HOW TO APPLY FOR A THERAPEUTIC USE EXEMPTION

BEFORE YOU APPLY, MAKE SURE THAT YOU MEET ALL OF THE REQUIRED CRITERIA

TO APPLY TO THE AIU AN ATHLETE MUST MEET BOTH OF THE FOLLOWING CONDITIONS

The athlete must be included in the current World Athletics Testing Pool

The athlete must be entered to compete at an event listed in the World Athletics List of International Competitions

If you have determined that you are an international-level athlete then you should proceed as indicated below. 

HOW TO APPLY TO THE AIU FOR A TUE

  • The AIU encourages you to submit TUE applications via ADAMS, together with the required medical information. If you do not have an ADAMS account yet, please contact us to have it set up. To login to your existing ADAMS account please click here.
  • Alternatively, you can download the AIU TUE Application Form by clicking here.

Your TUE application must be submitted in legible hand writing in capital letters in English or be typed. 

The medical file must include:

  • 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

Before submitting your application, guidance for specific medical conditions can be found in the following checklists:

  1. General
  2. Attention Deficit Hyperactivity Disorder (ADHD)
  3. Asthma
  4. Diabetes
  5. Intravenous Infusions

Keep a complete copy of the TUE application form and all medical information submitted and proof that it has been sent.

Forms that are incomplete, not legible, or not compleated in English, will be returned for completion and re-submission.

TUE Recognition

If you are (or become) an International-level athlete and you already have a TUE granted by your NADO, you must submit a request for recognition to the AIU because your NADO’s TUE is only valid at national-level. For the Olympic Games, only those athletes who are on the final entries list are required to submit their request for recognition to the AIU.  

The AIU will automatically recognise TUE decisions granted by other Anti-Doping Organisations in a limited number of specific cases set out in the table below. 

SubstanceDiagnosis
InsulinDiabetes Mellitus
EpinefrineAnaphylaxis reaction caused by specific foods, insect bites
Bupurenorphine and PentazocineSurgical and dental procedure
GlucocorticosteroidsAcute exacerbation of inflammatory bowel disease
HydrocortisoneAllergic reaction

If your existing TUE does not fall under a category of a decision described above, you must submit a request for recognition to the AIU, either via ADAMS or by e-mail at tue@athleticsintegrity.org 

The request should be accompanied by a copy of the TUE and the original TUE application form, together with all supporting materials. Before sending your request to the AIU, we strongly advise you to ensure with the NADO, which granted your TUE, that your initial TUE application and all supporting documents are available in ADAMS.

If you request the recognition of a national TUE for ADHD, you must ensure that all documents/information set out in ADHD Checklist are attached with your application.

Incomplete requests for recognition of a TUE will be returned for completion and re-submission. 

In addition, the Therapeutic Use Exemptions Committee (TUEC) may request from you or your physician any additional information, examinations or imaging studies, or other information that it deems necessary in order to consider your request for recognition of the TUE.

The TUEC will decide whether or not to recognise the TUE usually (i.e., unless exceptional circumstances apply) within no more than twenty-one (21) days of receipt of a complete request for recognition. When a request is made within a reasonable timeframe prior to a competition, the TUEC will make all efforts to issue a decision before the start of the competition.

WHEN WILL I RECEIVE A DECISION ON MY TUE APPLICATION?

The TUEC makes a decision usually within 21 days from the date of receipt of the complete application package. 

THE TUE COMMISSION (TUEC)

Once received your application will be reviewed by the World Athletics TUE commission (TUEC), which is composed of four independent and experienced physicians with expertise in clinical, sports and exercise medicine.

Please note that all members of the TUEC (as well as AIU staff members who are involved) are required to maintain strict confidentiality concerning the information contained in the TUE applications. 

Fumihiro Yamasawa

Dr Fumihiro Yamasawa

President of the TUEC

Fumihiro Yamasawa, MD, PhD is Medical Director of Marubeni Corporation and has also been working as Consultant Pulmonologist in Sports Medicine Center at Japan Institute of Sports Science. He has been involved in athletics for a long time and was appointed as Chairperson of the Medical Committee of Asian Athletics Association and Japan Association of Athletics Federations. Previously, he has also been a member of the World Athletics Health and Science Commission.

Dr Pedro Branco

Dr Pedro Branco

 

Pedro Branco MD is a medical doctor, specialised in Physical Medicine, Rehabilitation, and Sports Medicine. Based in Porto, Portugal, he works in a private rehabilitation clinic. He worked in the Portuguese Athletics Federation as national team doctor from 1998 till 2013. He is the Chairman of the European Athletics’ Medical and Anti-doping Commission since 2007. He collaborates with the Faculty of Medicine of the University of Porto, teaching several subjects in the Sports Medicine post-graduate programme.

Dr Marco Catani

Dr Marco Catani

 

Marco Catani, MD, PhD is a medical doctor and a neuroscientist. He is Professor of Neuroanatomy and Psychiatry at the Institute of Psychiatry, Psychology and Neuroscience, King's College London. He holds an honorary consultant position at the Maudsley Hospital and is the neuroanatomy co-editor of the 42ndedition of the Gray’s Anatomy. His expertise lies in the assessment and treatment of adults with neurodevelopmental conditions such as Attention Deficit and Hyperactivity Disorder and Autism Spectrum Disorder.

Dr Alma Kajėnienė

Dr Alma Kajėnienė

 

Dr Alma Kajėnienė is a sports medicine doctor, an associate professor at the Department of Sports Medicine of Lithuanian University of Health Sciences. She was a member of the national team at the Beijing 2008, London 2012 and Rio 2016 Olympic Games. She has been collaborating with the World Athletics Health and Science department since 2010.

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