The 2023 edition of the International Standard for Therapeutic Use Exemptions, in force from 1 January 2023.
| In force from | 1 January 2023 |
| Publication | World Anti-Doping Agency — 2023 edition |
| Structure | International Standard for Therapeutic Use Exemptions, 2023 edition |
| Status | Superseded — replaced by the January 2027 edition |
The International Standard for Therapeutic Use Exemptions (ISTUE) is one of the mandatory International Standards of the world anti-doping system. The Standards set out the technical detail for implementing the Code, and compliance with them is mandatory for all Code Signatories. This Standard determines the conditions and the procedure under which an athlete who must, because of a medical condition, use a prohibited substance or method obtains a Therapeutic Use Exemption, who decides on the application, and in which cases the decision is subject to review and appeal.
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 applying with retroactive effect, 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 version of this Standard that was in force at the time the event occurred; for that reason, earlier versions 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.