Therapeutic Use Exemptions (TUEs)

ဆေးဝါးသုံးစွဲမှုကင်းလွတ်ခွင့် (TUE)

TUE ဆိုသည်မှာအဘယ်နည်း။

WHAT IS A THERAPEUTIC USE EXEMPTION (TUE)?

အားကစားသမားတစ်ဦးအနေဖြင့် မကျန်းမာခြင်း (သို့) အခြေအနေတစ်ခုခုကြောင့် ဆေးကုသမှုခံယူရန် လိုအပ်နိုင်ပါသည်။ ယင်းသို့ ဆေးကုသမှုပြုရာတွင် ကမ္ဘာ့တားမြစ်ဆေးဝါးဆန့်ကျင်ရေး အဖွဲ့ချုပ်မှ တားမြစ်ထားသော ဆေးစာရင်းတွင်ပါဝင်သော ဆေးများကို အသုံးပြုရန်လိုအပ်လျှင် ယင်းတားမြစ်ထား သောဆေးများကို သုံးစွဲခွင့်ပေးသော ဆေးဝါးသုံးစွဲမှုကင်းလွတ်ခွင့် (TUE) ကို သင့်အားခွင့်ပြုပေးနိုင် ပါသည်။

Athletes may have illnesses or conditions that require them to take medications or undergo procedures. If the
medication or method an athlete is required to use to treat an illness or condition is prohibited as per the World Anti-
Doping Agency’s (WADA) Prohibited List , a TUE may give that athlete the authorization to use that substance or
method while competing without invoking an anti-doping rule violation (ADRV) and applicable sanction. Applications for
TUEs are evaluated by a panel of physicians the TUE Committee (TUEC).
NADO TUEs are only valid for national-level Competition and Out-of-Competition Testing.

TUE အား အဘယ်ကြောင့် တောင်းခံရသနည်း။

WHAT ARE THE CRITERIA FOR GRANTING A TUE?

တားမြစ်ဆေးအဖြစ်သတ်မှတ်ထားသော ဆေးပစ္စည်းများကို အသုံးပြုရန်လိုအပ်ခဲ့လျှင် TUE ကော်မတီမှ ခွင့်ပြုချက်ရယူပြီး တရားဝင်သုံးစွဲနိုင်သည်။ TUE သည် တရားဝင်ခွင့်ပြုထားသော ဆေးကုသမှုဆိုင်ရာ အခြေအနေတစ်ခုအတွက် ဆေးကုသနိုင်ရန် ဆောင်ရွက်ပေးရုံသာမက တားမြစ်ထားသော ဆေး (သို့) နည်းလမ်းဖြင့် ဆေးကုသမှုလိုအပ်ခဲ့လျှင် ယင်းတားမြစ်ဆေးဝါးများကို အသုံးပြုခွင့်ရှိပါသည်။ (TUE) မှ ခွင့်ပြုချက်ရယူထားခြင်းသည် အားကစားသမား တားမြစ်ဆေးအသုံးပြုထားသည့်အတွက် အပြစ်ဒဏ် ကျရောက်နိုင်ခြင်းကို ကာကွယ်ထားပြီးဖြစ်ပါသည်။

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.

TUE အား မည်သူများကို ခွင့်ပြုပေးသနည်း။ TUE အား မည်သည့်အချိန်တွင် လျှောက်ထားရမည်နည်း။

WHO SHOULD APPLY FOR A TUE? WHERE AND WHEN TO APPLY?

