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Therapeutic
Use Exemption Procedures
Introduction.
(The following procedures will be in place for USA Powerlifting
within 30 days.)
Any athlete who is using a substance listed
on the World Anti-Doping Agency (WADA) Banned Substance List to
treat a medical condition that has been diagnosed and documented
by a medical doctor must declare that use to USA Powerlifting (USAPL),
to the International Powerlifting Federation (IPF), and to WADA,
at the discretion of the IPF. It is the responsibility of the individual
athlete to be aware of the substances that he or she has been using
or has been prescribed and to disclose such use to the agencies
listed above. Two types of Therapeutic Use Exemptions("TUE") have
been defined by WADA: a Full TUE, for those substances that are
less commonly seen in competitive athletes and a Abbreviated TUE,
for substances which are prescribed for treatment of more common
conditions found in competitive athletes. The athlete must submit
information, detailed below which describes the medical condition
and the treatment required, to the USAPL TUE Committee not less
than sixty (60) days prior to the intended competition.
WADA Banned Substance List:
The WADA Banned
Substance List is available at the U.S. Anti-Doping Agency website:
http://www.usantidoping.org/prohibited_sub/index.htm . It may be
accessed through the link on the USA Powerlifting website: http://www.usapowerlifting.com/committees/drugtesting/index.shtml
. Responsibility for the substances and medications used by an athlete
is the sole responsibility of that athlete. Those competitors using
medication to treat a legitimate medical condition must examine
the Banned Substance List to determine if use of such medication
will require a TUE. Failure to do so may and probably will result
in disciplinary action should the athlete be found using such a
substance.
Substances Requiring an Abbreviated Therapeutic
Use Exemption:
The Abbreviated TUE process is allowed
in cases where the treatment is of a medical condition that frequently
occurs in the athlete population. Specifically, WADA Standards limits
application of Abbreviated TUE procedures to conditions treated
with: Beta-2 agonists (formoterol, salbutamol, salmeterol and terbutaline),
by inhalation. A useful reference is the U.S. Anti-Doping Agency
Wallet Card: http://www.usantidoping.org/files/2004WALLETCARDFINAL.pdf
. Glucocorticsteroids by non-systemic routes of administration are
prohibited, although their use topically may be permitted if an
Abbreviated TUE is submitted.
Substances Requiring
a Full Therapeutic Use Exemption:
In general, any
use of a prohibited substance may be allowed if the treatment is
for a legitimate medical condition and the use of the substance
will not allow the athlete a competitive advantage as a result of
the use of the medication other than would be seen in a normal return
to health. It should be noted that the treatment may be allowed
if withholding the treatment would result in significant health
impairment. Use of prohibited substances is not allowed to increase
"low-normal" level of any endogenous hormone. Additionally, a TUE
will not be granted to treat a condition that results from the prior
non-therapeutic use of a prohibited substance.
Confidentiality
of Information:
The information considered in an
Abbreviated or Full TUE process will be held in confidence by the
USAPL TUE committee, and by the USAPL Executive Committee, the IPF,
and by extension, WADA. The athlete will be required to sign a release
of information allowing exchange of information among the USAPL
TUE Committee, the IPF, and WADA. Notification of the granting of
a TUE will be allowed to the USAPL Drug Testing Committee (which
examines drug testing results and specifies disciplinary measures
for USAPL competition), the IPF Discipline Committee (examines drug
testing results and specifies disciplinary measures for international
competition), and WADA, which maintains a clearinghouse on TUE's
granted.
Materials Required for Submission of a
Request for a TUE:
An Application for a TUE, as
well as a list of required supporting medical records of the medical
condition on which the application is based, can be found at: http://www.usapowerlifting.com/committees/drugtesting/index.shtml
. The Abbreviated TUE application is available at: http://www.usapowerlifting.com/committees/drugtesting/index.shtml
as well.
Procedures for Submission of a TUE or Abbreviated
TUE:
The athlete must submit the TUE Application,
Abbreviated TUE Application (if appropriate), the supporting medical
records, the Consent for Release of Information to not less than
sixty (60) days prior to the intended competition to:
Mark
Rodacker, M.D., Chair USA Powerlifting TUE Committee PO Box
668 Columbia City, IN 46725
TUE applications which
are incomplete will be returned to the applicant.
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