Prohibited List, TUEs and Medication

WADA prohibited list

ATHLETE’S THERAPEUTIC USE EXEMPTION PROCESS – TUE

What is a therapeutic use exemption (TUE)?

Athletes may have illnesses or conditions that require them to take medications or undergo procedures. If the medication or method an athlete is required to use to treat an illness or condition is prohibited as per the World Anti-Doping Agency’s (WADA) Prohibited List a TUE may give that athlete the authorization to use that substance or method while competing without invoking an anti-doping rule violation. Applications for TUEs are evaluated by a panel of physicians, the TUE Committee (TUEC) from the IPSF.

What do I need to obtain a TUE?

There are four criteria which ALL 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 will not, on the balance of probabilities produce significant enhancement of performance beyond the athlete’s normal state of health.
  • The prohibited substance or method is an indicated treatment for the medical condition, and there is no reasonable permitted therapeutic alternative.
  • 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.

How and when to apply for a TUE?

Athletes who are subject to anti-doping rules would need a TUE to take a prohibited substance or use a prohibited method. You should verify with the IPSF to know to whom you need to apply and if you can apply retroactively, send your questions at the email address: This email address is being protected from spambots. You need JavaScript enabled to view it.

  1. Check if the required medication or method you intend to take, or use is prohibited as per the WADA Prohibited List in the year you are competing.
  2. Inform your physician (s) that you are an Athlete bound to anti-doping rules. IS YOUR RESPONSIBILITY TO INFORM YOUR PHYSICIAN.
  3. You and your physician(s) should check the Prohibited List for the substance/method you are prescribed. If the substance/method is prohibited, discuss non-prohibited alternatives, if there are none, apply for a TUE. Remember Athletes have the ultimate responsibility. Contact your NADO or the IPSF anti-doping chair if you are having difficulties.
  4. Contact the IPSF anti-doping chair, Dr. Andrea Avila to determine your competition level and TUE application requirements.
    • If it is determined that you are an International-Level Athlete [Every athlete competing at the World Pole & Aerial Championships in every division and category] you must apply to the IPSF in advance, as soon as the need arises, unless there are emergency or exceptional circumstances.
    • For substances prohibited in-competition only, you should apply for a TUE at least 30 days before your next competition, unless one of the exceptions on retroactive TUEs apply.
    • If you already have a TUE granted by your National Anti-Doping Organization (NADO), the IPSF automatically recognizes the TUE decisions. In such case, please notify the IPSF anti-doping chair that you have a TUE granted by your NADO.
    • If you are NOT an International-Level Athlete and you have been tested by your NATIONAL POLE SPORT FEDERATION, the IPSF recognizes a valid TUE granted by your NADO; unless you are required to apply for recognition of the TUE because you are competing in an international event.

How to apply for a retroactive TUE?

You may only apply retroactively for a TUE to the IPSF if:

  • You required emergency or urgent treatment of a medical condition.
  • There was insufficient time, opportunity or other exceptional circumstances that prevented you from submitting the TUE application, or having it evaluated, before getting tested.
  • You are a National Level Athlete (Athletes competing nationally in every competing division and category) who is not under the jurisdiction of the NADO and were tested.
  • You tested positive after using a substance Out-of-Competition that is only prohibited In-Competition.
Important note
Using a prohibited substance or method without a TUE could result in an Anti-Doping Rule Violation. In case an application for a retroactive TUE is necessary following sample collection, you are strongly advised to have a medical file prepared and ready to submit for evaluation.

How to apply to the IPSF for a TUE?

Electronic TUE form

Please complete the IPSF’s TUE Application Form. You will be required to add your medical documentation and pay for this. Should you have any questions or concerns, please contact This email address is being protected from spambots. You need JavaScript enabled to view it..

Your TUE application must be submitted in ENGLISH, with legible capital letters or typing.

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.
  • An amount of £100 must be paid by the athlete for the documentation to be analyze by the TUEC.
  • Further additional requirements such as additional medical examinations, tests, imaging studies, etc. are at the responsibility of the Athlete.
  • Any TUE application that is not complete or legible will not be dealt with and will be returned for completion and re-submission.

To assist you and your doctor in providing the correct medical documentation, we suggest consulting the WADA’s Checklists for TUE applications for guidance and support, and TUE Physician Guidelines for guidance on specific common medical conditions, treatments, substances, etc.

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

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If you have any questions, please contact us at support@ipsfsports.org

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For more information about us, see About the Federation

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