တားမြစ်ဆေးဝါးထိန်းချုပ်မှုအတွက် တားမြစ်ဆေးဝါးသုံးစွဲမှု ရှိ/မရှိ စစ်ဆေးခံမည်ဖြစ်သော မည်သည့် အားကစားသမားမဆို တားမြစ်ထားသောဆေးများကို မသုံးစွဲမီ TUE အား သုံးစွဲခွင့် တောင်းခံရမည်။ ယင်းတောင်းခံမှုတွင် ဖြည့်စွက်ရမည်ဖြစ်သော အချက်အလက်များအား တင်းကြပ်စွာ လျှို့ဝှက်ထား မည်ဖြစ်ပါသည်။

အားကစားပြိုင်ပွဲများတွင် ဝင်ရောက်မယှဉ်ပြိုင်မီ အနည်းဆုံး ရက် (၃၀) မတိုင်ခင် လျှောက်လွှာ တင်ရမည်။ အမှန်တကယ်ဖြစ်သော အရေးပေါ်ကိစ္စများ (သို့) ခြွင်းချက်အနေဖြင့် ခွင့်ပြုထားသော ကိစ္စရပ်များတွင် နောက်ကြောင်းပြန် အကျိုးသက်ရောက်မှုဖြင့် အား ခွင့်ပြုပေးနိုင်ပါသည်။

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 [Myanmar Anti-Doping Organization] 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.
[Prohibited List / page. A reference and/or link to a specific “check your medication” national database link, or an online
tool, for example globaldro.com, can be added here].
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 Myanmar Anti-Doping Organization if you are having difficulties.
Then, contact Myanmar Anti-Doping Organization’s TUEC to determine your competition level and TUE application
requirements.
If it is determined that you are a National-Level Athlete, [Insert the NADO’s definition of National-Level Athletes]
you must apply to Myanmar Anti-Doping Organization 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 Myanmar Anti-Doping Organization for a TUE?” below.
If your level is lower than the “National-Level” as defined above, [Insert the NADO’s definition of lower level
athletes as applicable], you are entitled to apply for a retroactive TUE after being tested by [Myanmar Anti-Doping
Organization] or any other Anti-Doping Organization (ADO).
Important note:
A TUE granted by [Myanmar Anti-Doping Organization] 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
[Myanmar Anti-Doping Organization]’s TUE is automatically recognized by such IF or MEO.
[Myanmar Anti-Doping Organization] can assist you in the determination of your level and TUE application
requirements, and, should the need occur, assist you in presenting your [Myanmar Anti-Doping Organization]’s TUE
to an IF or MEO for recognition. Please contact [Insert applicable contact details].

တားမြစ်ဆေးဝါးထိန်းချုပ်မှုလုပ်ဆောင်နေစဉ်အတွင်းလုပ်ဆောင်ရမည့်အကြံပြုချက်များ

• တရားဝင်သုံးစွဲခွင့်ပြုထားသည့်ဆေးများကို သင်၏ တားမြစ်ဆေးဝါးစစ်ဆေးသည့် ပုံစံတွင် ဖော်ပြရမည်။
• TUE ခွင့်ပြုပေးထားသောဆေးဝါး/ ဆေကုသမှုအမျိုးအစားများ တိတိကျကျဖော်ပြပေးရမည်။
• TUE ခွင့်ပြုထားကြောင်းမိတ္တူကို တားမြစ်ဆေးဝါး ဆန့်ကျင်ရေးအရာရှိအား တင်ပြရမည်။

TUE လျှောက်ထားခြင်းနှင့်ခွင့်ပြုခြင်းတို့အတွက် ကမ္ဘာ့နိုင်ငံအသီးသီးမှ လက်ခံသောနည်း များကို           WADA မှ နှစ်စဉ်ထုတ်ပြန်ထားပါသည်။ TUE အတွက် အပြည်ပြည်ဆိုင်ရာ အားကစားအဖွဲ့ချုပ်   (IF) များအတွက် အားကစားနည်းအမျိုးအစားအလိုက့် သီးခြား သတ်မှတ်ထားသည့်    အချက်အလက်များကို ပိုမိုသိလိုလျှင် အပြည်ပြည်ဆိုင်ရာအားကစား အဖွဲ့ချုပ် (IF) သို့      မိမိသက်ဆိုင်ရာ တားမြစ်ဆေးဝါး ထိန်းချုပ်ရေးကော်မတီ (NADO) သို့ ဆက်သွယ်နိုင်ပါသည်။

