DRUG FREE SPORT NZ Sport Medicine Conference 2014

Currently you will recognise us as:

From Jan 1, 2015 you will recognise us as:

DFSNZ Drug Free Sport NZ (DFSNZ) is the national anti-doping organisation responsible for the enforcement, education and promotion of anti-doping in New Zealand.  Enforcement through investigation and testing  Education through seminars, resources and outreach programmes  Influence to promote anti-doping and clean sport. We implement New Zealand’s Sports Anti-Doping Rules which reflect those of the World Anti-Doping Agency (WADA), its World Anti-Doping Code and Prohibited List.

The WADA Prohibited List The WADA Prohibited List includes substances and/or methods which meet any two of the following criteria:  It has the potential to enhance sport performance  It presents an actual or potential health risk to the athlete  It violates the spirit of sport.

All prohibited substances and methods in sport are outlined in the WADA Prohibited List and updated annually. The next changes come into effect 1 January If a prohibited substance must be used a Therapeutic Use Exemption (TUE) may be required dependant on the sport and level at which the athlete competes*. *If unsure of the athlete’s status please clarify with DFSNZ prior to prescribing prohibited medication. WADA and the Prohibited List

The WADA Prohibited List Common prohibited medications include:  Prednisone  Probenecid  Methylphenidate  Insulin  Triamcinolone (IM)  Morphine  Pethidine  Fentanyl and  Dexamethasone.

TUE application process – step 1 A medication is required to treat a recognised medical condition

TUE application process – step 2 Status of medication or method needs to be checked through: MIMS New Ethical Catalogue 0800 DRUGFREE (378437) Text drug name to 4365 (20c)

TUE application process – step 3 If medication/method is PROHIBITED = permitted alternatives should be investigated and discussed with the athlete.

TUE application process – step 4 If there is NO ALTERNATIVE = a TUE application must be completed prior to administration of the prohibited medication*. Always check with DFSNZ. *In emergency situations, treatment may begin immediately however a TUE accompanied with medical documentation must be applied for immediately after.

TUE application process – step 5 A TUE application can be downloaded from Application must be completed in full by a medical professional with *supporting medical documentation attached. *Most applications will require Specialist support.

TUE application process – step 6 The athlete or medical professional should submit the TUE application to DFSNZ* *or the International Federation depending on the athlete’s level of competition

TUE application process – step 7 The application will be reviewed by the relevant TUE Committee

TUE application process - step 8 Both you and the athlete will be notified of: - TUE acceptance or rejection - Conditions of TUE (e.g. date of expiry and restrictions on medication use.) Most International Federations mutually recognise TUE’s issued by the DFSNZ TUE Committee

Athlete career risk Athletes who take prohibited substances may be found guilty of an Anti-Doping Rule Violation (ADRV). This may lead to a ban from all sport for a period of time and in extreme cases, life. Even minor rule violations or short bans tarnish athlete’s reputation long after their sporting career.

Athlete career risk Medical professionals play a crucial role in ensuring that athletes who require medication follow anti- doping rules. Always check the status of medications - if a prohibited substance/method is required follow the TUE process. Remember to identify in their file that the patient is an athlete subject to drug testing.

Retrospective TUE Retrospective TUE’s can be applied for only in certain circumstances. For example; situations where emergency treatment is necessary. Ask DFSNZ staff for more information.

DFSNZ Resources More comprehensive information can be found at and in DFSNZ resources:  Anti-doping handbook  Anti-doping posters  Athlete ID Cards  Anti-doping wallet cards. DFSNZ resources can be made available in clinic waiting rooms, pharmacies, sports clinics, general practices and surgeries. To request resources today please see DFSNZ staff.

Contact us anytime Phone: 0800 DRUGFREE (378427) Text: 4365 (cost 20c) Fax: Web: