Special Topics

UKAD has produced specific guidelines and resources for a number of common medical conditions requiring a Therapeutic Use Exemption (TUE).

Athletes who are applying for a TUE for one of the medical conditions below must complete the relevant application form and fulfil all requirements outlined in the relevant guidance documents.

Adrenaline Auto-Injectors

Athletes who are prescribed an adrenaline auto-injector for use in emergency situations (such as an allergic reaction) should refer to the following guidelines:

Adrenaline auto-injector guidelines 

Asthma

Athletes requiring a TUE for a prohibited substance to treat asthma (including acute exacerbations of asthma) should refer to the following documentation:

Guidelines on acute exacerbation of asthma

Beta-2 agonist TUE application form (for specific inhalers)

Standard TUE application form (for acute exacerbations of asthma)

ADHD

Athletes requiring a TUE for stimulant medication to treat attention deficit hyperactivity disorder (ADHD) should refer to the following documentation:

ADHD TUE Policy

ADHD TUE Policy FAQs 

ADHD TUE application form

Diabetes

Athletes requiring a TUE for the use of insulins to treat diabetes should refer to the following documentation:

Diabetes checklist 

Standard TUE application form

Emergency Medications

In the course of emergency treatment (e.g. surgery or admission to A&E), athletes may be prescribed with medication or methods of administration which are prohibited in sport. Please refer to the following resource to find out when a TUE is necessary in such circumstances:

Emergency medicines infographic

Glucocorticoids

Athletes requiring a TUE for the use of a glucocorticoid should refer to the following resources to find out when a TUE is necessary and the medical evidence required to support an application:

Glucocorticoid TUE Policy (the policy is effective from 01 January 2022)

Glucocorticoid TUE Policy FAQs

Glucocorticoid TUE Policy Infographic (to be launched at the end of October 2021)

Glucocorticoid pre-application checklist and TUE application form (for local injections only)

Standard TUE application form (for glucocorticoids administered by a systemic route)

Hay Fever

Athletes who are prescribed a systemic glucocorticoid (such as an intramuscular triamcinolone injection) to treat hay fever should refer to the following documentation: 

Hay fever guidelines

Please note: Applications for the one-off use of an intramuscular glucocorticoid (such as triamcinolone) must be submitted in advance of commencing treatment and the injection should not be administered until a decision has been communicated by UKAD to the athlete requesting a TUE.