A newer edition of this regulation is available: January 2027

General·International Regulations·WADA

2016 International Standard for Therapeutic Use Exemptions (ISTUE)

Superseded2016
Adopted
2015/11/18

2016 edition, approved by the Executive Committee of the World Anti-Doping Agency on 18 November 2015 and in force from 1 January 2016.

Approval18 November 2015 — Executive Committee of the World Anti-Doping Agency
In force from1 January 2016
StructureInternational Standard for Therapeutic Use Exemptions, 2016 edition
StatusSuperseded — replaced by the 2019 edition

What is the International Standard for Therapeutic Use Exemptions?

The International Standard for Therapeutic Use Exemptions (ISTUE) is one of the mandatory International Standards of the world anti-doping system. The International Standards set out the technical detail of implementing the Code, and compliance with them is mandatory for all Signatories to the Code. This Standard determines the conditions under which, and the procedure by which, an athlete who must use a prohibited substance or method because of an illness obtains a therapeutic use exemption, who decides the application, and in which cases the decision is subject to review and appeal.

About the 2016 editionChanges from the 2015 edition

Key changes from the previous edition

  1. Approval in advance of entry into forceThe text was approved on 18 November 2015 and applied from 1 January 2016 — a pattern repeated in this Standard.

Who this document matters to

The most frequently used Standard for the team physician and the athlete. The four conditions for granting an exemption, the deadline for submitting an application, the possibility of a retroactive application, and the deciding and appeal bodies are all set out in this text; and in doping cases, the existence or absence of a valid exemption is the first thing examined.

Each case is governed by the edition of this Standard that was in force at the time of the event; for that reason the earlier editions are kept available on this page. The official text is published in English and French and, in the event of any conflict, the English text prevails.