Prohibited substances
Prohibited List changes in 2022
WADA has released the Prohibited List 2022 and two important changes are coming into force on 1 January 2022.
1. ALL Glucocorticoid (GC) injections, e.g. cortisone, will be prohibited in-competition from 1 January 2022.
2. Permitted salbutamol dosages will be 600 micrograms over 8 hours from 1 January 2022.
In a medical emergency, athletes should always get the treatment they need without hesitation.
Want to know more? Read the information below or download our factsheet.
Download GC changes factsheets
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Glucocorticoid changes: Athlete factsheet
Changes to glucocorticoid (GC) injections in detail. (PDF / 1.8 MB) -
Glucocorticoid changes: Medical professionals factsheet
Changes to glucocorticoid (GC) injections in detail. (PDF / 1.3 MB)
2022 GC injection changes: What you need to know
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GC injections are prohibited in-competition from 1 January 2022.
If you need a GC injection in-competition, you may need a Therapeutic Use Exemption (TUE).
Your level of competition will determine if you need this in advance (i.e. before the injection is administered) or are entitled to apply retroactively (i.e. after the injection is administered and only if you test positive for GCs at doping control).
In both cases, you will need comprehensive medical records of your GC treatment.
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TUE decision-making guide
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You can use any prescribed GC out-of-competition. However, even though you may use a GC legitimately out-of-competition, traces of the substance may still be found in an in-competition doping control sample. Even if you have a GC injection in your off-season or between games, you may still test positive in-competition.
It’s important to get a comprehensive medical record from your medical professional for every treatment, and particularly when a GC is used, in case you need to apply for a retroactive TUE.
If you need a GC injection out-of-competition:
- Remind your medical professional that you are subject to doping control.
- With their assistance, identify the washout period for the GC you are treated with.
- Ask your medical professional to keep comprehensive medical records.
- Ask your medical professional to share your medical records with you in case you need to apply for a retroactive TUE.
We understand that the possibility of returning a positive test in-competition means that some athletes would prefer to obtain a TUE in advance for an out-of-competition GC injection. However, as no rules are being broken by having a GC injection out-of-competition, we are not obliged to (and have limited capacity to) organise a TUE in advance. Simply keep your comprehensive medical records to hand in the event that they are needed.
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The time it takes a drug to be eliminated from your body is known as the “washout” period. The most commonly prescribed GCs have a washout period of 3-5 days, but some may still be detectable by doping control 60 days or more after administration.
GC washout periods
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From 1 January 2022, all injectable GCs will be prohibited in-competition.
Previously some routes of GC injection were permitted in-competition, but this change makes their classification consistent with oral (systemic) GC administration.
In-competition use
If an athlete needs a GC injection in-competition, they may require a Therapeutic Use Exemption (TUE). Their level of competition will determine if they need an in-advance or are entitled to apply retroactively.
- In-advance TUE – the athlete must have an approved TUE before the injection is administered.
- Planned retroactive TUE – the medical professional must keep careful medical records of the injection and share these with the athlete in case of a later positive test.
Out-of-competition use
Depending on the GC used, traces may remain in an athlete’s system for 60 days or more (e.g., in the case of Triamcinolone). An athlete could have an injection in the off-season and still test positive for GCs at in-competition testing.
If prescribing or administering a GC injection, keep a comprehensive medical record which can then be used to verify the injection if the athlete tests positive. This is your clinical obligation to the management of any athlete subject to possible doping control.
The medical record
The medical record must include clear documentation in support of your clinical diagnosis where use of a GC is recognised treatment, confirmation of the specific GC given, and the date and route of administration. Supporting evidence of investigations, hi-tech imaging and collaborative opinion will always strengthen the case for TUE approval. The TUE Committee can only act on the information you provide.
Triamcinolone warning
Most commonly used injectable GCs have a washout period of between 3 and 5 days, but some, such as Triamcinolone, can be 60 days (or more) for an intra-muscular injection. We encourage medical professionals to avoid Triamcinolone given its long washout period, and use other GCs where possible, unless there is a specific clinical indication.
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In addition to the athlete and medical professional flyers you can download above, we have also created the following resources to help you raise awareness about the key 2022 Prohibited List changes.
The Prohibited List 2021
The Prohibited List is published by the World Anti-Doping Agency (WADA) and details all substances and methods which are prohibited or banned in sport. It is updated every year on January 1.
