Athletes may have illnesses or conditions that require them to take medications. If the medication an athlete is required to take to treat an illness or condition happens to fall under the Prohibited List a Therapeutic Use Exemption (TUE) may give that athlete the authorization to take the needed medicine.

The purpose of the International Standard for Therapeutic Use Exemptions (ISTUE) is to ensure that the process of granting TUEs is harmonized across sports and countries.


All of the four following criteria must be met (for more details, please refer to the WADA International Standard for Therapeutic Use Exemptions (ISTUE) Article 4.2):

  • The athlete has a clear diagnosed medical condition which requires treatment using a prohibited substance or method;
  • The therapeutic use of the substance will not, on the balance of probabilities produce significant enhancement of performance beyond the athlete’s normal state of health;
  • The prohibited substance or method is an indicated treatment for the medical condition, and there is no reasonable permitted therapeutic alternative;
  • The necessity to use that substance or method is not a consequence of the prior use (without a TUE), of a substance or method which was prohibited at the time of use.


International level athletes must apply directly with WAKO IF using the application template attached below. All the required documents can be sent by fax at +39 039 2328901 or by e-mail at: axia.ss@hotmail.it 

National level athletes must apply for a TUE to the NADO of their homecountry. WAKO will automatically recognize any TUE granted by any NADO declared compliant by WADA, in accordance with Article 7.1 (a) of World Antidoping Code.
TUE granted by a Non-compliant NADO will have to be submitted to WAKO for recognition, in accordance with Article 7.1(b).

Definition of National and International Athlete (WAKO Antidoping Rules, page 3):

“Within the overall pool of Athletes set out above who are bound by and required to comply with these Anti-Doping Rules, the following Athletes shall be considered to be International-Level Athletes for purposes of these Anti-Doping Rules, and therefore the specific provisions in these Anti-Doping Rules applicable to International-Level Athletes (as regards Testing but also as regards TUEs, whereabouts information, results management, and appeals) shall apply to such Athletes:

1. International Level Athlete is:

a. An Athlete who is National Champion in that given year and subsequent years where he/she is the official national Champion as recognized by the WAKO National Governing Body.

b. An Athlete who has competed in a WAKO World Cup, or A/B class event in the last two years as defined in the WAKO Calendar.

2. National Level Athlete is:

A registered competitor who participates or has participated in local and regional events within their country in the last two years.”

Please download here below:

TUE Application Form