Therapeutic exepmtions

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 to treat an illness or condition happens to fall on the World Anti-Doping Agency’s (WADA) Prohibited List, a Therapeutic Use Exemption (TUE) may give that athlete the authorization to take a substance or use a method that is prohibited. 

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?

All four following criteria must be met:

  • The athlete has a clear diagnosed medical condition which requires treatment using a 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 prohibited substance or method; 
  • The necessity to use that substance or method is not a consequence of the prior use (without a TUE), of a substance or method which was prohibited at the time of use.

Who should apply for a TUE to FIAS, where and when?

First, check if the medication or method you intend to take, or use appears on the Prohibited List in documents above. 

You have the responsibility to inform your doctors that you are an athlete subject to doping control, and your doctors should check the Prohibited List whenever they prescribe a medication / method to you. If the substance / method is prohibited, check with your doctors if there are any alternative treatments that are not prohibited. If not, you have to apply for a TUE.

How to apply to FIAS for a TUE?

Please download the FIAS’s TUE Application Form and once duly completed and signed, send it together with the required medical file to

Your TUE application must be submitted in legible English using capital letters or typing.

The medical file includes:

  • A comprehensive medical history, including documentation from the original diagnosing physician(s) (where possible).
  • The results of all examinations, laboratory investigations and imaging studies relevant to the application.
  • If the medical file is not in English or French, a summary explaining, in English or French, the key elements of the diagnosis, clinical examinations, medical tests and treatment plan must be provided.

Any TUE application that is not complete or legible will not be dealt with and will be returned for completion and re-submission.

When will I receive a decision on my TUE application FIAS?

FIAS’s TUEC’s decision will be communicated in writing to you within 21 days from the date of receipt of the complete TUE application, including the required medical information, by FIAS.

How about the renewal of 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 the expiry date, so that there is sufficient time for a decision to be made prior to the expiry of the current TUE.

How about confidentiality?

All the information contained in a TUE application and file including the supporting medical information, and any other information related to the evaluation of your TUE request is kept strictly confidential and treated in accordance with the Athlete’s Declaration contained in the ADAMS TUE process and in the FIAS’s TUE Application Form. All members of the TUEC and any other authorized recipients of your TUE request and related information (as described in the Athlete’s Declaration) are required to sign confidentiality agreements and/or are subject to professional confidentiality obligations.

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