THE 2018-19 FA ANTI-DOPING ADVICE CARD - Information for players, parents, club medical staff and healthcare professionals - Football Association
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THE 2018-19 FA ANTI-DOPING ADVICE CARD Information for players, parents, club medical staff and healthcare professionals Valid from 1 July - 31 December 2018 TheFA.com/anti-doping
EXAMPLES OF SUBSTANCES PROHIBITED AT ALL TIMES This section does not cover every single Non-approved Non-approved substances substances prohibited substance/method and players/ AnyAny pharmacological pharmacological substance substance which which is not is not support personnel are advised to consult addressed addressed by by anyany of the of the other other sections sections of the of the the current Prohibited List for a definitive WADA WADA Prohibited Prohibited ListList andand with with no no current current approval approval breakdown at wada-ama.org by by anyany government government regulatory regulatory health health authority authority forfor human human therapeutic therapeutic use.use. Anabolic agents Androstenedione, androsterone, clenbuterol, Beta-2 Beta-2 agonists agonists DHEA, drostanolone, epitestosterone, All All beta-2 beta-2 agonists agonists areare prohibited, prohibited, except; except; Inhaled Inhaled mesterolone, metenolone, methandienone, salbutamol salbutamol (maximum (maximum 1600 1600 micrograms micrograms over over nandrolone, oxandrolone, selective androgen 24 24 hours hours in divided in divided doses doses notnot to exceed to exceed 800800 receptor modulators (SARMs), stanozolol, micrograms micrograms over over 12 12 hours hours starting starting from from anyany dose); dose); testosterone, tibolone, trenbolone. inhaled inhaled formoterol formoterol (maximum (maximum delivered delivered dose dose of of 54 54 micrograms micrograms over over 24 24 hours); hours); inhaled inhaled salmeterol salmeterol Peptide hormones, growth factors, related (maximum (maximum 200200 micrograms micrograms over over 24 24 hours). hours). substances and mimetics Erythropoietins (EPO) and agents affecting Hormone Hormone andand metabolic metabolic modulators modulators erythropoiesis, including; Erythropoietin- Aminoglutethimide, Aminoglutethimide, anastrozole, anastrozole, Receptor Agonists (EPO, dEPO, CERA); androstatrienedione, androstatrienedione, clomiphene, clomiphene, cyclofenil, cyclofenil, Hypoxia-inducible factor (HIF) activating exemestane, exemestane, formestane, formestane, fulvestrant, fulvestrant, insulin, insulin, agents; GATA inhibitors; TGF-beta (TGF-ß) letrozole, letrozole, melodonium, melodonium, raloxifene, raloxifene, selective selective inhibitors; Innate repair receptor agonists; estrogen estrogen receptor receptor modulators modulators (SERMs), (SERMs), Peptide Hormones and Hormone Modulators, tamoxifen, tamoxifen, testolactone, testolactone, toremifene, toremifene, 6-oxo, 6-oxo, Chorionic Gonadotrophin (CG) and Luteinizing trimetazidine. trimetazidine. Hormone (LH) and their releasing factors; Corticotrophins and their releasing factors; Diuretics Diuretics andand masking masking agents agents Growth Hormone (GH), its fragments and Amiloride, Amiloride, bendroflumethiazide, bendroflumethiazide, desmopressin, desmopressin, releasing factors; Growth Factors and Growth furosemide, furosemide, hydrochlorothiazide, hydrochlorothiazide, indapamide, indapamide, Factor Modulators e.g. Insulin-like Growth metolazone, metolazone, plasma plasma expanders, expanders, probenecid, probenecid, Factor-1 (IGF-1) and its analogues, Platelet- thiazides, thiazides, triamterene, triamterene, vaptans. vaptans. Derived Growth Factor (PDGF).
