations your doctor may be able to contact ASDMAC and speak directly to a medical practitioner member of ASDMAC for advice.