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 the consequence of the prior use (without a TUE), of a substance or method which was prohibited at the time of use.

Athletes who are subject to Anti-Doping Rules would need a TUE to take a prohibited substance or use a prohibited method. You should verify with ADAK to know to whom you need to apply and if you can apply retroactively.
First, check if the required medication or method you intend to take or use is prohibited as per the WADA [ Prohibited List / and at globaldro.com.
You have a responsibility to inform your physician(s) that you are an Athlete bound to Anti-Doping Rules. You and your physician(s) should check the Prohibited List for whatever substance/method you are prescribed. If the substance/method is prohibited, discuss non-prohibited alternatives, if there are none, apply for a TUE. Remember athletes have the ultimate responsibility. Contact ADAK if you are having difficulties.

Then, contact ADAK to determine your competition level and TUE application requirements.

Any National Level with a medical condition requiring the use of a prohibited substance or prohibited method must apply to ADAK in advance, as soon as the need arises, unless there are emergency or exceptional circumstances.

For substances prohibited in-competition only, you should apply for a TUE at least 30 days before your next competition. Please refer to the section “How to apply to ADAK for a TUE?” below. If your level is lower than the “National-Level” as defined above you are entitled to apply for a retroactive TUE after being tested by ADAK or any other Anti-Doping Organization (ADO).

Important note:
A TUE granted by ADAK is only valid at the national level. If you are, or become an International-Level Athlete, or compete at Major Games, that TUE will not be valid unless it is recognized by the relevant International Federation (IF) or Major Event Organization (MEO). It is your responsibility to check if your ADAK TUE is automatically recognized by such IF or MEO. ADAK can assist you in the determination of your level and TUE application requirements, and, should the need occur, assist you in presenting your ADAK TUE to an IF or MEO for recognition. Please contact tue@adak.or.ke

You may only apply retroactively for a TUE to ADAK if:

• You required emergency or urgent treatment of a medical condition.
• There was insufficient time, opportunity or other exceptional circumstances that prevented you from submitting the TUE application, or having it evaluated, before getting tested.
• As per our ADAK’S Anti-Doping Rules you were not permitted or required to apply in advance for a TUE.
• You are a lower-level athlete who is not under the jurisdiction of an International Federation or National Anti-Doping Organization and were tested.
• You tested positive after using a substance Out-of-Competition that was only prohibited In-Competition (for example glucocorticoids).

In rare and exceptional circumstances and notwithstanding any other provision in the ISTUE, you may apply for and be granted retroactive approval for a therapeutic use of a prohibited substance or method, if considering the purpose of the Code, it would be manifestly unfair not to grant a retroactive TUE.

This unique retroactive TUE will only be granted with the prior approval of WADA (and WADA may in its absolute discretion agree with or reject ADAK’s decision).

Important note:

Using a prohibited substance or method without a TUE could result in an Anti-Doping Rule Violation.

In case an application for a retroactive TUE is necessary following sample collection, you are strongly advised to have a medical file prepared and ready to submit for evaluation.

ADAK encourages to submit TUE applications via ADAMS, together with the required medical file. If you do not have an ADAMS account yet, please contact tue@adak.or.ke to have it set up.

Otherwise, please download the ADAK’s TUE Application Form and once duly completed and signed, send it together with the required medical file to tue@adak.or.ke

Your TUE application must be submitted in a legible form using capital letters or typing.
Your TUE application must be submitted in a legible form using capital letters or typing.

The medical file must include:

• A comprehensive medical history, including documentation from the original diagnosing physician(s) (where possible),
• The results of all examinations, laboratory investigations and imaging studies relevant to the application.

Any TUE application that is not complete or legible will not be dealt with and will be returned for completion and re-submission.

To assist you and your doctor in providing the correct medical documentation, we suggest consulting the WADA’s Checklists for TUE applications for guidance and support during the TUE application process, and Medical Information to Support the Decisions of TUECs for guidance on specific common medical conditions, treatments, substances, etc.

Keep a complete copy of the TUE application form and all medical information submitted in support of your application, and proof that it has been sent.
Keep a complete copy of the TUE application form and all medical information submitted in support of your application, and proof that it has been sent.

A Major Event Organization (MEO) requires athletes to apply for the recognition of their TUE if they wish to use a prohibited substance or method in connection with the Event.

If you have a TUE granted by ADAK and you will be competing at a Major Event e.g., the Olympic Games, you should contact the MEO for information on their recognition process.