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.
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.
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?
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.
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.
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.
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 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
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.
Please contact the ASDMAC secretariat office for clarification or with any questions via:
(02) 6222 4283
13 000 27232 (Option 4)
To apply for a TUE an athlete needs to complete the TUE application form in conjunction with their doctor.
Download the TUE form:
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.
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.