EXAMPLES EXAMPLES OFOF DOPING DOPING METHODS METHODS EXAMPLES EXAMPLESOF OF SUBSTANCES PROHIBITED SUBSTANCES WHEN PROHIBITED WHEN PROHIBITED PROHIBITED ATAT ALL ALL TIMES TIMES DETECTED IN-COMPETITION DETECTED ONLY IN-COMPETITION ONLY Manipulation Manipulation ofof blood bloodand blood and blood components components Glucocorticoids Glucocorticoids Blood Blooddoping, doping,using blood using bloodoror blood bloodproducts productsandand All All glucocorticoids glucocorticoids eg.eg. betamethasone, betamethasone, modified modified haemoglobin haemoglobin products, products,totoenhance enhance the the budesonide, budesonide, cortisone, cortisone, deflazacort, deflazacort, uptake, uptake,transport transportoror delivery ofof delivery oxygen. oxygen.Any Any dexamethasone, dexamethasone, fluticasone, fluticasone, form formofof intravascular manipulation intravascular manipulation ofof the blood the blood hydrocortisone, hydrocortisone, methylprednisolone, methylprednisolone, oror blood bloodcomponents components bybyphysical physicaloror chemical chemical prednisolone, prednisolone, prednisone, prednisone, triamcinolone triamcinolone means. means. areare prohibited prohibited when when administered administered by by oral, oral, intravenous, intravenous, intramuscular intramuscular or rectal or rectal routes. routes. Chemical Chemical andand physical physicalmanipulation manipulation Methods Methods including including Tampering, Tampering, ororAttempting Attempting toto Narcotics Narcotics Tamper, Tamper, in in order toto order alter the alter integrity the integrityand andvalidity validity Buprenorphine, Buprenorphine, dextromoramide, dextromoramide, fentanyl fentanyl ofofSamples Samples collected collectedduring duringDoping Doping Control. Control. (and (and its derivatives), its derivatives), hydromorphone, hydromorphone, Intravenous Intravenous infusions and/or infusions and/orinjections injectionsofof more more morphine, morphine, nicomorphine, nicomorphine, oxycodone, oxycodone, than thana total a totalofof 100 mLmL 100 per 1212 per hour hourperiod except period except oxymorphone, oxymorphone, pentazocine pentazocine andand pethidine. pethidine. forfor those thoselegitimately legitimately received receivedin in the course the course ofofhospital hospital treatments, treatments,surgical surgical procedures procedures oror Stimulants Stimulants Cathine, Cathine, dimethylbutylamine, dimethylbutylamine, ephedrine, ephedrine, clinical diagnostic clinical diagnostic investigations. investigations. heptaminol, heptaminol, lisdexamfetamine, lisdexamfetamine, Gene Genedoping doping mephedrone, mephedrone, methylhexaneamine, methylhexaneamine, The following, The with following, the with thepotential toto potential enhance enhance methylphenidate, methylphenidate, modafinil, modafinil, nikethamide, nikethamide, sport performance, sport performance, are prohibited: are prohibited: octopamine, octopamine, oxilofrine, oxilofrine, pseudoephedrine, pseudoephedrine, strychnine, strychnine, tuaminoheptane. tuaminoheptane. 1. 1.The use The ofof use polymers ofof polymers nucleic acids nucleic oror acids nucleic nucleic acid analogues. acid analogues. 2. 2.The Theuse useofof gene editing gene agents editing designed agents designed toto alter genome alter genome sequences sequences and/or the and/or the transcriptional transcriptionaloror epigenetic regulation epigenetic ofof regulation genegeneexpression. expression. 3. 3. The use The ofof use normal oror normal genetically modified genetically cells. modified cells.
EXAMPLES OF SOCIAL DRUGS PROHIBITED AT ALL TIMES Testing positive for a social drug at an Methadone in-competition test (match day) is likely to (also known as Physeptone) lead to a two-year ban from football. Methylamphetamine Amphetamine (Crystal Meth, Ice) (also known as Speed, Base) MDMA Benzylpeperazine (also known as Ecstasy, Pills, E) (also known as Party Pills, Legal E) MDEA Cathinone and its analogues eg. (also known as Eve) mephedrone (also known as Meow Meow, M Cat) Cannabinoids For confidential advice regarding social drugs (also known as Cannabis, Marijuana, Weed) contact national drugs education service FRANK by one of the following methods: Tel: Cocaine 0300 123 6600 SMS: 82111 (also known as Coke, Charlie) talktofrank.com Diamorphine (also known as Heroin, Smack) LSD SOCIAL DRUGS ARE PROHIBITED BY (also known as Acid) THE FA AT ALL TIMES
THERAPEUTIC USE EXEMPTIONS (TUE) & ASTHMA MEDICATION Therapeutic Use Exemptions *If your club is involved in UEFA or FIFA competition at the time that you need to This process gives players a means of attaining apply for a TUE you should consult UEFA or approval to use a prescribed prohibited FIFA Anti-Doping regulations. substance/method for the treatment of a medical condition. How to apply: Asthma Medication • If your medication is prohibited check that Although you do not need to obtain a TUE to you cannot take a permitted medication use a Salbutamol, Formoterol or Salmeterol instead. inhaler, you still need to be careful how much you take. The threshold limits can be found • Find out if you are at a level of competition under the Beta-2 agonists section. that requires a TUE to be submitted in advance by checking the FA Anti-Doping Regulations or with your club doctor or Terbutaline is banned at all times. physio. • If a TUE is required complete the relevant TUE form, attach the required medical For further guidance MATIC ASTHKNO ? evidence and send to UKAD*. please speak to your W YOUR club doctor. LIMIT. A TUE form must be signed by the doctor who prescribed your medication and you should consult with your club medical staff before applying. For more information about the TUE process consult the FA Anti-Doping Regulations or log on to ukad.org.uk/support-personnel/ Taking too much of tues your inhaler could lead to a ban from football. Check the prohibited status of your medication on globaldro.co.uk
