Revista de Medicina Desportiva (English) November 2018 | Page 17

athlete and to the prescribing doctor.
As soon there is an authorization by
e-mail the treatment can be started.
And in the case of a medical
emergency?
In this can the treatment can be
done and only after the TUE is
sent. If the treatment is made at
the hospital, it should be sent an
official report of the emergency
episode with the identification of the
prescribing doctor. For the surgery,
the surgical report should be sent
as well where the consumed drugs
must be included, namely the anal-
gesic drugs and others.
Does the answer to this TUE takes
long?
The law says that the answer must
arrive in 21 days after the applica-
tion. However, usually it is faster,
and on average it takes 3 or 4 days
maximum. Sometimes, the TUE
commission ask for more informa-
tion or additional reports obliged by
WADA, that should then be appreci-
ated by the commission and they are
fundamental to validate the TUE. In
these cases, the answer might take
longer to arrive.
If a TUE is denied, does the athlete
have the right to appeal?
The athlete can always appeal and
also later can exist a refuse of that
TUE issued by the national authority
when travelling to an international
event (Olympic games, for example)
if that TUE hasn’t been yet validated
by that international authority. So,
for football, for instance, a national
team player should apply to UEFA or
to FIFA and also the players partici-
pating on Champions League should
apply to UEFA. The rules for appeal-
ing are described on the World
Anti-doping Code and it involve
from both parts an adequate legal
procedure.
What is the system ADAMS?
In Portugal, and after consultation
It is a system where all the informa-
tion and administration of all activ-
ity of the athletes and of the organi-
zations involved on the anti-doping
control is concentrated. The infor-
mation is available worldwide, but
it has a restrict access, where only
the athlete and some organizations
can get in. The information related
to the TUE is also included here and
that is why some extra information
or reports are asked by the commis-
sion in order to fulfil some require-
ments of WADA, and not because of
mistrust over the athlete or over the
prescribing doctor.
of the Prontuário Terapêutico of
Infarmed, clenbuterol is available
in association with ambroxol as
syrup or pills. There aren’t generic
medications of this active substance
and the commercial names are
Ventoliber and Mucospas. The iso-
lated search as clenbuterol didn’t
show any result.
In January 2018, Infarmed laun-
ched an alert about a not author-
ized website and about several
pages on the social nets that were
selling several illegal medicines
What advices would you like
to leave here related to the
prescription of medication? and advised against its use due to
a) D
 o not take any medication, even
when it is advertised that is free
sale, natural or that is being tak-
ing by other athlete without con-
sultation of the assistant doctor;
b) The athlete must inform the doc-
tor that he/she is an athlete and
that might be some limitation on
prescription;
c) To keep all reports of any medical
consultation or visit to the hospi-
tal (emergency) and also a copy of
the prescription;
d) To have all diagnostic comple-
mentary exams that prove his/her
medical condition. with a lot of information in the
health risks. In the list there was
the clenbuterol, which is a product
net. The search by the word “clen-
buterol” resulted in about 3970000
results.
According to a page of ASAE
(updated in May 2013), “the utili-
zation is authorized acordng to
the law – c) do Artigo 6º do De-
creto-Lei nº 185/2005 of 4 th of No-
vember – for treatment in the to-
colis induction for inhibition of
preterm birth in cows, done by a
veterinarian doctor, on an individ-
ual basis and by injection”. In the
Useful links for the TUE:
same page it is referred the poten-
1. http://www.adop.pt/media/15291/Lista%20
2018%20-%20Determinacoes%20para%20
a%20solicitacao%20de%20AUT.pdf
2. http://www.adop.pt/media/15754/MOD%20
ADoP%20ESPAD%20033%20Rev.%2008-%20
Anexo%20AUT.docx
3. http://www.adop.pt/espad/autorizacao-
terapeutica/documentos_ama.aspx
4. http://www.adop.pt/media/15309/ADoP%20
-%20Lista%20de%20Substancias%20e%20
Metodos%20Proibidos%202018.pdf
5. http://www.adop.pt/media/15294/
Lista%202018%20-%20Programa%20de%20
Monotorizacao.pdf
6. http://jogolimpo.simposium.pt/
tial for unintentional ingestion of
clenbuterol when eating meat and
liver from contaminated animals.
It is also indicated that “the first
described case occurred in Spain,
where 135 persons got sick after
ingestion of liver with sediments
of clenbuterol” and “in Portugal,
there are four related cases –
Ourém (1998), Lousã (2000), Ovar
(2001) and Peso da Régua (2002),
where respectively 10, 2, 34 and 4
people, due to the consumption of
lamb, liver and beef (Barbosa et
al., 2005)”.
Revista de Medicina Desportiva informa november 2018 · 15