Patient-athletes are strictly liable for what goes into their bodies. You can assist them by utilizing the most appropriate and available anti-doping resources so no patient-athlete uses a prohibited substance/medication/method without demonstrated medical need and without an approved TUE. Some ways to assist are:
- Check GlobalDRO (while the Prohibited List is a legally-binding document and addresses substance classifications/prohibitions, it lacks the inclusivity of prescription substances found in GlobalDRO)
- Maintain a list of permitted alternatives for common sports injury/illness diagnoses and give consideration to those before prescribing a prohibited substance/medication/method.
- If you are part of a sports medical team, learn about and make permitted alternatives part of your standard medical kit.
- Understand the potential impacts of anti-doping rules when treating patient-athletes on the playing field or in your clinical practice.
- Modify your clinical workflow so that you ask all patients if they are athletes and will compete in an Olympic/Paralympic, Pan American/Parapan American or Youth Olympic/Paralympic Games or Olympic/Paralympic Trials event that would immediately result in National Team selection.
- Ask your patient-athletes if they are competing at an international competition or venue.
- For patient-athletes, modify your assessment and treatment plan to consider functional causes of their diagnosis and if treating those first will adequately address the symptoms without the need for a prohibited substance/medication/method.