Athletes can suffer from illnesses or disorders that require them to take certain medications or undergo certain procedures.
If the drug or method an athlete needs to treat their disease or disorder is on the Prohibited Substance List, a Therapeutic Use Exemption (TUE) may allow them to use the required substance or method. .
To help you in your efforts, the Committee presents:
THE FIVE-STEP APPLICATION PROCEDURE
Step 1: ask yourself the right questions
1- Is my medication or treatment on the WADA prohibited list?
Check if your medicine or treatment is listed on the list of prohibited substances and methods.
→ If NO you don't need a TUE
→ If YES go to the question 2- next →
2 - What is the category of athletes to which I belong?
a) Are you under fifteen?
→ If YES, because of the specific rules that apply to this category of minors in certain countries (in particular in the Member States of the European Union which have transposed Council Directive 94/33 / EC of 22 June 1994 on the protection of young people at work), and in certain disciplines, you only need to apply for a TUE if you have to participate in an international competition and if your medicine is on the list of prohibited substances. You must contact the international federation of the sports discipline in question to check whether you should apply for a TUE or not.
→ If NO, go to the question b) next →
b) Are you an international athlete?
You are an international athlete:
- if you are registered in a priority target group of an international federation, or
- if you have to participate in a competition or event classified as international by the International Federation of the discipline in question. The International Federation can tell you if the competition or event is classified as such.
→ If you are indeed an international athlete, you must request the prior issuance of a TUE according to the procedures specified in step 3.
→ If you do not fit into this category Go to the next question c) next →
c) Are you a top athlete?
You are a top athlete if you are registered in the target group of the Monegasque Anti-Doping Committee (in this case you have been informed of your registration in this target group) or if you practice a sport at a level determined by the Monegasque Anti-Doping Committee . Check with the Permanent Secretariat if this is the case.
→ If YES, you must request the issuance of a TUE prior to the holding of the event or competition. Go directly to Step 2 (When should I apply for a TUE?).
→ If NO, go to the question d) next →
d) Are you another athlete?
You are another athlete if you are neither an international athlete nor a high level athlete and you practice competition in a discipline governed by a national federation.
→ If this is the case you should only apply for a TUE at the request of the Monegasque Anti-Doping Committee. Warning : you must in all cases justify your medical need for a prohibited substance or method appearing on the List of prohibited substances and methods.
→ If this is not the case, go to the question e) next →
e) You are not in any of the above categories
If you do not belong to any of the categories defined above, you will only have to inform the doping control officers of your use of a prohibited substance or method and must be able to document this use by justifying a medical prescription.
→ You do not need a prior TUE.
Step 2: when should I apply for a TUE?
1- The standard prior request:
→ If you are using a substance that is prohibited under all circumstances (in and out of competition), i.e. a substance falling under categories S0, S1, S2, S3, S4, S5, Ml, M2, M3 and , for some sports, P1, you must apply for a TUE at the time your doctor prescribes the medicine or orders the treatment.
→ If you use a drug or treatment prohibited in competition, i.e. falling within categories S6, S7, S8, S9 and, for certain sports, P1, you must apply for a TUE no later than 30 days before your participation in the relevant competition.
2 - The retroactive derogation request:
→ If you have been in a medical emergency (for example related to an accident or surgery) or treatment of an acute medical condition justifying theadministration immediatea prohibited substance or method and that lack of immediate treatment could have seriously compromised your health, you should apply for a retroactive TUE immediately after treatment.
→ If, due to exceptional circumstances, there has not been sufficient time or opportunity for you to submit (or for the CAUT study), a TUE request before the sample is taken, you must immediately request a retroactive TUE.
→ If the applicable rules require or allow you to submit a retroactive TUE request and you are not an international or national level athlete or a national level athlete who practices sports determined by the Monegasque Anti-Doping Committee.
Step 3: how do I complete my TUE application?
1.- You must ensure:
- that the form, typed or filled in by hand in capital letters is legible, otherwise it will be considered incomplete and will be returned to you.
- that all the sections of the form are correctly completed by you and your doctor each as far as they are concerned.
2.- You must ensure that your TUE application is complete, that is to say that it includes all the medical information, all the results of examinations, laboratory tests and imaging studies, as well as all the clinical information that could enable the TUE Committee (TUEC) to make a decision in accordance with the requirements of the WADA documents entitled Medical Information to Inform TUECs Decisions / Guidelines for TUEC Physicians accessible by clicking here.
* Do not forget to mention all the details of your treatment including medications, their route of administration and their dosage.
* Be sure to include the date on the request as well as your signature and that of your doctor.
3.- Be sure to keep a copy of all medical information submitted for yourself and for your convenience, especially documentation relating to the initial diagnosis, results of laboratory tests and imaging studies, as well as the notes of the doctor (s).
Step 4: How and to whom should I send my request?
Requests are usually transmitted through the Anti-Doping Administration and Management System (ADAMS) or by means of a paper form to be sent by mail or fax.
→ If you are using ADAMS, all medical information that may support the use of the substance or the prohibited method should be downloaded under the tab Diagnostic information.
→ If you are using the paper form:
a) you are an international athlete registered in a priority target group of an international federation, you must send your file to the TUE Commission of the relevant International Federation.
b) you are not an international athlete registered in a priority target group of an international federation, you must send your complete file in a sealed envelope to the following address:
Monegasque Anti-Doping Committee
Louis II Stadium - Entrance E
13 avenue des Castelans
MC 98000 Monaco
Step 5: Where can I get more information?
You may have additional information:
* by contacting the Monegasque Anti-Doping Committee on +377 97 77 56 49 or the International Federation which governs the sporting discipline you practice;
* by consulting the present site of the Monegasque Anti-Doping Committee under the heading Legislation or on the site of the World Anti-Doping Agency ( www.wada-ama.org) the following documents :
- Le International Standard for Authorization of Therapeutic Use ;
- The TUE Guidelines ;
- The Medical information to inform CAU decisions
- TUEC Guidelines for Physicians.
If you are taking any medication or using a method that is on the Prohibited List, you must be able at all times to justify a diagnosis involving the use of the prohibited substance or method. This applies in all cases, whether or not you need to apply for a prior TUE.
Remember that you are always personally responsible for any misunderstanding of the anti-doping rules.