SUPPLEMENTS IN FOOTBALL The FA does not recommend that players take If you test positive due to taking a supplements. Players are strongly advised contaminated supplement, to get a reduced to be very cautious if they choose to take sanction you must be able to evidence any supplement such as vitamin tablets, that you did substantial research to check energy drinks, or sport-nutrition formulas. whether the product contained any banned This is because there is no guarantee that any substances prior to consuming it. For supplement is free from banned substances. example, by being able to evidence internet searches on the ingredients listed on the Assess the need product and searches on the website of a risk seek expert nutritional/dietary advice, you minimisation scheme, such as Informed Sport may not need supplements. (www.informed-sport.com). Assess the risk Always remember that you are responsible know, understand and address the risks of for anything that is in your body when you contamination. are drug tested. Assess the consequences The FA accepts no liability for the contents you could receive a four-year ban from of supplements produced, recommended football. or approved by Informed Sport or any other You can reduce the risks by: organisations. • undertaking thorough internet research • only using batch-tested products • checking on Informed-Sport (which is a risk minimisation programme) that the supplement has been batch tested
SUPPLEMENTS IN FOOTBALL EDUCATIONAL RESOURCES You can view the following education WARNING resources at The FA.com/anti-doping: Players should be aware of the • A series of short videos covering a variety of prohibited substances Higenamine and anti-doping topics, including; whereabouts, testing, inadvertent doping and social drugs “Delta 2” which have recently been found to be contained in some dietary • Player Essentials Guide supplements. (available in 6 languages) • Youth Player and Parent Guide Supplement manufacturers have been found to label products containing • WSL Player Anti-Doping Guide Higenamine using one or more of the • FA Anti-Doping Regulations and Procedural following names: Demthylcoclaurine, Guidelines Norcoclaurine. • The FA Social Drugs Policy Regulations Players should avoid all products that • Video of a player undergoing a blood and contain these substances as their use urine test could be detrimental to health and lead To obtain a hard copy of any of these guides to an Anti-Doping Rule Violation (ADRV). please contact your club secretary, club physiotherapist or The FA Anti-Doping Team (anti-doping@TheFA.com)
WHEREABOUTS This section only relates to players competing 2. Provide a full address and 1 hour in the Premier League and EFL (including time slot where and when you will be reserve players).Players born on or before 31 available that day. August 2000 should follow steps 1, 2 and 3 as described below. Players born on or after 1 The time slot must start at least 2 hours September 2000 at clubs who have a Category after notification and be between 6am 1 academy should follow step 1 only. and 11pm. The address must contain a postcode. You can update or change 1. Tell The FA your location/time slot, provided the 2 If you will be absent from a training hour gap is still observed. session or will arrive after the session 3. Be at the address at the time you have has started you must notify The FA stated and stay there for the hour. before the session start time. If you are leaving before the session has ended you N.B. If you are participating in a club must notify The FA before you leave activity at a different venue to that of the clearly stating in your notification that you scheduled session, you must notify The are leaving early. In all notifications FA. Preferably, this should be in advance provide your full name and club, and if of the training session and in any event, required all of the information at steps 2 and before you leave the original venue to 3. The contact details of The FA are below: relocate (if applicable), stating your alternative training venue and time. SMS: 07800 140062 If you do not adhere to the requirements Email: whereabouts@TheFA.com above, you may get a missed test strike. Tel: 0844 980 8210 If you get 3 missed test strikes in 12 (24hr messaging service) months you will be suspended from football for at least 12 months. This is your responsibility, not your club’s.
EXAMPLES OF PERMITTED MEDICATION Allergies and hayfever Constipation Acrivastine, cetirizine, chlorpheniramine, desloratadine, fexofenadine, levocetirizine, Bisacodyl, isphagula husk, liquid paraffin, loratadine, levocabastine, mizolastine, methylcellulose, senna, sodium picosulfate, oxymetazoline, promethazine, sterculia. sodium cromoglicate, xylometazoline. Cough/cold Glucocorticoids are permitted for use in eye drops and nasal sprays. Caffeine, codeine, guaifenesin, oxymetazoline, paracetamol, phenylephrine, Adrenaline phenylpropanolamine, pholcodine, steam Adrenaline is permitted when associated and menthol inhalations, xylometazoline. with local anaesthetic agents or by local administration eg. nasal, ophthalmologic. Depression Antibiotics Amitryptiline, doxepin, escitalopram, fluoxetine, flupentixol, imipramine, All antibiotic medication is permitted. lofepramine, nortriptyline paroxetine, Asthma sertraline, venlafaxine. Ipratropium, montelukast, sodium Diarrhoea cromoglicate, theophylline. Inhaled Atropine, diphenoxylate, loperamide. salbutamol, salmeterol and formoterol are permitted with restrictions (see Beta-2 Ear agonists section). Inhaled glucocorticoids Chloramphenicol, clioquinol, clotrimazole, are permitted. gentamicin, neomycin, docusate sodium. Glucocorticoids in ear drops are permitted.
