Clean Sport for Humans - Therapeutic Use Exemptions 

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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 are only 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. 
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.

TUE applications are sent to the FEI (antidoping@fei.orgby the Athlete or through the Athlete's 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.

The TUE application duly completed and signed should be sent no less than 30 days before  app roval is needed (i.e. upcoming competition). If this is not possible, the urgent basis of the application should be indicated. 

The initiative of renewal of a granted TUE is under the athlete’s responsibility.

TUE applications will not be considered for retroactive approval except in the cases mentioned in article 4.3 of the International Standard for Therapeutic Use Exemptions.
Athletes selected for doping control are required to systematically declare the use of all prescribed and over-the-counter medications as well as supplements taken in the last 7 days on the doping control form.
FEI athletes are advised to treat the matter of TUEs seriously and in all instances seek expert advice. Using a prohibited substance or prohibited 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 also important that athletes do not assume that each medical professional who prescribes medication has a full understanding of anti-doping-related matters in their sport. Athletes must ensure by every means that the prescribed medication does not contain substances /methods included in the current Prohibited List. Athletes are ultimately responsible for what enters their bodies.



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