Athlete TUE Process


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.


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):
1. The athlete has a clear diagnosed medical condition, which requires treatment using a prohibited substance or method;
2. 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;
3. The prohibited substance or method is an indicated treatment for the medical condition, and there is no reasonable permitted therapeutic alternative;
4. 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 Caribbean Regional 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.


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 Caribbean Regional Anti-Doping Organization if you are having difficulties.

Then, contact Caribbean Regional Anti-Doping Organization to determine your competition level and TUE application requirements.

“If you need a TUE you have to apply to the Caribbean RADO in this hyperlink”. RADO will advise you by email if you need to do something else once you have submitted the TUE.  For example, if the RADO finds out that according to the rules in force in that moment you as an athlete need to apply the TUE to your International Federation or to a Major Game Organizer, instead of the RADO. We will contact you and let you know.

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 Caribbean Regional Anti-Doping Organization 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 Caribbean Regional Anti-Doping Organization or any other Anti-Doping Organization (ADO).

Important note:
A TUE granted by Caribbean Regional 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 Caribbean Regional Anti-Doping Organization’s TUE is automatically recognized by such IF or MEO.

Caribbean Regional 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 Caribbean Regional Anti-Doping Organization TUE to an IF or MEO for recognition. Please contact


You may only apply retroactively for a TUE to Caribbean Regional Anti-Doping Organization if:

1. You required emergency or urgent treatment of a medical condition.

2. There was insufficient time, opportunity or other exceptional circumstances that prevented you from submitting the TUE application, or having it evaluated, before getting tested.

3. As per our anti-doping rules Caribbean Regional Anti-Doping Organization you were not permitted or required to apply in advance for a TUE.

4. You are a lower level athlete who is not under the jurisdiction of an International Federation or National Anti-Doping Organization and were tested.

5. 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 Caribbean Regional 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.