IFCPF Therapeutic Use Exemption (TUE)

The International Standard for Therapeutic Use Exemptions (ISTUE) was created with the understanding that, due to illness or medical condition, an Athlete may require the Use of medications or treatments on the World Anti-Doping Agency’s (WADA’s) Prohibited List.


The presence of a Prohibited Substance or its Metabolites or Markers, and/or the Use or Attempted Use, Possession or Administration or Attempted Administration of a Prohibited Substance or Prohibited Method shall not be considered an anti-doping rule violation (ADRV) if it is consistent with the provisions of a Therapeutic Use Exemption (TUE) granted in accordance with the ISTUE (Code Article 4.4.1).

A TUE is granted to an Athlete under narrow, well-defined conditions. The TUE enables the Athlete to take the necessary medication while competing in sport Events, without resulting in a doping offence.

The Athlete must have a well-documented medical condition, backed up by reliable, relevant and sufficient medical data (ISTUE Article 6.2) that demonstrates he/she meets the criteria for grant of a TUE. This mandatory documentation supports the Athlete’s TUE application to his/her relevant Anti-Doping Organization (ADO).