What is a TUE, and does my child need one before taking a prescribed medicine?
Rule- South Africa
- SAIDS
- Anti-doping
- U18
- School sport
- SAIDS Anti-Doping Rules 2021
- WADA Prohibited List 2026
- 2026
- Parents
- Athletes
A Therapeutic Use Exemption (TUE) gives permission to use a prohibited substance or method for a genuine medical condition. Whether you need one in advance depends on the athlete's level.
| Athlete | When to apply |
|---|---|
| National-Level (professional SA licence, in the SAIDS testing pool, or competing in listed national events or selection events) | In advance, before taking the medicine. Have it in place 7 days before an event, and apply as soon as you are selected for a national team. |
| International-Level (as set by the sport's international federation) | In advance, under the international federation's rules. |
| All other athletes, including most school and recreational athletes | A retroactive TUE is allowed: apply only if you are tested while using a prohibited medicine for therapeutic reasons. |
SAIDS recommends that athletes who qualify for a retroactive TUE keep their medical records ready in case they are tested.
How it works: applications go to SAIDS on its TUE application form. SAIDS's Therapeutic Use Exemption Commission (TUEC) decides each application under WADA's International Standard for TUEs. A refused TUE can be appealed (Article 4.4.6). A TUE expires at the end of the period it was granted for.
SAIDS can be reached on (021) 686 1634.
Updated 21 Oct 2026