EXAMPLES OF PERMITTED MEDICATION Eye for cocaine). Antazoline, azelastine, levocabastine, Malaria prevention nedocromil sodium and sodium cromoglicate. Dorzolamide, brinzolamide Chloroquine, doxycycline, mefloquine, and glucocorticoids in eye drops are proguanil. permitted Migraine Fungal infection Almotriptan, clonidine, pizotifen, Amphotericin, clotrimazole, econazole, sumatriptan, tolfenamic acid, zolmitriptan. fluconazole, itraconazole, ketoconazole, Nose miconazole, nystatin, terbinafine, tolnaftate. Acrivastine, levocabastine, oxymetazoline, Haemorrhoids phenylephrine, sodium cromoglicate, Benzocaine, bismuth subgallate, cinchocaine xylometazoline. Glucocorticoid nasal drops and lidocaine. Topical creams and ointments and sprays eg. beclometasone, fluticasone containing glucocorticoids such as are permitted. beclometasone, betamethasone, clobetasol Oral contraception and hydrocortisone are permitted. Desogestrel, drospirenone, ethinylestradiol, Indigestion and bowel problems etynodiol, gestodene, levonorgestrel, Atropine, calcium carbonate, charcoal, mestranol, norethisterone, norgestimate. cimetidine, famotidine, lansoprazole, Pain/inflammation mesalazine, omeprazole, paracetamol, ranitidine, sulfasalazine. Non-steroidal anti-inflammatory drugs (NSAIDs) are permitted, aspirin, celecoxib, Local anaesthesia codeine, diclofenac, dihydrocodeine, All local anaesthetics are permitted (except etoricoxib, ibuprofen, ketoprofen, naproxen,
EXAMPLES OF PERMITTED MEDICATION paracetamol, piroxicam, tramadol, valdecoxib. Players should use caution when Skin travelling abroad as ingredients Aqueous cream, emollients, lanolin, paraffin. Topical creams and ointments containing of some brands and products glucocorticoids are permitted. may differ in other countries. Sleeplessness Alprazolam, diazepam, diphenhydramine, nitrazepam, temazepam, zopiclone. Sore throat (lozenges/gargles) Amylmetacresol, benzalkonium, benzocaine, chlorhexidine, dequalinium, dichlorobenzyl alcohol, lidocaine, menthol, povidone‑iodine, thymol. Vaccination All vaccines are permitted. Viral infection Aciclovir, famciclovir, idoxuridine, penciclovir. Vomiting/nausea Cinnarizine, cyclizine, domperidone, hyoscine, meclozine, metoclopramide, prochlorperazine, promethazine.
REPORT DOPING IN FOOTBALL Report Doping in Sport is a confidential phone If anyone has any information they should line to support the fight against doping in make the call to Report Doping in Sport on sport. The service allows players, support 0800 32 23 32 or visit reportdoping.com personnel and anyone involved in the game to and play their part in protecting football. provide information about the use, possession or supply of drugs in football.
USEFUL CONTACT INFORMATION The Football Association UKAD TUE Information TheFA.com/anti-doping ukad.org.uk/support-personnel/tues Tel: 0800 169 1863 ext 4334 Email: tue@ukad.org.uk Email: anti-doping@TheFA.com Fax: + 44 (0) 800 298 3362 Whereabouts Contact Details UEFA TUE Fax Number SMS: 07800 140062 +41 22 990 31 31 Email: whereabouts@TheFA.com Report Doping in Sport Tel: 0844 980 8210 (24hr messaging service) 08000 32 23 32 The Professional Footballers Association reportdoping.com ThePFA.com/players/anti-doping Social Drugs Email: Info@thepfa.co.uk For confidential advice about social drugs Tel: 0161 236 0575 go to talktofrank.com, text 82111 or Sporting Chance Clinic call 0300 123 6600 SportingChanceclinic.com For alcohol related issues you can call Email: info@sportingchanceclinic.com Drinkline on 0300 123 1110 Tel: 0870 220 0714 UK Anti-Doping (UKAD) Ukad.org.uk Some sections of this card have been +44 (0) 207 842 3450 reproduced with the kind permission Email: athlete@ukad.org.uk of UKAD
CHECKING MEDICATION Find out if your medication contains a prohibited substance on Global Drug Reference Online: globaldro.co.uk Global DRO is an online service that allows you to check the prohibited status of a licensed medication bought in the UK, USA, Canada, Switzerland, Japan and Australia. Remember: you cannot use Global DRO to check herbal remedies, supplements or social drugs.
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