Athletes must apply for a Therapeutic Use Exemption (TUE) in two cases:
Case 1:
athletes who are member of a testing pool or of certain high professional leagues must apply for a TUE if they need to use an oral, rectal or injectable glucocorticoid in-competition . This can be the case, for example, if athletes have to use glucocorticoids for a longer period of time due to a chronic inflammatory disease, e.g. Crohn's disease.
In addition, they must apply for a retroactive Therapeutic Use Exemption if they were administered an oral, rectal or injectable glucocorticoid on the day of the competition due to emergency treatment.
Case 2:
Regardless of whether athletes are part of a testing pool or not, they must apply for a retroactive TUE if a glucocorticoid has been detected in an in-competition doping sample, even if they stopped using the substance before the competition. In this case, NADA Germany will contact the athlete and inform them of the further procedure.