Therapeutic Use Exemptions (TUE)

Any athlete who is using a substance listed on the World Anti-Doping Agency (WADA) Banned Substance List to treat a medical condition that has been diagnosed and documented by a medical doctor must declare that use to USA Powerlifting (USA Powerlifting). It is the responsibility of the individual athlete to be aware of the substances that he or she has been using or has been prescribed and to disclose such use to the agencies listed above. The athlete must submit the Therapeutic Use Exemptions(TUE) form with information, detailed below, which describes the medical condition and the treatment required, to the USA Powerlifting TUE Committee not less than sixty (60) days prior to the intended competition.

Therapeutic Use Exemptions (TUE) Form

  • Therapeutic Use Exemptions, Standard Form
  • Applications that don’t include the supporting evidence will be returned. The medical evidence should include a comprehensive medical history and the results of all relevant examinations, laboratory and imaging studies. ADD/ADHD medications, see below.

ADD/ADHD Medications:

For all ADD/ADHD medications, the committee asks users to provide substantiating information with their application regarding the need for the medication, rather than a simple doctor’s attestation of need.

Evaluation and diagnosis of ADHD/ADD must be made by a pediatrician, psychiatrist, or other physician who specializes in the treatment of ADHD/ADD. The diagnosis must be made in accordance with DSM-5 criteria for ADHD/ADD.

TUE Checklist for ADD/ADHD medications 

WADA Banned Substance List

The WADA Banned Substance List is available at the U.S. Anti-Doping Agency website.

It may be accessed through the Anti-Doping page on the USA Powerlifting website.

Responsibility for the substances and medications used by an athlete is the sole responsibility of that athlete. Those competitors using medication to treat a legitimate medical condition must examine the Banned Substance List to determine if the use of such medication will require a TUE. Failure to do so may and probably will result in disciplinary action should the athlete be found using such a substance.


A useful reference is the U.S. Anti-Doping Agency Wallet Card. Glucocorticosteroids by non-systemic routes of administration are prohibited, although their use topically may be permitted if TUE is submitted.

Substances Requiring Therapeutic Use Exemption

In general, any use of a prohibited substance may be allowed if the treatment is for a legitimate medical condition and the use of the substance will not allow the athlete a competitive advantage as a result of the use of the medication other than would be seen in a normal return to health. It should be noted that the treatment may be allowed if withholding the treatment would result in significant health impairment. The use of prohibited substances is not allowed to increase the ‘low-normal’ level of any endogenous hormone. Additionally, a TUE will not be granted to treat a condition that results from the prior non-therapeutic use of a prohibited substance.

No Therapeutic Use Exemptions will be approved for functional disorders, such as low testosterone or aging. You may not compete in USA Powerlifting while using these substances. To do so constitutes a doping violation. There are powerlifting organizations and competitions which do not prohibit the use of these substances or allow waivers. You are encouraged to compete with these organizations.

2019 TUE Report by Dr. Hunt – Includes information on Androgens, Stimulants, Opiates, and science behind the restrictions of transgender athlete participation within USA Powerlifting.   The full presentation by Dr. Hunt at the NGB can be found here: YouTube (supporting Powerpoint)

Confidentiality of Information

The information considered in an Abbreviated or Full TUE process will be held in confidence by the USA Powerlifting TUE committee, and by the USA Powerlifting Executive Committee, USA Powerlifting Staff, and by extension, WADA.The athlete will be required to sign a release of information allowing the exchange of information among the USA Powerlifting TUE Committee, and WADA. Notification of the granting of a TUE will be allowed to the USA Powerlifting Anti-Doping Committee (which examines drug testing results and specifies disciplinary measures for USA Powerlifting competition).

Procedures for Submission of a TUE

The athlete must submit the TUE Application, the supporting medical records, the Consent for Release of Information not less than sixty (60) days prior to the intended competition to:

Attn: TUE Chair
USA Powerlifting
1120 Huffman Rd, Ste 24 #223
Anchorage, AK 99515
Or email or Fax: 260-248-4879

For fastest processing, scan the completed documents to the email address above. TUE applications which are incomplete will be returned to the applicant.