Therapeutic Use Exemption

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    What is a Therapeutic Use Exemption?

    Athletes may at times need to use a prohibited medication and/or method to treat a legitimate medical condition. A Therapeutic Use Exemption is an exemption that allows an athlete to use, for therapeutic purposes only, an otherwise prohibited substance or method (of administering a substance). 

    Therapeutic Use Exemptions are administered by the Australian Sports Drug Medical Advisory Committee (ASDMAC). Find out more about ASDMAC

    If an athlete or their doctor has a question regarding the status of a substance, they should check the substance on the GlobalDRO website, or call +61 2 6222 4283.

    Under the World Anti-Doping Code–International Standard-Therapeutic Use Exemptions (January 2019) an athlete may be granted a Therapeutic Use Exemption if they can show that each of the following conditions is met:

    • The prohibited substance or method is needed to treat a medical condition and the athlete would experience a significant impairment to health if the substance were to be withheld. 
    • The Therapeutic Use of the substance or method is highly unlikely to produce any additional enhancement of performance beyond what might be anticipated by a return to the athlete’s normal state of health following the treatment of the medical condition. 
    • There is no reasonable therapeutic alternative. 
    • The necessity for the use of the prohibited substance or method is not a consequence of the prior use of a prohibited substance or method prohibited at the time of such use.

    A Therapeutic Use Exemption may protect athletes from receiving a sanction if a prohibited substance is found in their sample or advised by Sport Integrity Australia that they can (should) apply as a result of an investigation.

    Do you need a Therapeutic Use Exemption?

    Step 1: Check the substance on the GlobalDRO website to see if it or the method is prohibited. 

    Step 2: If the substance and/or method is prohibited and you need to use the substance, you now need to work out if you need an in-advance or retroactive Therapeutic Use Exemption. 

    NOTE: not all medications are eligible for a Therapeutic Use Exemption and having a Therapeutic Use Exemption will only guard against a possible anti-doping rule violation if the medication is used as per the Therapeutic Use Exemption.

    Athletes who require the use of Testosterone are strongly encouraged to review the information required with their treating Practitioner before applying for a Therapeutic Use Exemption.

    Preparing a medical file does not guarantee a Therapeutic Use Exemption will be granted.

    Are you eligible for an in-advance Therapeutic Use Exemption?

    Only certain, higher level athletes need to apply for a Therapeutic Use Exemption in-advance. In-advance Therapeutic Use Exemptions need to be applied for before taking the medication (except for emergency situations and hospital visits). Other athletes are able to apply for a planned retroactive Therapeutic Use Exemption once they have been tested or advised by Sport Integrity Australia that they can (should) apply as a result of an investigation.

    Check the list of sports and criteria for athletes needing an in-advance Therapeutic Use Exemption. If your sport is listed and you meet one or more of the criteria, you will need to apply for an in-advance Therapeutic Use Exemption.

    If you have been notified by Sport Integrity Australia of your inclusion on the Sport Integrity Australia Registered Testing Pool/Domestic Testing Pool you are required to apply for an in-advance Therapeutic Use Exemption irrespective if your sport is listed or not. 

    If your sport is not listed or you do not meet any of the criteria, you should prepare a medical file in case you need to apply for a planned retroactive Therapeutic Use Exemption in the future.

    Note: On 1 January each year the details of sports and criteria requiring an in-advance Therapeutic Use Exemption is updated. Please ensure that you check your circumstances on or after 1 January.

    Retroactive Therapeutic Use Exemption

    Retroactive Therapeutic Use Exemptions may be approved for the following:

    • Emergency treatment or treatment of an acute medical condition.
    • Exceptional circumstances.
    • Rules allow the athlete to apply for a retroactive TUE (Planned Retroactive TUE).
    • WADA and ASDMAC agree that fairness requires the granting of a retroactive TUE.

    The same medical information is required when applying for a retroactive or in-advance TUE.

    Apply for a Therapeutic Use Exemption

    You can apply using the Therapeutic Use Exemption application form

    Check the medical evidence to common Therapeutic Use Exemption applications to see what specific medical information you need to provide. 

    Send the completed form and supporting medical information to:   

    If you need assistance with the Therapeutic Use Exemption application contact asdmac@sportintegrity.gov.au.