FAQs

My doctor thinks I need intravenous medication infusion.  Is this prohibited?

Intravenous infusion is a prohibited method when the volume is over 50mL per 6 hour period.   If your medical condition requires an intravenous infusion of a greater volume, then you should submit an application for a Therapeutic Use Exemption (TUE). The medication itself may not be prohibited, but the method of IV infusion is prohibited.  Iron or an antibiotic like Rocephin, for instance, as ingredients are not prohibited, but the volume infused must be limited to less than 50mL unless you have an approved TUE.
 
See the Ask a Scientist FAQ on the UFC USADA website for more details.
 
What if I can’t find my medication on GlobalDRO?
 
There are two things that could be going wrong.  Either the medication simply is not on the database, or UFC Global DRO does not recognize your search query.  GlobalDRO is sensitive to spelling.  If you type in the brand or generic name of the medication and no results are returned from your search, double check the spelling and try searching for only the first three letters. If you still cannot find your medication by the brand name try searching for the individual ingredients.  Look at the ingredient list on the packaging and search for those individual names. 

Your search might not return any results if the medication is not available in the USA, or if the medication simply has not been added to the database.  If you think this might be the case, then please let us know and we will add it!
   
When in doubt, ALWAYS call Athlete Express at 1-719-785-2000 or CLICK on the “Feedback” icon on the UFC Global DRO Home page, or email ufcglobaldro@usada.org
 
 
What is the “reference number” that appears on the results page?
 
The reference number is proof of your search and of your results.  Using this reference number USADA can confirm the advice you were given when you searched GlobalDRO. Save this number, or print out or email a copy of your results to yourself.  The reference number appears on the search results page.
 
 
If a medication is prohibited, does that mean I can’t take it?
  
You can’t use a prohibited medication in sport unless you have an approved Therapeutic Use Exemption (TUE), or else you may incur an anti-doping rule violation.  USADA does not provide medical advice.  Your decision to take a substance (prohibited or not) is between you and your physician.  If you need to use a prohibited substance in sport for health reasons you are strongly advised to apply for a TUE.  Please visit http://ufc.usada.org/substances/tue/ for information about how to apply for a Therapeutic Use Exemption.
 
Is PRP or stem cell treatment prohibited?
 
Even though Platelet Rich Plasma (PRP) contains some growth factors from your blood, WADA has clarified that PRP is not prohibited.  Individual growth factors are still prohibited when given separately or if they are added to any PRP treatment as purified substances as described on the Prohibited List Section S2.5.
 
Stem cell injections may or may not be prohibited, depending on how the cellular material is manipulated or modified for use. If the stem cells could or will cause performance enhancement, then the procedure is prohibited under either M1 Manipulation of Blood or Blood Components or M3 Gene Doping. How does an athlete know if stem cells cause performance enhancement? Since stem cell treatments vary widely, USADA needs detailed information to make this determination. If you are considering receiving stem cells as a part of any procedure, then please contact USADA on ufcglobaldro@usada.org and provide detailed information about the procedure and origin of the stem cells.
 
 
UFC Global DRO reports that the medication I searched for is not prohibited.  So I can go ahead and take it, right?
 
Correct.  The World Anti-Doping Agency laboratories do not test for this substance so you will not incur an anti-doping rule violation for using this substance in sport.  
 
 
Why are there six countries to choose from on the UFC Global DRO page?
 
UFC Global DRO is a resource database of medications currently available in the United States, Canada, Japan, Australia, Switzerland and the UK. Each country has its own regulatory policies to approve medications and not all medications are available in all countries.  The Brand name medications represented in each country’s UFC Global DRO database reflects the medications available in that country.  
 
If medications in different countries have the same name, does that mean they are the same?
 
No.  In several English speaking countries, medications and substances will have the same name, but this is not always true.  Certain medications marketed in the UK or Canada are not available in the US and vice versa.  Also, some drug formulations may be different even though they have the same Brand name.  It is important that you select the Nation of Purchase correctly to obtain the correct information about your medication.
 
 
Why aren’t dietary and other health supplements listed in UFC Global DRO?
 
Dietary supplements are not included on UFC Global DRO because there is no way for USADA to be certain about the contents of a supplement.  The use of any dietary supplement is at your own risk.  Please visit www.supplement411.org for more information about the risks of dietary supplements.
 
I like to use herbal and homeopathic medications.  Are they prohibited?

As with dietary supplements, athlete use herbal and homeopathic medications at their own risk.  Herbal and homeopathic medications are not included on UFC Global DRO because there is no way for USADA to be certain about the contents of these medications.  Please visit www.supplement411.org for more information on herbal medicines and supplements.
 
I get lots of results when I type in my medication- how do I know I have the right one?

Read the label on your medication carefully to ensure you select the right one.  Make sure that the medication you select from the search result EXACTLY MATCHES the medication you plan to use. If you are in doubt, call Athlete Express at 1-719-785-2000 or email mailto:ufcglobaldro@usada.org, or use the feedback button on GlobalDRO to send an email to ufcglobaldro@usada.org
 
Why is Vicks Vapor Rub permitted, but Vicks Vapor inhaler is prohibited?  Aren’t they the same?

