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Tuesday, February 20, 2018

Prohibited Substances

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To All Squash Athletes:

 WADA has published the latest Prohibited List which becomes effective January 1st 2012. The prohibited List can be found on the WADA website. WADA has created a "Prohibited List Mobile Site" which provides all the information needed regarding the Prohibited List which can be linked through: http://list.wada-ama.org/   

 There are some drug additions in some of the categories. Refer to the List review these changes.

 1. The most important change relates to Beta-2-agonists:

 Formeterol by inhalation to a maximum daily therapeutic dose of 36 micrograms is now included as an exception in the prohibited beta-2-agonist section. If more than 30 nanograms/ml is detected in urine, this will be considered an Adverse Analytical Finding, unless the Athlete proves through a controlled pharmacokinetic study that the abnormal result was the consequence of the use of the stated therapeutic inhaled dose.

 Beta-2-agonists by inhalation are used for managing asthma. The List prohibits the administration of all beta-2-agonists except salbutamol (maximum 1600 micrograms over 24hrs) and salmeterol when taken by inhalation. Now, formeterol (maximum 36 micrograms over 24 hrs expressed as inhaled/delivered dose) is allowed.

 The consequence of this is that most of the frequently used inhalers are not prohibited. The key is to use the inhalers as prescribed using extra doses may result in a urine test exceeding the maximum allowed level.

 If there is a medical situation requiring doses beyond those specified above, then a retrospective (emergency) TUE should be submitted. This will require medical confirmation for the need to exceed the prescribed doses.

 The reason for the thresholds is that larger doses may be performance enhancing, which should be prevented and prohibited, but that appropriate care and treatment of asthmatic athletes is facilitated.

 2. There is no change to the use of Cannabinoids, whether natural (e.g. cannabis, hashish, marijuana) or synthetic delta 9-tetrahydrocannabinol (THC) and cannabimimetics (e.g. "Spice") all these products are prohibited in-competition. 

 Please note: Urine tests for marihuana can detect its presence for 13 days. However, that length of time can be much longer depending upon how often the person smokes, how much they smoke and how long they have been smoking. regular smokers have reported a positive test 45 days after the last use of marijuana, and heavy smokers up to 90 days after the last marijuana smoke. 

 Please refer to the Prohibited List if there are any doubts regarding the use of various different substances or methods.

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