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| A: Supplements do not appear in the database because USADA is not able to provide a definitive answer as to the status of each product. For additional information on supplements, go back to the Resource Info page and select "Supplements". |
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| A: If an athlete has a cold, flu, or hay fever there are a number of permitted medications. Ensure medications do not contain other prohibited stimulants by checking Drug Reference Online. The antihistamines are, IN GENERAL, permitted as are cough medications and some decongestants purchased over-the-counter. |
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| A: The athlete should carry the Epi-pen and take the medication as needed for an emergency. Systemic epinephrine is prohibited in-competition and if the athlete is competing, an emergency request for a Therapeutic Use Exemption, under section 7 of The WADA International Standard for Therapeutic Use Exemptions, (see Related Documents), should be completed and submitted to the relevant Anti-Doping Organization as soon as possible after the emergency use. A full description of the medical situation that required the prohibited substance(s), all medications administered (including corticosteroids or other pharmaceuticals), the dose of each medication, and the length of time of administration of each medication must be included. |
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| A: Slight to moderate pain can be effectively treated using non-narcotic drugs. Most non-steroidal anti-inflammatory drugs (e.g., Ibuprofen, naproxen, Aleve, and Celebrex) are permitted. They have anti-inflammatory and analgesic (pain-killing) actions. |
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| A: For management of more severe pain there are a number of substances that are permitted, such as codeine, propoxyphene, Ultram, and hydrocodone. For other narcotics, the athlete should ensure the medication they are considering is not prohibited or if a Therapeutic Use Exemption is required. Narcotics are only tested in-competition and are not tested in the out-of-competition menu. |
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| A: Birth control pills consist of estrogen(s) and progestogen steroids and are permitted. |
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| A: It is impossible to say since individual metabolism, the amount of substance used, and the frequency and duration of use cause variation in the time needed for elimination of substances from the body. In addition, some drugs are stored in the body and have highly variable elimination rates. Elimination time estimates for specific substances may be obtained by contacting the manufacturer, the prescribing physician, or the dispensing pharmacist. Also note that prohibited substances must be eliminated first from the blood and then from the urine – a process that may take additional time over clearance from the blood. It is your responsibility to ensure any substance prohibited in-competition has been cleared from the body by the time you are tested at competition. |
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| A: Some medications prescribed by physicians for treatment of legitimate medical conditions may be prohibited. A prohibited substance is still prohibited, even if prescribed by a doctor. USADA is not prohibiting treatment by a physician. USADA provides information on the status of medication only as provided by the World Anti-Doping Agency and according to the rules governing competition in sport. |
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| A: Alternative medications that are not prohibited may be available and can be used for treatment. An athlete's personal physician may not be aware of the drug restrictions in sports. The athlete should check Drug Reference Online or call USADA's Drug Reference Line [(800) 233-0393 or (719) 785-2020] for information. In cases where the medication is essential and no permitted alternatives exist, a TUE may be requested. WADA requires that all anti-doping organizations have procedures for handling requests for TUEs. Submission of a request does not mean automatic approval of a TUE. The athlete should submit an application for a TUE no less than 21 days in advance of a competition. |
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A: Do not take any unknown substances (e.g., from a friend or acquaintance who offers something to help) and never take a family member's prescription.
- The use of foreign medications is strongly discouraged.
- Check the medication on DRO. Call the Drug Reference Line [(800) 233-0393 or (719) 785-2020] if you still have a question.
