Therapeutic Use Exemptions (TUE) Procedures

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Questions and Answers

What is one of the criteria that must be met for an athlete to be granted a Therapeutic Use Exemption (TUE)?

The athlete must be a member of the TUEC.

The athlete must have won a certain number of competitions.

The athlete must have a documented medical condition. (correct)

The athlete must compete at an international level.

Who is responsible for the approval or rejection of Therapeutic Use Exemption (TUE) applications?

The World Anti-Doping Agency (WADA).

The athletes' coaches.

The Therapeutic Use Exemption Committee (TUEC). (correct)

A specially appointed government body.

What must an athlete do in relation to the treatment conditions outlined in a Therapeutic Use Exemption (TUE) application?

Comply with them fully. (correct)

Inform their competitors about them.

Ignore them if they conflict with their training schedule.

Seek permission to deviate from them.

In what situation would immediate administration of a Prohibited substance or Method be necessary?

Emergency medical condition that could significantly endanger the athlete's health Signup and view all the answers

Which organization is required to have a process for athletes to apply for a Therapeutic Use Exemption (TUE)?

International Federations and National Anti-Doping Organizations Signup and view all the answers

When can an athlete apply for a Therapeutic Use Exemption (TUE) within the timeline given?

At least 21 days before competition Signup and view all the answers

What is the purpose of granting a Therapeutic Use Exemption (TUE) for a specific period of time?

To allow the athlete time to recover from a medical condition. Signup and view all the answers

What information should be included in a TUE application?

Athlete's comprehensive medical history and relevant test results Signup and view all the answers

Why is it important for athletes to provide documentation of their medical condition when applying for a Therapeutic Use Exemption (TUE)?

To justify the need for prohibited substances or methods. Signup and view all the answers

Under what exceptional circumstance could an athlete be granted a TUE with no fault of their own?

Inability due to a sudden medical condition days before an event Signup and view all the answers

What is the timeline for response to a TUE application in writing?

30 days before competition Signup and view all the answers

Why does a TUE application require a statement by an appropriately qualified physician?

To provide valid reasons why prohibited substances are needed for treatment and why alternatives are unsuitable Signup and view all the answers

What should an athlete with a TUE do when undergoing testing?

Declare the substance or medication used Signup and view all the answers

Where should an international athlete submit a TUE application?

To the international federation responsible for accepting applications Signup and view all the answers

What should be done if a national-level athlete's TUE application is refused by NADO?

Keep the correspondence and be ready to present medical documentation Signup and view all the answers

Is it mandatory for an athlete with a TUE to have a copy of the TUE approval form?

No, it is optional Signup and view all the answers

What happens if an athlete submits TUE applications to multiple organizations?

The applications will be automatically rejected Signup and view all the answers

What should an athlete do if MEOs choose to automatically recognize pre-existing TUEs?

Apply for a new TUE regardless Signup and view all the answers

What should an athlete do if they already have a TUE granted by a NADO but become subject to the TUE requirements of an IF or MEO?

Check the website of the IF or MEO to see if their TUE decisions will be automatically recognized. Signup and view all the answers

What is the consequence if an International Federation (IF) refuses to recognize a TUE granted by a NADO?

The TUE is not valid for international-level competition. Signup and view all the answers

What happens if a NADO disagrees with the granting of a TUE by an IF?

The TUE is not valid for national-level competition pending WADA review. Signup and view all the answers

In case of a dispute between an athlete's NADO and an International Federation, how long do they have to appeal to WADA?

21 days Signup and view all the answers

If an athlete's TUE falls into a category that is automatically recognized by an IF or MEO, what action is required?

No further action needed. Signup and view all the answers

What system should athletes use to submit a request for recognition of a TUE to an International Federation (IF) or Major Event Organization (MEO)?

ADAMS Signup and view all the answers

What can an athlete do if WADA reverses the original decision granting a TUE?

Appeal to the Court of Arbitration for Sport (CAS) Signup and view all the answers

What is the fundamental principle of the Athlete Biological Passport (ABP)?

Monitor selected biological variables over time to indirectly reveal doping effects Signup and view all the answers

What happens if an athlete's application to the National Anti-Doping Organization (NADO) is denied?

Ask for a review by WADA for a fee Signup and view all the answers

When is it no longer necessary for athletes to file a Declaration of Use?

When filling out the doping control form Signup and view all the answers

What can an athlete do if WADA denies their application after a review?

Make an appeal to CAS Signup and view all the answers

What must athletes declare when filling out the doping control form?

What medication they are using Signup and view all the answers

Study Notes

Therapeutic Use Exemptions (TUEs)

An athlete with a TUE should declare the substance or medication used on the doping control form and specify that a TUE has been granted
It is recommended, but not mandatory, for the athlete to have a copy of the TUE approval form to show the doping control officer

Submitting a TUE Application

International athletes should submit a TUE application to the international federation (IF) which is responsible for accepting applications and granting TUEs
National or lower-level athletes should submit a TUE application to the National Anti-Doping Organization (NADO)

Clarification on TUE Applications

Medical emergency or acute medical condition requires immediate administration of a Prohibited substance or Method and failure to treat could significantly put the athlete's health at risk
Exceptional circumstances; not enough time through no fault of the athlete, e.g., a healthy athlete gets a sudden medical condition days before an event and is unable to request a TUE in the allotted time

Requirements for a TUE Application

Identify the athlete's level of competition, sport, and where appropriate, discipline and specific position or role
List any previous and/or current TUE requests, the body to whom that request was made, the decision of that body, and the decisions of any other body on review or appeal
Include athlete's comprehensive medical history and the results of all examinations, laboratory investigations, and imaging studies relevant to the application
Include a statement by an appropriately qualified physician giving valid reasons a prohibited substance or method needs to be used in treating the athlete's medical condition and why alternative medications could not be used

Criteria for Granting a TUE

Athlete would experience significant health problems without the use of the prohibited substance or method
Therapeutic use of the substance or method would not result in significant enhancement of performance other than the one that can be attributed to the return to a normal state of health after the treatment of the medical condition
There is no reasonable therapeutic alternative to the use of the otherwise prohibited substance or method
The necessity to use a prohibited substance or method must not be the consequence, total or partial, of a prior non-therapeutic use of a prohibited substance

Who Grants a TUE?

International Federations and National Anti-Doping Organizations have a process in place for granting TUEs through a panel of independent physicians called a Therapeutic Use Exemption Committee (TUEC)

What Happens if an Athlete has a TUE?

TUEs are granted for a specific medication with a defined dosage
TUEs are also granted for a specific period and therefore have an expiry date
The athlete is required to comply with all the treatment conditions set out in the TUE application

What Should an Athlete Do If Already Having a TUE Granted by a NADO but Becomes Subject to the TUE Requirements of an IF or MEO?

The athlete should not submit an application for a new TUE to the IF or MEO, but should consult their website to check whose TUE decisions they will automatically recognize

What Happens If the IF Refuses to Recognize the NADO TUE?

The TUE is not valid for international-level competition
The athlete or NADO can appeal to WADA within 21 days, the TUE remains valid for national-level competition pending WADA review

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Description

Learn about the procedures and tips related to Therapeutic Use Exemptions (TUE) in sports. Understand the importance of declaring medications, specifying TUE status, and the process of submitting TUE applications as an international athlete.