When suffering from chronic or acute diseases, the WADA code enables athletes who need a prohibited substance or method to return to health to apply for a so called therapeutic use exemption (TUE). The procedure and its formal and administrative requirements are accurately described in the globally applicable so called International Standard for Therapeutic Use Exemptions – ISTUE.
National or international jurisdiction?
Usually, NADA Germany processes the TUE applications from national level athletes, who are members of national testing pools (ATP, NTP, TTP) respectively. Athletes competing at international competitions or members of international testing pools should contact their International Federation or Event Organisers to obtain their TUE. All TUEs for German testing pool athletes issued by NADA Germany are inserted into ADAMS, for the information of WADA and the colleagues of the International Federations (IFs). According to the principle of mutual recognition, IFs may recognise existing national TUEs of certain reliable countries or for previously defined substances or illnesses. Which means less work for all parties involved.
And what about permitted substances?
You have checked the doping status of the substances and medications you take and found them to be permitted. What to do next? Simply indicate them at doping controls and they will be recorded on your doping control form. And that’s it. Apart from that, no futher action is required. You do not have to inform NADA Germany or your national anti-doping organisation about the use of permitted substances. TUEs are not necessary or obligatory for permitted medications. TUEs are only required in case you have been prescribed a prohibited substance or method.