Therapeutic Use Exemption (TUE) Committee Policy on Glucocorticosteroid Injections for Hay Fever
(updated 21st March 2012) Depo-Medrone (Methylprednisolone) and Kenalog (Triamcinolone) administered by intra-muscular injection as treatment for hayfever are prohibited in sport and therefore their use requires the athlete and their physician to strictly adhere to the TUE Policy. The TUE Policy is available at www.irishsportscouncil.ie/tue It is the responsibility of all athletes using the option of a post-test TUE to ensure that they are capable of providing a medical file to the standard outlined below, prior to the administration of any intra-muscular Glucocorticosteroid injection by a physician. Athletes may be required to submit this medical file to support a TUE application at a later date. Intra-muscular glucocorticosteroid TUE applications MUST be accompanied by a medical file reflecting current best medical practice to include: - A complete medical history i.e. when the hayfever began; the associated symptoms, their severity and effect on sporting performance; and symptoms suffered in previous hayfever episodes.
- Clinical evidence of attempting to use alternative permitted oral, nasal and/or ophthalmic medications and justification as to why alternative permitted medications are not sufficient.
- Copies of all relevant examinations, laboratory results/reports and clinical notes (for example, if a clinic visit is referenced in a letter or summary, a copy of the clinical notes taken during the visit must be submitted); provide details of any known allergens or allergic history including results of any previous immunological testing.
- Exact name, speciality, address (including telephone, e-mail, fax) of examining physician
Athletes and their physicians are reminded that there are number of permitted medications, both over-the-counter and prescribed, that can be used for the treatment of hayfever (as checked on the Drugs in Sport Database on www.eirpharm.com, 22nd February 2012) such as:
Over-the-counter medications
- Oral: e.g. Cetirelief Allergy, Clarityn
- Nasal drop/spray: e.g. Beconase Hayfever nasal spray, Otrivine nasal spray/drops, Flixonase Allergy Relief nasal spray
- Eye drops: e.g. Otrivine Antistin eye drops, Vividrin Antiallergic eye drops
Prescribed medications - Oral: e.g. Neoclarityn, Telfast, Grazax, Oralair
- Nasal spray: e.g. Avamys nasal spray, Rhinolast nasal spray
Note: While Kenalog Injection has been discontinued from the Irish market some unlicensed product may be available.
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