ကမ္ဘာ့တားမြစ်ဆေးဝါး ဆန့်ကျင်ရေးအဖွဲ့ချုပ် WADA မှ TUE ကို ထောက်ခံမှုမပေးပါ။

ကမ္ဘာ့တားမြစ်ဆေးဝါးဆန့်ကျင်ရေးစည်းမျဉ်းဉပဒေတွင် ယခုဖော်ပြထားသော သတင်း အချက်အလက်များသည့် မတူညီသည့်ကွာဟမှုများရှိနေသော်လည်း ကမ္ဘာ့တားမြစ်ဆေးဝါး ဆန့်ကျင်ရေးဆိုင်ရာ ဉပဒေများသည်သာ နေရာအနှံ့အပြားတရားဝင်ခြင်း ရှိမည်ဖြစ်သည်။ ယင်းသတင်း အချက်အလက်များသည် မည်သည့်အချိန်တွင်မဆို ပြောင်းလဲနိုင်သည့်အတွက် အပြည်ပြည်ဆိုင်ရာ အားကစားအဖွဲ့ချုပ်၊ နိုင်ငံတကာတားမြစ်ဆေးဝါးဆန့်ကျင်ရေးအဖွဲ့ချုပ်၊ ပြည်တွင်းတားမြစ်ဆေးဝါး ဆန့်ကျင်ရေးအဖွဲ့ချုပ်နှင့် မြန်မာနိုင်ငံအားကစားအဖွဲ့ချုပ်များနှင့် အမြဲဆက်သွယ်၍ အချိန်နှင့်တပြေးညီ ထုတ်ပြန်နေသော အခြေနေများ ဉပဒေများကို အမြဲမပြတ် စုံစမ်းနေရမည်ဖြစ်ပါသည်။  

CAN I GET A RETROACTIVE TUE?

You may only apply retroactively for a TUE to [Myanmar Anti-Doping Organization] 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 anti-doping rules (Myanmar Anti-Doping Organization) 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 the Myanmar Anti-Doping Organization’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.

HOW TO APPLY TO [Myanmar Anti-Doping Organization] FOR A TUE?

[Note: The NADO choose only one option (1 or 2)]
[Option 1 – only through ADAMS]
You must exclusively submit your TUE application, including the required medical file, via ADAMS. If you do not have
an ADAMS account yet, please contact: madomos83@gmail.com to have your account set up.
[Option 2 – through ADAMS or paper format / electronic TUE form]
Myanmar Anti-Doping Organization encourages to submit TUE applications via ADAMS, together with the required
medical file. If you do not have an ADAMS account yet, please contact: madomos83@gmail.com to have it set
up.
Otherwise, please download the Myanmar Anti-Doping Organization’s TUE Application Form [Therapeutic Use Exemptions (TUE)], and once duly completed and signed, send it together
with the required medical file to madomos83@gmail.com.
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.
[Insert specific provisions in relation to costs incurred for the completion of TUE, i.e. at the responsibility of the Athlete,
including any required additional medical examinations, tests, imaging studies, etc.]
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 TUE Physician
Guidelines 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.

WHAT HAPPENS AT MAJOR EVENTS?

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 Myanmar Anti-Doping Organization 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.

WHEN WILL I RECEIVE A DECISION ON MY TUE APPLICATION?

Myanmar Anti-Doping Organization’s TUEC’s must render a decision as soon as possible, and usually within 21
days from the date of receipt of the complete TUE application, including the required medical information.

WHAT IF I NEED TO RENEW MY TUE?

