--only available in english--

THERAPEUTIC USE EXEMPTIONS (TUEs)

 

WHAT IS A THERAPEUTIC USE EXEMPTION (TUE)?

Athletes, like all people, may have illnesses or conditions that require them to take particular medications or undergo procedures. If the medication or method an Athlete is required to take/use to treat an illness or condition is included in the World Anti-Doping Agency’s (WADA) Prohibited List, a Therapeutic Use Exemption (TUE) may give that Athlete the authorisation to take a substance or use a method that is prohibited.

A TUE is a certificate granted for a set prohibited substance, in certain dosages, with a limited period of validity. An application for a TUE must be based on a documented medical condition and diagnosis, and the TUE will only be granted under strict criteria laid out in the WADA International Standard for Therapeutic Use Exemptions (ISTUE).

Athletes must absolutely avoid taking a medication with a prohibited substance without a valid TUE.

Applications for TUEs are reviewed by a panel of experts, the TUE Committee (TUEC), who may give such permission.

 

WHAT ARE THE CRITERIA FOR GRANTING A TUE?

The process of granting a TUE is outlined clearly in the FIL Anti-Doping Rules and the International Standard for Therapeutic Use Exemptions (ISTUE).

There are strict criteria for obtaining a TUE:

  • The Athlete would experience significant health problems without taking the prohibited substance or method;
  • The therapeutic use of the substance would not produce significant enhancement of performance;
  • There is no reasonable therapeutic alternative to the use of the otherwise prohibited substance or method;
  • The requirement to use that substance or method is not due to the prior use of the substance or method without a TUE which was prohibited at the time of use.

For the TUE to be granted, all four of the above criteria must be met.

 

HOW TO APPLY FOR A TUE?

Therapeutic Use Exemptions must always be requested prior to the start of the treatment. In emergency or exceptional cases, a retroactive TUE may be granted.

The International Testing Agency (ITA) manages TUE applications of luge International-Level Athletes on behalf of FIL. For detailed information on the TUE process or to download the TUE Application Form, please visit the ITA TUE page. If you have any questions about Therapeutic Use Exemptions, please do not hesitate to contact TUE@ita.sport.

If you are not sure whether you are an International-Level Athlete, please consult the FIL Anti-Doping Rules.

All other Athletes should apply for a TUE through their National Anti-Doping Agency (NADO). A TUE granted by a NADO will automatically be recognised by FIL for purposes of international-level competition without the need for the athlete to re-apply for a TUE via the ITA.

 

CONFIDENTIALITY

All the information contained in a TUE application, including the supporting medical information and any other information related to the evaluation of a TUE request is kept strictly confidential and treated in accordance with the Athlete’s Declaration contained in the ADAMS TUE process. All members of the TUEC and any other authorised recipients of the TUE request and related information are subject to a professional or contractual confidentiality obligation.

 

WHAT HAPPENS AT MAJOR EVENTS, FOR EXAMPLE THE OLYMPIC GAMES?

You must verify with the Major Event, what are its TUE requirements.

Before the Period of the Games: You should follow the normal process and submit new requests to your IF or NADO. Pre-existing TUEs will follow the recognition process provided they are entered in ADAMS.

During the Period of the Games: All Athletes participating in the Olympic Games must contact the ITA office located in the polyclinic of the Olympic Village.

 

WHAT IF I NEED TO RENEW MY 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 must be consistent with the terms of your TUE. Therefore, if you require a materially different dosage, frequency, route or duration of administration, you should contact the ITA, as you may be required to apply for a new TUE. Some substances and dosages, e.g. 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 ITA’s TUEC.

 

WHAT IF MY FIL’S TUE APPLICATION IS DENIED?

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 ITA 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 and/or your NADO may refer the matter to WADA for review no later than 21 days after notification of the ITA’s TUEC decision. 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
800 Place Victoria (Suite 1700)
P.O. Box 120
Montreal (Quebec) H4Z 1B7
Canada

The email address to enquire and/or send the request for review is: medical@wada-ama.org

It should be noted that WADA is not obliged to proceed with a request for a review. In that case, you and/or your NADO may appeal to the Court of Arbitration for Sport (CAS).

 

WHAT IF MY NADO’S TUE IS NOT RECOGNIZED BY FIL?

You and/or your NADO have 21 days from the date of decision to refer the matter to WADA for review. The email address to enquire and/or send the request for review is: medical@wada-ama.org. Alternatively, you may send to:

WADA Medical Department
World Anti-Doping Agency
Stock Exchange Tower
800 Place Victoria (Suite 1700)
P.O. Box 120
Montreal (Quebec) H4Z 1B7
Canada

The same information that was provided to your NADO should be submitted to WADA. Please use a secure on-line method unless sending by registered mail.

Pending WADA’s decision, your NADO TUE remains valid for national-level competition and out-of-competition testing only.

If the matter is not referred to WADA for review, your NADO must determine whether the original TUE that was granted should remain valid for national-level Competition and Out-of-Competition Testing.

 

CONTACT INFORMATION

For any further information and questions in relation to personal information practices, please contact the ITA at privacy@ita.sport or FIL.

If you have a doubt as regards to which organization you should apply for a TUE, or as to the recognition process, or any other question about TUEs, please contact: tue@ita.sport.

 

OTHER USEFUL LINKS

WADA International Standard for Therapeutic Use Exemptions (ISTUE)

WADA Q&A on Therapeutic Use Exemptions

WADA Checklists for TUE Applications

WADA Guidelines for the 2021 International Standard for Therapeutic Use Exemptions (ISTUE)

WADA Anti-Doping Education and Learning (ADEL)

 

Cookie Einstellungen

Wir setzen automatisiert nur technisch notwendige Cookies, deren Daten von uns nicht weitergegeben werden und ausschließlich zur Bereitstellung der Funktionalität dieser Seite dienen.

Außerdem verwenden wir Cookies, die Ihr Verhalten beim Besuch der Webseiten messen, um das Interesse unserer Besucher besser kennen zu lernen. Wir erheben dabei nur pseudonyme Daten, eine Identifikation Ihrer Person erfolgt nicht.

Weitere Informationen finden Sie in unserer Datenschutzerklärung.