Clean Sport for Humans - Therapeutic Use Exemptions 

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THERAPEUTIC USE EXEMPTIONS (TUEs)
 
WHAT IS A TUE?
 
Athletes, like all people, may have illnesses or conditions that require them to take a particular medication/substance or undergo certain procedures/methods. If the substance or method appears on WADA’s List of Prohibited Substances and Methods, athletes must obtain a Therapeutic Use Exemption (TUE) in order to have the permission to take it or use it. TUEs can only be granted by Anti-Doping Organizations following a robust review process that is defined in WADA's International Standard for Therapeutic Use Exemptions and involves evaluation by a panel of at least three physicians specialized in sports medicine and/or other relevant specialties. 
 
WHO MUST OBTAIN TUEs FROM THE FEI ?
 
The FEI's Anti-Doping Rules for Human Athletes (ADRHA) require that all International-level Athletes* who need to take medication/treatment which is on WADA’s Prohibited List must submit a Therapeutic Use Exemption (TUE) application to the FEI as follows: 
  • If the Athlete does not already have a TUE granted by his/her National Anti-Doping Organisation (NADO), he/she must apply directly to the FEI.  
  • If the Athlete already has a TUE granted for national-level competition by his/her NADO, that TUE is not automatically valid for international-level competition and it is necessary to apply to the FEI for recognition. If the TUE meets the criteria set out in the International Standard for Therapeutic Use Exemptions, then the FEI will recognise it for purposes of international-level Competition.

International-level Athletes are defined as (a) FEI registered athletes and (b) athletes taking part in an International Event as defined in the ADRHA.

WHICH ATHLETES ARE CONSIDERED TO BE "INTERNATIONAL-LEVEL ATHLETES" ?

The table below will  help you determine an athlete's status:

I AM AN INTERNATIONAL-LEVEL ATHLETE. HOW AND WHEN SHOULD I APPLY TO THE FEI FOR A TUE?

  • As soon as a new treatment is prescribed to you, you must check whether it involves prohibited substances or methods. If this is the case, a TUE application must be completed, signed and sent to the FEI (antidoping@fei.orgby you or through your National Federation, using the forms available in the Library below (the "TUE application form for Narcotics" must be used if any of the prescribed medication falls under this category).
     
  • Once your application is received, the FEI may request additional information in order to document the situation in accordance with WADA's Standard for Therapeutic Use Exemptions. The FEI TUE Committee has 21 days to issue a decision once the full application (including sufficient medical documentation) is received. For this reason, you should send your TUE application at least 30 days prior to your next competition.
     
  • If it is not possible for you to apply 30 days before the decision is needed, you must imperatively indicate the urgent nature of the application in the form. The FEI tries to be as flexible as possible to accomodate these situations, however urgent applications should be exceptional not routine.
     
  • The initiative of renewal of a granted TUE is under the athlete’s responsibility.

Athletes selected for doping control must systematically declare on the doping control form the use of all prescribed and over-the-counter medications as well as supplements taken in the last 7 days.

WHAT HAPPENS IF MY TREATMENT INVOLVES PROHIBITED SUBSTANCES/METHODS AND I DO NOT HAVE A TUE?
 
Using a prohibited substance or method on WADA's Prohibited List before or without TUE approval will most likely result in an Anti-Doping Rule Violation (ADRV) in the event of an anti-doping test. It is therefore important that athletes check very carefully whether any treatment they are prescribed involves prohibited substances or methods. Athlete should also not assume that all medical professionals who prescribe medication have a full understanding of anti-doping-related matters in their sport. Athletes are advised to treat the matter of TUEs seriously and in all instances seek expert advice. 
 
TUE applications cannot be considered for retroactive approval except in the cases mentioned in article 4.3 of the International Standard for Therapeutic Use Exemptions.
 
 
 

 

 

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