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| A: No list can ever be complete. New names and products come on the market daily. Foreign drugs may not appear in the U.S. drug reference books. In addition, different formulations of the same brand name may not be permitted. For any of these reasons, a "complete" list that is accurate and up-to-date is not available. This is why it is important for athletes to review substances on Drug Reference Online and if the substance is not listed call the USADA Drug Reference Line [(800) 233-0393 or (719) 785-2020] or e-mail to find the current status of any questionable substance. USADA will clarify the status of medications with WADA as is needed. |
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| A: Diuretics have been used to rid the body of extra fluids to make body weight for competitions; however, they also have been abused in an attempt to dilute or reduce concentration of other prohibited substances (e.g., anabolic steroids). Diuretics are prohibited because they can be used to make weight or to mask the use of prohibited substances or methods by dilution of the substance in urine. If you have a legitimate medical need for a diuretic you may apply for a TUE as described in the 2008 USADA Guide. |
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| A: The monitoring list allows certain substances to be measured by the laboratories and records of testing retained and reported to WADA. The finding of the presence of a substance that is on the current monitoring list in an athlete's specimen is not a doping violation. If a substance being monitored appears to be abused, the substance may be added to the prohibited list. |
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| A: YES. Do not be fooled by the "all-natural" claim. First, some substances that are prohibited are also derived from plants, and therefore are considered natural. In addition, the regulation of the nutritional industry and requirements for quality control are minimal and there is no guarantee that the product contents are as advertised. There may be contamination by ingredients in the product that are not listed on the ingredients label. It is important to remember that the use of ALL dietary supplements (including vitamins, minerals and amino acids) is at the athlete's own risk. |
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| A: All antibiotics are permitted and many multi-symptom cold medications are permitted. Check the exact medication on the DRO or by calling the Drug Reference Line [(800) 233-0393 or (719) 785-2020]. |
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| A: There have been confirmed reports that show traces of norandrostenedione and norandrostenediol, close chemical relatives of nandrolone, and other anabolic steroids in vitamins, minerals, herbs, amino acids and other dietary supplements. When any of the "19-nor steroids" are consumed, intentionally or unintentionally, the metabolites of nandrolone are found in the urine. Please use caution and discretion because the status of ALL dietary supplements is "completely at the athlete's own risk of a positive test." |
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| A: In-competition (event) testing includes testing for all classes of substances and methods on the WADA Prohibited List. This includes stimulants, narcotics, anabolic agents, diuretics, peptide hormones and analogues, corticosteroids, marijuana and in specific cases, alcohol and beta-blockers. In addition, methods of doping, such as blood transfusions, are prohibited. |
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| For out-of-competition testing, there is a shorter menu of prohibited substances (i.e., anabolic agents, diuretics, peptide hormones and analogues, and blood doping). |
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| EACH ATHLETE MUST BE FAMILIAR WITH THE RULES OF THEIR RESPECTIVE INTERNATIONAL FEDERATION! |
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| A: Although the anti-doping rules and testing only apply to athletes, the World Anti-Doping Program places a great deal of responsibility on officials and athlete support personnel to encourage drug-free sport. You do not need to complete an Abbreviated TUE for your medication or avoid the use of prohibited medication for therapeutic use. It is your responsibility to support athletes and impress upon them to check their medications. Officials and support personnel that encourage doping or help to administer prohibited substances may face sanctions in accord with the World Anti-Doping Code. |
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| A: The best way to check the ingredients in your medication is to have the container directly in front of you so you can look at the label on the product for the brand name. Then use the search function of Drug Reference Online. If the information you need is not there, then call the Drug Reference Line [(800) 233-0393 or (719) 785-2020]. Some substances have similar names, so be sure that you are researching the correct drug. |
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| A: USADA cannot advise you on how long a medication or substance will stay in your system. You are advised to speak directly to your doctor or pharmacist about these issues. NOTE: Be aware that it is difficult to provide a definitive answer to this question as it will depend on the amount of the medication/substance in the product, the amount administered, your weight, metabolic rate, hydration levels and what you have eaten recently. Therefore, if you need to take a medication some time before a competition, you must be aware that there is a chance it will be in your system during a competition, depending on the substance taken. Consult your doctor or pharmacist for further guidance. |
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| A: USADA is unable to make any recommendations about the medication you need for your well-being. USADA can only provide you and your physician with information on the status of the medication related to sport, for example, permitted or prohibited. For medical advice you will need to speak directly with your medical care provider. |
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| A: For athletes who consume a normal, varied and balanced diet, and meet their energy requirements, there is no evidence that vitamin and mineral supplementation is necessary to enhance health or performance. In fact, excessive ingestion of vitamins and minerals can be dangerous to health. There are some practical situations in which qualified medical practitioners, accredited sports dieticians and registered nutritionists, may recommend specific vitamins or minerals for certain individuals (e.g. if iron stores are low); however, these should be taken with qualified expert advice and only used as directed or prescribed. Caution is needed because evidence has shown that some multi-vitamin, mineral and nutritional supplements may contain prohibited substances that are not recorded on the label. |
