Cardiovascular Conditions
29 de março de 2021Attention Deficit Hyperactivity Disorder (ADHD)
29 de março de 2021Checklist for Therapeutic Use Exemption (TUE) Application:
Sinusitis/Rhinosinusitis
Prohibited Substances: Pseudoephedrine, glucocorticoids
This Checklist is to guide the athlete and their physician on the requirements for a TUE application that will allow the TUE Committee to assess whether the relevant ISTUE Criteria are met.
Please note that the completed TUE application form alone is not sufficient; supporting documents MUST be provided. A completed application and checklist DO NOT guarantee the granting of a TUE. Conversely, in some situations a legitimate application may not include every element on the checklist.
| • | TUE Application form must include: | |
| • | All sections completed in legible handwriting | |
| • | All information submitted in [language] | |
| • | A signature from the applying physician | |
| • | The Athlete’s signature | |
| • | Medical report should include details of: | |
| • | Medical history: exact symptoms (>2 of the following: facial pain, nasal obstruction, nasal purulence/discharge, hyposmia/anosmia), intensity (incl. improvement or worsening) and duration of symptoms in days/weeks | |
| • | Findings on examination: congestion/obstruction, pressure pain, discharge, smell | |
| • | Diagnosis | |
| • | Pseudoephedrine and/or glucocorticoid dosage, frequency, administration route (both are only
prohibited in-competition, glucocorticoids only when applied systemically, and pseudoephedrine if exceeding therapeutic dose of 240 mg daily or if given in an extended release format) |
|
| • | Explain why alternative non-prohibited treatment is not used/sufficient and state expected duration of treatment | |
| • | Diagnostic test results should include copies of; | |
| • | Laboratory tests are not mandatory (e.g., nasal culture) | |
| • | Imaging findings or other investigations: only chronic conditions require confirmation by CT
or endoscopy |
|
| • | Additional information included | |
| • | As per specification by ADO | |
