There are some important changes to WADA’s prohibited List in 2022. With the start of the new year 2022 there are some new rules in place. The major modifications are for the usage of Glucocorticoid (Cortisone) and the dosage for Salbutamol (Asthma).
All injectable routes of administration will now be prohibited for glucocorticoids (Cortisone) during the in-competition period. Examples of injectable routes of administration include: intravenous, intramuscular, periarticular, intra-articular, peritendinous, intratendinous, epidural, intrathecal, intrabursal, intralesional (e.g. intrakeloid), intradermal, and subcutaneous. For clarification: oral administration of glucocorticoids, which remains prohibited in-competition, includes, in particular, oromucosal, buccal, gingival and sublingual routes.
Other routes of administration (including inhaled and topical: dental-intracanal, dermal, intranasal, ophthalmological and perianal) are not prohibited when used within the manufacturer’s licensed doses and therapeutic indications.
It is strongly recommended that athletes follow the minimum washout periods, expressed from the time of administration to the start of the in-competition period. These washout periods, which are highlighted in the Summary of Major Modifications and Explanatory Note (page 4) are based on the use of these medications according to the maximum manufacturer’s licensed doses. If there is a legitimate medical need for the use of a glucocorticoid, the athlete may apply for a Therapeutic Use Exemption (TUE). All the information on the process and application for IFF events can be found from this link here.
For further information regarding WADA’s approach to the routes of administration of glucocorticoids and washout periods, please refer to the Summary of Major Modifications and Explanatory Note.
S3. Beta-2 Agonists – Dosage of Salbutamol
Regarding salbutamol (against Asthma), the daily dosing time intervals are modified to 600 micrograms over eight hours starting from the time any dose is taken (previously 800 micrograms over 12 hours). This is to reduce the risk of any potential Adverse Analytical Finding (AAF) arising after high doses are taken at once. The total permitted daily dose remains at 1,600 micrograms over 24 hours. A TUE should be sought for doses in excess of these limits. All the information on the process and application for IFF events can be found from this link here.
For further information on the permitted dosage of salbutamol, please refer to the Summary of Major Modifications and Explanatory Note.