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Therapeutic Use Exemption (TUE)

What?

Athletes may have an illness or medical condition requiring a particular medication. If this medication appears on the Prohibited List, the athlete may be granted a Therapeutic Use Exemption (TUE) that gives the athlete permission to take the medication.

Why?

In some instances, there may not be alternative medication or method to treat the illness or medical condition. TUEs ensure that the athlete is able to obtain treatment for a legitimate medical condition, even if treatment requires a prohibited substance or method. It also avoids the risk of sanctions due to a positive test.

Who?

Any athlete who may be subject to doping control must request a TUE before taking a prohibited medication. All information in a TUE request remains strictly confidential.

When?

A TUE application must be made at least 30 days before taking part in an event. In exceptional cases or an emergency, a TUE may be granted retroactively.

TUE Process

Request a TUE form from the relevant Anti-Doping Organization (ADO), Internaitonal Federation (IF) or Major Event Organisation (MEO).
The TUE form is completed by the athlete's doctor and submitted to the respective ADO.

 
A panel of expert panels appointed by the ADO reviews and grants the TUE if:

  • The athlete's health will be significantly impaired if the substance is not used
  • The substance does not enhance performance
  • There are no alternative treatments available


The ADO advises if the athlete can take the requested medication or not. If the TUE is not granted, the athlete will be informed of the reasons and also have the right to appeal the decision.

Who to contact and submit TUE form to?

National-level athletes should contact their National Anti-Doping Organization (NADO)

International-level athletes should contact their International Federation (IF).