Author/Editor		Osredkar, Joško
Title		Podeljevanje terapevtskih izjem slovenskim športnikom v obdobju 2007-2011
Translated title		Therapeutic use exemption granting to Slovenian athletes in the period 2007-2011
Type		članek
Vol. and No.		Letnik 82, št. 4
Publication year		2013
Volume		str. 255-265
ISSN		1581-0224 - Zdravniški vestnik
Language		slv
Abstract		Izhodišča: Nekateri športniki oziroma njihovo spremljevalno osebje želijo še dodatno izboljšati telesne sposobnosti z uživanjem prepovedanih snovi in postopkov, kar je znano kot doping. Obstajajo tudi situacije, ko športniki brez uporabe določenih snovi z Liste prepovedanih snovi in postopkov v terapevtske namene ne bi bili sposobni trenirati in tekmovati, kot bi lahko, če določene bolezni ali poškodbe ne bi imeli. S pojmom terapevtska izjema (TI)razumemo dovoljenje športniku za uporabo sicer prepovedanih snovi in postopkov. Metode: Osnova za podeljevanje TI je v kodeksu Svetovne proti dopinške agencije (World anti- -doping agency - WADA) oziroma v standardu, ki ga je WADA izdala in velja za vse podpisnice kodeksa. V standardu so predpisani vsi postopki, ki se jih mora poslužiti športnik, ki za TI zaprosi, kot tudi vsi postopki, po katerih se mora ravnati telo, ki je imenovano pa podeljevanje TI. Rezultati: V Sloveniji smo v letih 2007 do 2011 izdali 124 (71 športnikom in 53 športnicam) dovoljenj za uporabo zdravil z liste prepovedanih snovi in postopkov, od tega v 91 (73,4 %) primerih zaradi zdravil za zdravljenje astme, izmed teh pa v 45 (36,3 %) salbutamol (2007-2009). Zaključek: Osnovni namen boja proti dopingu v športu je, da športniki ne posegajo po prepovedanih snoveh in postopkih. Ker pa v določenih primerih poškodb ali bolezni ni ustreznega zdravljenja brez uporabe prepovedanih snovi ali postopkov, je v takih primerih na prošnjo športnika možno dovoliti uporabo sicer prepovedanih snovi. Odbori za podeljevanje terapevtskih izjem imajo zelo zahtevno nalogo, ko presojajo o upravičenosti take uporabe. Primerjalna analiza je težka, ker ustreznih podatkov ni.Introduction: Some athletes and their accompanying persons wish to further improve the physical abilities by the consumption of prohibited substances andmethods, which is known as doping. There are also situations where athletes without the use of certain substances on the List of prohibited substances and methods for therapeutic purposes would not be able to train and compete as they could if they did not have a particular disease or injury. Under the concept of therapeutic use exemption (TUE) we understand the sportsman permission for the use of otherwise prohibited substances and methods. Method: The basis for granting TUE is provided for in the code of the World Anti-Doping Agency (WADA) or in the standard issued by WADA and shall apply to all signatories of the Code. The standard lays down all the steps to be taken by the athletes who ask for TUE, as well as all the procedures to be followed by the decision making bodies granting TUE. Results:In Slovenia, in the years 2007 to 2011 we issued 124 (71 sportsmen and 53 sportswomen) authorizations for the use of medicines from the List of prohibited substances and methods; in 91 (73.4 %) cases for asthma treatment, of these in 45 (36.3 %) cases for salbutamol (2007-2009). Conclusion: The main purpose of the fight against doping in sport is to prevent athletes from using illicit substances and processes. However, in certain cases of injury orillness, when an appropriate treatment is not possible without the use of prohibited substances or processes, the athlete may request to be allowed to use otherwise banned substances. Committees for granting therapeutic exceptions have a very challenging task in determining the eligibility of suchuse. A comparative analysis is difficult because there are no relevant data.
Keywords		doping prepovedane snovi predpisovanje zdravil odbor za TI vrhunski športniki