Each TUE has a specific duration, at the end of which it expires automatically. Should you need to continue to use the
prohibited substance or method, it is your responsibility to submit a new application for a TUE with updated medical
information ahead of the expiry date, so that there is sufficient time for a decision to be made prior to the expiry of the
current TUE.
Important note:
The presence (following sample collection), use, possession or administration of the prohibited substance or method
shall be consistent with the terms of your TUE. Therefore, if you require a materially different dosage, frequency, route
or duration of administration, you should contact Myanmar Anti-Doping Organization, as you may be required to apply for a new
TUE. Some substances and dosages, e.g., insulin, are often modified during treatment and these possible fluctuations
should be mentioned by the treating physician in the TUE application and would usually be accepted by the ADO
TUEC.

WHAT IF MY [Myanmar Anti-Doping Organization]’S TUE APPLICATION IS DENIED?

A decision to deny a TUE application includes a written explanation of the reason(s) for the denial. If it is not clear to
you, please contact Myanmar Anti-Doping Organization to understand exactly why the TUE was denied.
Sometimes, there may be a critical piece of information, diagnostic test, laboratory results missing, etc. In which case,
you should re-apply to us. Otherwise, you may appeal the denial decision as follows: 
[Describe briefly the NADO’s process for appeal to the relevant national-level body]

WHAT IF MY [Myanmar Anti-Doping Organization]’S TUE IS NOT RECOGNIZED BY MY
INTERNATIONAL FEDERATION?

You or Myanmar Anti-Doping Organization have 21 days to refer the matter to WADA for review after notification
of the non-recognition. You should send the same information that you submitted to Myanmar Anti-Doping
Organization, and on which their TUEC based their decision, via a secure on-line method or by registered mail at:
WADA Medical Department
World Anti-Doping Agency
Stock Exchange Tower
800 Place Victoria (Suite 1700)
P.O. Box 120
Montreal (Quebec) H4Z 1B7
Canada
The email address to enquire and/or send the request for review is: medical@wada-ama.org
Pending WADA’s decision, [Myanmar Anti-Doping Organization]’s TUE remains valid for national-level competition
and out-of-competition testing only. If the matter is not referred to WADA for review, Myanmar Anti-Doping
Organization must determine whether the original TUE that was granted should remain valid for national-level
Competition and Out-of-Competition Testing.

WILL MY MEDICAL INFORMATION BE TREATED IN A CONFIDENTIAL MANNER?

All the information contained in a TUE application including the supporting medical information, and any other
information related to the evaluation of your TUE request is kept strictly confidential and treated in accordance with the
Athlete’s Declaration contained in the ADAMS TUE process [For Option 2 in “How to apply” only:], add: and in the
[Myanmar Anti-Doping Organization]’s TUE Application Form [Insert again the link to a customized version of the
TUE application template]. All members of the TUEC and any other authorized recipients of your TUE request and
related information (as described in the Athlete’s Declaration) are subject to a professional or contractual confidentiality
obligation.
Please review the terms of the Athlete’s Declaration carefully. In particular, note that should you wish to revoke the
right of the [Myanmar Anti-Doping Organization]’s TUEC to obtain the information related to your TUE request in
accordance with the Athlete’s Declaration, your TUE application will be deemed withdrawn without approval being
granted.
Your TUE request-related information will be retained by Myanmar Anti-Doping Organization and any other
authorized recipients for no longer than necessary for the purposes stated in the Athlete’s Declaration, in accordance
with the International Standard for the Protection of Privacy and Personal Information.

CONTACT INFORMATION

For any further information and questions in relation to Myanmar Anti-Doping Organization’s personal information
practices, please contact – htetwai84@gmail.com, Cluster (9-05), Gold Camp, Nay Pyi Taw
If you have a doubt as regards to which organization you should apply for a TUE, or as to the recognition process, or
any other question concerning TUEs, please contact: madomos83@gmail.com, Cluster (9-05), Gold Camp, Nay Pyi Taw

OTHER USEFUL LINKS

WADA International Standard for Therapeutic Use Exemptions (ISTUE)

WADA Checklists for TUE Applications

WADA Guidelines for the International Standard for Therapeutic Use Exemptions (ISTUE)

WADA Anti-Doping Education and Learning (ADEL)

Anti-Doping Education and Learning platform (ADEL)