A substance or method may be included on the list if it meets any two of the following criteria:
- it has the potential to enhance sporting performance
- it presents an actual or potential health risk to the athlete
- it violates the spirit of sport.
The information below gives you a basic summary of the kinds of substances and methods that are banned in sport, but we also advise you to check the full WADA 2021 Prohibited List (PDF).
Antibiotics
| Permitted | Prohibited at all times – Requires a TUE |
| All antibiotics available in New Zealand are permitted in sport | Probenecid is commonly prescribed with antibiotics. It is prohibited without a TUE |
Asthma
If you need to take medication to keep your asthma under control, you need to know which asthma medications are allowed in sport and which are not.
If you use asthma inhalers and you are tested, be aware that maximum thresholds exist and overuse of some inhalers could return a positive drug test (see below). Follow the directions on the prescription label of your inhaler and talk with your medical professional if you need to use your inhaler frequently.
Please contact DFSNZ if you need more clarification.
| Permitted | Prohibited in Sport – Requires a TUE |
| Salbutamol – max thresholds exist (e.g. Ventolin, Respigen) Salmeterol - max thresholds exist (e.g. Serevent) Formoterol - max thresholds exist (e.g. Oxis, Foradil, Symbicort) Vilanterol – max thresholds exist (e.g. Breo Ellipta) Glucocorticoids (e.g. Beclazone, Flixotide, Pulmicort) | Terbutaline (e.g. Bricanyl), Bambuterol (e.g. Bambec) and oral Glucocorticoids (Prednisone, Prednisolone), oral salbutamol (e.g. Ventolin in syrup form) |
Cold / Flu / Sore throat medications
| Permitted | Prohibited in Competition |
| Phenylephrine (e.g. Lemsip and Maxclear products) | Psuedoephedrine: only ever take the recommended dose and stop using this drug at least 24 hours before competition |
| Paracetamol (e.g. Panadol) | Morphine based cough syrup (e.g. Gees Linctus) |
Contraception
| Permitted |
| All oral contraceptives available in New Zealand are permitted in sport |
Skin conditions
| Permitted | Prohibited in Competition |
| Topical Glucocorticoids (e.g. Beta cream/ointment; DP lotion/cream; DermAid; Egocort; Hydrocortisone cream; Locoid; Skincalm | Oral/Systemic Glucocorticoids (e.g. Prednisone, Medrol) |
Glucocorticoids
| Permitted | Prohibited in Competition – Requires a TUE |
| Glucocorticoids administered non-systemically (e.g. injections into the joint, nasal sprays and inhaled) | Glucocorticoids administered systemically (e.g. oral Prednisone, intra-muscular Kenacort injections, intravenous fluids and rectal suppositories) |
Hayfever / Sinusitis medications
| Permitted | Prohibited in Competition |
| Antihistamines (e.g. Loratab, Loraclear, Claratyne, Claramax, Phenergan, Polaramine, Razene, Telfast, Zadine, Zyrtec) | Pseudoephedrine: only ever take the recommended dose and stop using this drug at least 24 hours before competition |
| Nasal sprays (e.g. Flixonase, Alanase, Beconase, Drixine, Otrivin) | Oral/Injected Glucocorticoids (e.g. Prednisone, Kenacort, Dexamethasone) |
Nausea / Vomiting
| Permitted |
| e.g. Antinaus, Buccastem, Maxolon, Nausicalm, Sea-Legs, Stemetil, Serecid, Gaviscon, Quik-eze, Gastro-lyte, Mylanta |
Headaches / Pain / Inflammation
| Permitted | Prohibited in Competition |
| Non Steroidal Anti-Inflammatories (NSAID) | All medications that contain morphine (e.g. Sevredol, Kapanol, m-Eslon) |
| Ibuprofen (e.g. Brufen, Nurofen, Panafen) | Fentanyl (e.g. Durogesic, Rapifen) |
| Diclofenac (e.g. Diclax, Voltaren, Cataflam) | Pethidine |
| Pain tablets (e.g. Aspirin, Codeine, Tramal, Tramadol, Paracetamol, Panadeine) | Oral/Systemic Glucocorticoids (e.g. Prednisone, Medrol) |
IV fluids
All prohibited substances administered by IV require a TUE. Permitted substances which require IV infusion may not exceed 100ml per 12 hours without a TUE, unless it’s given while at hospital, during surgery, or travelling in an ambulance. Any infusions given in a non-hospital setting such as an outpatients clinic, medical rooms or on-site ambulance will require a TUE regardless of whether or not it’s permitted in sport.