INSTRUCTIONS FOR ASTHMA MEDICATION

All inhaled glucocorticosteroids are permitted. Salbutamol and salmeterol are permitted in competition and out of competition in dosages considered to be appropriate for the treatment of asthma (see below). Terbutaline and formoterol (formoterol permitted from January 1st 2012) require a full TUE (with medical evidence).

Permitted Asthma medication (all medications to be mentioned on the doping control form)

The use of salbutamol, provided the level in the urine is less than 1000 ng/ml (dosage guideline max. 1600 µg/24 h), and salmeterol by inhalation does not require a TUE. These substances when used in other ways, for example orally (tablets), are still prohibited and require TUE’s.

Inhaled Asthma medications that include salbutamol are: Airomir, Atrodual, Buventol, Ipramol, Salipra, Ventilastin and Ventoline. Inhaled Asthma medications that include salmeterol are: Seretide and Serevent.

Inhaled glucocorticosteroids do not require a Therapeutic Use Exemption (TUE)-

Asthma medication requiring a TUE

Beta-2 agonists e.g.  terbutaline and formoterol (formoterol permitted from January 1st 2012) are prohibited and require a Therapeutic Use Exemption (TUE). The request for a TUE should include a complete medical file with a clear explanation of why an alternate medication is being prescribed.

Summary of requirements for the medical file in case of asthma (attach to TUE application):
1.A complete medical history
2.A comprehensive report of the clinical examinations with specific focus on the respiratory system
3.A report of spirometry with the measure of the Forced Expiratory Volume in 1 second (FEV1)
4.If airway obstruction is present, the spirometry will be repeated after inhalation of a short acting Beta-2 agonist to demonstrate the reversibility of bronchocontriction
5.In the absence of reversible airway obstruction, a bronchial provocation test is required to establish the presence of airway-hyper responsiveness

Examples of Beta-2 agonists including terbutaline or formoterol:  Bricanyl, Fomeda, Foradil, Formaxa Oxis, Symbicort and Terbasmin.