What is a


Athletes, like all others, may have illnesses or conditions that require them to take medications. If the medication an athlete is required to take happens to fall under the World Anti-Doping Agency’s Prohibited List, a therapeutic use exemption (TUE) can give the athlete authorization to take the needed medicine.

Athletes are not automatically granted authorization and must ensure they follow the appropriate process for their sport and competition level.

Who should apply

for a TUE?

International-level Athletes.
International-level Athletes are defined as (a) athletes registered in the IWF’s Registered Testing Pool (IRTP) and/or (b) athletes taking part in an IWF Event as defined in the IWF Anti-Doping Policy.

Can I lift at IWF Events?

How do I apply

for a TUE?

If the Athlete does not already have a TUE granted by his/her National Anti-Doping Organisation (NADO), he/she must apply directly to the International Testing Agency (ITA).

If the Athlete already has a TUE granted for national-level competition by his/her NADO, that TUE is not automatically valid for international-level competition and it is necessary to apply to the ITA for recognition. If the TUE meets the criteria set out in the International Standard for Therapeutic Use Exemptions, then the ITA will recognise it for purposes of international-level Competition.

Good to


  • The TUE application form can be found on the ITA website (
  • All complete TUE applications shall be sent in ENGLISH to ITA to
  • A complete TUE application can be reviewed within 21 days of receipt of a complete application.
  • The ITA will contact the athlete once a decision has been rendered on the application, or if more information has been deemed necessary.
  • Incomplete applications will be returned and will need to be resubmitted with additional information.
  • Keep a copy of your application form and medical file for your records.

What is a retroactive TUE?

International Level Athletes are not required to have a TUE application approved prior to using a prohibited substance. Instead, they may go through a retroactive TUE application process to validate and permit the use of prescribed medications for therapeutic reasons.

The retroactive TUE application process is initiated by the ITA after an athlete goes through doping control and the sample analysis reveals the presence of a banned substance. The ITA would contact the athlete through their sport organization to determine whether or not the substance was used as part of a medical treatment plan. If so, the athlete would be asked to have their physician complete a TUE application form and provide documentation to support their medical history. The application is submitted to  ITA for review.

The TUE application provided to the ITA must include a medical file which satisfies certain conditions.

If at any time an athlete is added to the IWF RTP or the athlete attends an IWF event, it is their responsibility to ensure that they meet all additional TUE requirements imposed by the IWF.

What should I do in case of an emergency or acute treatment?

Your health and safety come first. Any decision made regarding your treatment plan should be done in consultation with your physician. Once your treatment is being managed, and you are not sure, to determine your medical exemption requirements please contact ITA. (

What should I do if I have surgery?

Prior to surgery, ask your physician for a list of the medications that will be used. Please contact ITA ( to determine your medical exemption requirements.

How long is my TUE valid?

A TUE granted by the ITA is valid for the duration of the treatment as prescribed by the physician, up to a maximum of four years. It is your responsibility to know when your TUE expires and to apply for renewal before this date if necessary.