Therapeutic Use Exemptions

What is a TUE?
Athletes, like all others, may have illnesses or conditions that require them to take medications. If the medication an athlete is required to take happens to fall under the World Anti-Doping Agency’s Prohibited List, a therapeutic use exemption (TUE) can give the athlete authorization to take the needed medicine.

Athletes are not automatically granted authorization and must ensure they follow the appropriate process for their sport and competition level.

Does the TUE process apply to me?
All athletes who are subject to doping control must be aware of the TUE rules and requirements that apply to them. These rules and requirements will vary depending on the athlete and will determine when and to which organization an athlete must submit a TUE application. Check your requirements now

Under what circumstances will a TUE application be approved?
A TUE application will be considered by the CCES under the following circumstances:

  • the substance or method is needed to treat an acute or chronic medical condition, such that the athlete would experience a significant impairment to health if the prohibited substance or method were to be withheld;
  • the use of the prohibited substance or method would produce no additional enhancement of performance other than that which might be anticipated by a return to a state of normal health following the treatment of a legitimate medical condition; and
  • there are no reasonable therapeutic alternatives or other alternatives are ineffective.

Examples include:

  • Insulin for the treatment of Type 1 Diabetes Mellitus;
  • Beta-2 Agonist inhaler, such as terbutaline, for the treatment of asthma; or
  • Methylphenidate for the treatment of ADD or ADHD.

How long is a TUE valid?
A TUE granted by the CCES is valid for the duration of the treatment as prescribed by the physician, up to a maximum of four years. It is the athlete’s responsibility to know when the TUE expires and to apply for renewal before this date if necessary.

Who should apply for a TUE?
All athletes who are subject to doping control must be aware of the TUE rules and requirements that apply to them. These rules and requirements will vary from athlete to athlete and will determine when and to which organization an athlete must submit a TUE application. Check your requirements now

What should be included in a TUE application?
A successful TUE application must include the following:

  • A TUE application completed by the athlete and physician;
  • Comprehensive medical history related to the diagnosis and prescription;
  • The results of all relevant objective examinations, laboratory investigations and imaging studies;
  • Independent supporting medical opinion in the case of non-demonstrable conditions; and
  • Relevant correspondence between physicians regarding the diagnosis and prescription.

For more information about TUEs:
Try the Medical Exemption Wizard
Email: TUE-AUT@cces.ca
Call the toll-free InfoLine: 1-800-672-7775