At least once a year, the World Anti-Doping Agency (WADA) evaluates and updates the List of Prohibited Substances and Prohibited Methods. USADA maintains an active database (called the Drug Reference Online or DRO), of all prohibited substances and prohibited methods, including both brand-names and generic drug names. Access to this database can be found online at:
USADA Drug Reference Online (www.usada.org/dro) Athletes must be aware of any substances they put in their body, especially medications. Some medications may be permissible for use out-of-competition, but prohibited for use during a competition. If an athlete's home physician is unfamiliar with anti-doping regulations, they may unknowingly prescribe a banned substance when a permissible alternative is available. It is ultimately the athlete's responsibility to check all medications before taking any.
When searching the DRO, information will be given on whether the drug is banned or permitted. In some cases, a particular medication may be banned only for in-competition use. Some medications may only be banned for certain delivery methods (eg, taking a pill vs. getting an injection). Many medications will state that use of the drug "Requires a TUE." A "Therapeutic Use Exemption" or TUE is a document that allows certain banned substances or methods to be used for the treatment of an illness, injury, or medical condition. Most asthma medications fall under this category.
Searches of the DRO will also give you a reference number for the search. It is advisable to print the drug search page with the reference number and keep it for your records. If a medication is later added to the banned list, then this sheet can serve as proof that the substance was permitted at the time you began taking the medication.
If an athlete needs medications that contain a banned substance or method, they must submit a TUE application and get approval prior to using the medication. There are two types of TUEs,
Abbreviated and
Standard. Abbreviated TUEs can be used for four specific beta-2 agonists taken inhalation (formoterol, salbutamol, salmeterol, terbutaline) and glucocorticosteroids used locally.
USADA has two simple rules for athletes regarding prohibited substances and methods:
1) Don't use any prohibited substances.
2) Get approval before you take any medications.