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| A: Ergogenic aids are agents which are used in an attempt to improve performance. Many ergogenic substances are banned in sport. |
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| A: Herbal remedies have been found to contain prohibited stimulants or other substances which may not be listed on the label. These products vary greatly in quality and a guarantee cannot be given as to their safety or acceptability in sport. |
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| A: USADA DOES NOT APPROVE OR ENDORSE ANY VITAMINS, MINERALS, AMINO ACIDS, ENERGY DRINKS or other DIETARY SUPPLEMENTS and advises caution to athletes wanting to use them. Although most substances found in supplements are not on the list of prohibited substances and methods, this assessment can only be made of the substances listed on the label of the product. In the absence of a quality assured standard in manufacturing and labeling, the substances listed on the label may not be a true indication of what is actually in the product. Some supplement companies target sportspeople by indicating the product has been endorsed or approved by USADA. Do not believe everything you read on the label! Manufacturers are often aware of the competitiveness of sport and the continual striving to achieve. Many market their products by relying on personal endorsements by well-known sportspeople or anecdotal evidence, neither of which may be based on scientific studies or reliable evidence. If you encounter a product that states approval or endorsement by USADA, please notify USADA. |
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| A: Getting your supplements tested by a reliable laboratory is extremely expensive and does not provide a guarantee of the safety or legality of your supplements. It is not just a case of testing one bottle of supplements and knowing that your supplement is safe. In addition, this testing is not a guaranteed method of identifying safe products, since trace amounts of contaminant that will not be detected by the laboratory may produce a positive doping test. |
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| A: The WADC defines doping as the occurrence of one or more of the anti-doping rule violations set forth in Article 2.1 through Article 2.8 of the Code as shown below. (Note: the numbering system reflects that of the Articles of the WADC, Reference 1.) |
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2.1 The presence of a Prohibited Substance or its Metabolites or Markers in an Athlete's bodily Specimen. |
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2.1.1 It is each Athlete's personal duty to ensure that no Prohibited Substance enters his or her body. Athletes are responsible for any Prohibited Substance or its Metabolites or Markers found to be present in their bodily Specimens. Accordingly, it is not necessary that intent, fault, negligence or knowing Use on the Athlete's part be demonstrated in order to establish an anti-doping violation under Article 2.1. |
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2.1.2 Excepting those substances for which a quantitative reporting threshold is specifically identified in the Prohibited List, the detected presence of any quantity of a Prohibited Substance or its Metabolites or Markers in an Athlete's Sample shall constitute an anti-doping rule violation. |
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2.1.3 As an exception to the general rule of Article 2.1, the Prohibited List may establish special criteria for the evaluation of Prohibited Substances that can also be produced endogenously. |
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2.2 Use or Attempted Use of a Prohibited Substance or a Prohibited Method. |
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2.2.1 The success or failure of the Use of a Prohibited Substance or Prohibited Method is not material. It is sufficient that the Prohibited Substance or Prohibited Method was used or Attempted to be used for an anti-doping rule violation to be committed. |
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2.3 Refusing, or failing without compelling justification, to submit to Sample collection after notification as authorized in applicable anti-doping rules or otherwise evading Sample collection. |
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2.4 Violation of applicable requirements regarding Athlete availability for Out-of-Competition Testing including failure to provide required whereabouts information and missed tests which are declared based on reasonable rules. |
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2.5 Tampering, or Attempting to tamper, with any part of Doping Control. |
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2.6 Possession of Prohibited Substances and Methods: |
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2.6.1 Possession by an Athlete at any time or place of a substance that is prohibited in Out-of-Competition Testing or a Prohibited Method unless the Athlete establishes that the Possession is pursuant to a Therapeutic Use Exemption granted in accordance with Article 4.4 (Therapeutic Use) or other acceptable justification. |
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2.6.2 Possession of a substance that is prohibited in Out-of-Competition Testing or a Prohibited Method by Athlete Support Personnel in connection with an Athlete, Competition or training, unless the Athlete Support Personnel establishes that the Possession is pursuant to a Therapeutic Use Exemption granted to an Athlete in accordance with Article 4.4 (Therapeutic Use) or other acceptable justification. |
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2.7 Trafficking in any Prohibited Substance or Prohibited Method. |
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2.8 Administration or Attempted administration of a Prohibited Substance or Prohibited Method to any Athlete, or assisting, encouraging, aiding, abetting, covering up or any other type of complicity involving an anti-doping rule violation or any Attempted violation. |
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| WARNING: USADA can not provide approval for the use of supplements. Vitamins, minerals, herbs, amino acids, energy products and other dietary supplements, which may be sold over the counter or through the Internet, may contain prohibited substances. These substances may or may not be listed as ingredients on the label. Anti-doping rules make the presence of a prohibited substance in an athlete's urine a doping offense regardless of how the substance got there. ANY ATHLETE WHO TAKES A VITAMIN, MINERAL, HERB, AMINO ACID, ENERGY PRODUCT OR OTHER DIETARY SUPPLEMENT DOES SO AT HIS OR HER OWN RISK OF COMMITTING A DOPING VIOLATION. |
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| To find out more about your sport's anti-doping regulations, visit the USADA's web site Links section to access their web site or contact them directly. |
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