Several over-the-counter Brand Name manufacturers have products with similar names but different ingredients. For instance, the active ingredient in Vicks Vapor Rub is menthol, which is permitted.  In contrast Vicks Vapor Inhaler contains Levmetamfetamine which is prohibited in-competition.  Always double-check the label on your medication for the ingredients listed and match that with the results in UFC Global DRO to make sure you have selected the correct medication and formulation.
 
 
Why can I not find the brand name of my cough, cold or flu medicine on GlobalDRO?
 
Manufacturers of cough, cold or flu products change ingredients and brand names of their products frequently, sometimes each year. This mean the active ingredients in a product you purchased a few years ago, but still have at home and may use, could be different than the current product sold under a very similar name or the same name marketed now.
 
Check the individual names of the medicines listed on the label as "Active Ingredients" on your bottle. See the chart below for the most common examples. Yellow means caution, look up more information in GlobalDRO. Red means prohibited.
 
Print the Wallet Card and carry it with you.
 
You may also call Athlete Express or ask for help to search UFC Global DRO with you while on the phone.  
 

Active Ingredient

WADA Status

acetaminophen (paracetamol)

Not prohibited

albuterol inhaler (salbutamol)

Not prohibited as inhaled drug up to a maximum of 1600 microgram in any 24 hour period.

aspirin

Not prohibited

benzocaine

Not prohibited

brompheniramine

Not prohibited

codeine

Not prohibited

clorpheniramine

Not prohibited

dextromethorphan

Not prohibited

diphenhydramine

Not prohibited

doxylamine

Not prohibited

guaifenesin

Not prohibited

hydrocodone syrup

Not prohibited

Ibuprofen

Not prohibited

levmetamfetamine

PROHIBITED IN-COMPETITION

naproxen

Not prohibited

naphazoline

Not prohibited

oxymetazoline

Not prohibited

phenylephrine

Not prohibited

promethazine

Not prohibited

pseudoephedrine

PROHIBITED IN-COMPETITION at a urinary threshold of 150 micrograms/mL

tetrahydrozoline

Not prohibited

xylometazoline

Not prohibited

 

 

Is donating plasma prohibited?

Yes, WADA has issued a public statement confirming that plasmapheresis is prohibited under M1.1 for the donor because the donor’s own red blood cells and other blood components are reintroduced into the circulatory system after the plasma has been separated.  For more information, please see the WADA FAQs on the Prohibited List https://www.wada-ama.org/en/questions-answers/prohibited-list.  Donating whole blood is not prohibited.

 

I can’t find my question on this FAQ list.  What should I do?

To get an answer to your question, you should call Athlete Express at 1-719-785-2000, or e-mail: ufcglobaldro@usada.org or you can click the “Feedback” link on the UFC Global DRO home page.

 

The beta-2-agonist inhaler I am prescribed for asthma has a threshold listed for the inhaler dose, but not a nebulizer dose. What is the maximum amount of the nebulizer I can use?

The beta-2-agonists prescribed for asthma (or other diagnosed respiratory or lung condition) that have a limited dose or threshold set by WADA include inhaled salbutamol, inhaled formoterol, and salmeterol  (please see the WADA Prohibited List for current threshold limits).  These include the isomers when available, such as levalbuterol (Xopenex®) and arformoterol (Brovana®).

When inhaled as a nebulized treatment, the amount is more per each nebulizer unit-dose than it that for inhalers of the same medication. The nebulizer device does not deliver that full amount into your lungs. Instead, only a fraction of that dose is inhaled. The amount reaching your lungs per treatment is dependent on both the nebulizer device you use and the way in which that medical device nebulizes the specific drug.

USADA does not maintain a list of all nebulizer devices or the percentage of drug each administers. As the athlete, you should contact the manufacturer of the nebulizer device and ask what percentage of the drug you are using is administered with each dose. If the amount inhaled is higher than the dose allowed by WADA, submit a Therapeutic Use Exemption for the use of your nebulizer and related inhalers.

 

No search results were found for a growth factor, but I find similar names in the GlobalDRO list. How do I know if this growth factor is prohibited? 

Bodies produce many different substances called “growth factors” that have a wide variety of effects in the body.  The World Anti-Doping Agency lists most growth factors as prohibited, including Fibroblast Growth Factors (FGFs), Hepatocyte Growth Factor (HGF), Mechano Growth Factors (MGFs), Platelet-Derived Growth Factor (PDGF), Vascular-Endothelial Growth Factor (VEGF) as well as any other growth factor affecting muscle, tendon or ligament protein synthesis/degradation, vascularization, energy utilization, regeneration capacity or fibre type switching; and other substances with similar chemical structure or similar biological effect(s).

Growth factors used in attempt to enhance performance may or may not have been studied to determine the full effects on the body. Only a few growth factors have been tested by pharmaceutical companies for safety or use as medicines in humans. Even fewer have been approved as prescriptions. Sometimes, these studies on growth factors were stopped because they were found unsafe, not useful, or too dangerous for use in humans.

When an ingredient is available on the market from a credible manufacturer, marketed for human use, it will be listed in GlobalDRO with the ingredient name and the specific name of the type of growth factor category. General classes of growth factors are generally not listed in globalDRO because no ingredients have been marketed or were not have yet been found in testing of athletes.
 
Any growth factor may be PROHIBITED, and should be checked against the most up-to-date WADA Prohibited List, here: http://www.list.wada-ama.org/