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    Therapeutic Use Exemptions (TUE) / International Level Athlete (ILA)

    Athletes, like all others, may have illnesses or conditions that require them to take particular medications.

    It is an athlete’s responsibility to ensure that any medication they take to treat an illness or condition does not fall under the Prohibited List.

    Occasionally athletes may have to take a medication to treat an illness or condition that is on the Prohibited list. Before doing so they must apply for, and have granted by an Anti-Doping Organisation, a Therapeutic Use Exemption (TUE) which may give them the authorisation to take the needed medicine.

    World Anti-Doping Agency (WADA) Frequently Asked Questions (FAQ) on TUEs

    TUE Application Form

    IPC Mutual Recognition Rules

    The IPC reserves the right to amend the below information at any time.

    The IPC’s intention is to automatically recognise Therapeutic Use Exemptions (TUEs) from as many National Anti-Doping Organisations (NADOs) as possible. Additionally, from 1 January 2016 the IPC will automatically recognise TUEs from as many International Federations (IFs) as possible. Unfortunately, at this time, the IPC does not have enough information on many NADO’s and IF’s TUE Committees and their processes to make that decision. Therefore, the IPC will automatically recognise TUEs as follows:

    1) Only from certain NADOs in all IPC sports (World Para Alpine Skiing, World Para Athletics, World Para Nordic Skiing, World Para snowboard, World Para Ice Hockey, World Para Powerlifting, World Shooting Para Sport, World Para Dance Sport), and all other Para sports when required for a major event. From 1 January 2016, TUEs issued by certain IFs will be eligible for automatic recognition. See the NADO and IF lists below.

    This is always subject to the requirement of 2015 World Anti-Doping Code Article 4.4.3.1 that “the TUE meets the criteria set out in the International Standard for Therapeutic Use Exemptions.” The IPC requests that wherever possible TUEs are recorded in ADAMS. The IPC may request supporting documentation if the TUE is not provided in ADAMS.

    2) For these NADOs and IFs, all substances will be automatically recognised EXCEPT for the following, which will require review by the IPC Medical Committee:

    S0. Non-Approved Substances

    S1: Anabolic Agents

    S2: Peptide Hormones, Growth Factors, Related Substances and Mimetics

    S.8 Cannabinoids

    Meldonium

    Prohibited Methods: M1, M2 and M3.

    P.2 Beta-Blockers in World Shooting Para Sport only.

    In order to best serve athletes, the IPC would like to grow this list with time and as the capacity for TUE processing is enhanced. We are open to hearing from your NADO or IF as to why you should be included on the automatically recognised NADO or IF list. Please submit any applicable information to tue@paralympic.org and we will gladly review this information.

    A full name list of International-Level Athletes in each IPC sport that are required to apply for a TUE to the IPC can be found here:

    World Para Alpine Skiing

    World Para Athletics

    World Para Nordic Skiing

    World Para Ice Hockey

    World Para Powerlifting

    World Shooting Para Sport

    World Para snowboard

    World Para Swimming

    World Para Dance Sport

    International Federation List – Automatic Recognition (effective from 1 September 2017)

    Badminton World Federation (BWF)

    Boccia International Sports Federation (BISFed)

    International Canoe Federation (ICF)

    International Cycling Union (UCI)

    International Equestrian Federation (FEI)

    International Federation of Cerebral Palsy Football (IFCPF)

    International Rowing Federation (FISA)

    International Table Tennis Federation (ITTF)

    International Tennis Federation (ITF)

    International Triathlon Union (ITU)

    World Archery (WA) (In addition to the above list, TUEs granted for the use of a beta-blocker (P2) are not eligible for automatic recognition)

    World Sailing (WS)

    World Curling Federation (WCF)

    NADO List – Automatic Recognition (2017)

    Countries

    Australia: Australian Sports Anti-Doping Authority (ASADA)

    Austria: Nationale Anti-Doping Agentur Austria (NADA)

    Bahamas: Bahamas National Anti-Doping Commission

    Belgium (Brussels): Joint Communities Commission

    Belgium (Flanders): NADO Flanders

    Belgium (French Community): French Community of Belgium NADO

    Belgium (German Community): Ministerium der Deutschsprachigen Gemeinschaft Belgiens

    Bermuda: Bermuda Sport Anti Doping Authority

    Canada: Canadian Centre for Ethics in Sport (CCES)

    China: China Anti-Doping Agency (CHINADA)

    Chinese Taipei: Chinese Taipei Olympic Committee

    Colombia: Colombian NADO (COL-NADO)

    Croatia: Croatian Institute for Toxicology and Anti-Doping

    Cyprus: Cyprus Anti-Doping Authority

    Czech Republic: Anti-Doping Committee of the Czech Republic

    Denmark: Anti Doping Denmark (ADD)

    Finland: Finnish Antidoping Agency (FINADA)

    France: Agence française de lutte contre le dopage

    Georgia: Georgian Anti-Doping Agency

    Germany: Nationale Anti Doping Agentur (NADA)

    Greece: Hellenic National Council for Combating Doping (ESKAN)

    Hong Kong: Hong Kong Anti-Doping Committee

    Hungary: Hungarian Anti-Doping Group (HUNADO)

    Iceland: NOC of Iceland

    Ireland: Irish Sports Council (ISC)

    Italy: Comitato Italiano Paralimpico and NADO ITALIA - Comitato Olimpico Nazionale Italiano

    Japan: Japan Anti-Doping Agency

    Korea: Korea Anti-Doping Agency

    Latvia: Anti-Doping Committee of Ministry of Health, Republic of Latvia

    Lithuania: Anti-Doping Agency of Lithuania

    Luxembourg: Agence luxembourgeoise antidopage (ALAD)

    Monaco : Comité Monégasque Antidopage

    Netherlands, The: Anti-Doping Authority Netherlands

    New Zealand: Drug Free Sport NZ

    Norway : Anti-Doping Norway

    Poland: Polish Commission Against Doping in Sport

    Portugal: Autoridade Antidopagem de Portugal (ADoP)

    Puerto Rico: Anti-Doping Commission of Puerto Rico

    Romania: National Anti-Doping Agency of Romania

    San Marino: Comitato Permanente Antidoping

    Serbia: Antidoping Agency of Serbia (ADAS)

    Singapore: Anti-Doping Singapore

    Slovakia: Slovak Anti-Doping Agency (SADA)

    Slovenia: Slovenian Anti-Doping Organisation (SLOADO)

    South Africa: South African Institute for Drug Free Sport (SAIDS)

    Spain: Agencia Española de Protección de la Salud en el Deporte (AEPSAD)

    Sweden: Swedish Sports Confederation

    Switzerland: Antidoping Switzerland

    Turkey: Turkish Anti-Doping Commission

    United Kingdom: UK Anti-Doping

    United States of America: US Anti-Doping Agency (USADA)

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