The Swedish Experience The Swedish Experience with Therapeutic Use with Therapeutic Use

ExemptionExemption

Bengt O ErikssonBengt O Eriksson

The Swedish Swimming Federation The Swedish Swimming Federation and The Swedish Sport Confederation and The Swedish Sport Confederation

(RF)(RF)

Sweden has a long experience with Sweden has a long experience with a national TUE-system already a national TUE-system already since the late 1980s.since the late 1980s.

When WADA introduced the rules When WADA introduced the rules of TUE this was implemented in of TUE this was implemented in Sweden from July 1, 2004.Sweden from July 1, 2004.

All national elite athletes have to apply for All national elite athletes have to apply for a TUE to the Swedish Sport Confederation a TUE to the Swedish Sport Confederation (RF).(RF).

There are 68 different sports affiliated to RF.There are 68 different sports affiliated to RF.

I am the chairman of RF:s TUEC.I am the chairman of RF:s TUEC.

The TUEC consists of 13 well experienced The TUEC consists of 13 well experienced MD, most of them Professors or Associate MD, most of them Professors or Associate Professors and all with a good knowledge in Professors and all with a good knowledge in Sport Medicine.Sport Medicine.

Abbreviated TUEAbbreviated TUE

Second half of 2004Second half of 2004 60460420052005 1031 1031First half of 2006 First half of 2006 543 543

Total Total 21782178

Abbreviated TUEAbbreviated TUEIshockeyIshockey 357 357 FootballFootball 340 340HandballHandball 171 171 Athletics Athletics 152 152Swimming Swimming 147147 SkiingSkiing 122 122FloorballFloorball 112 112 Orienteering Orienteering 99 99 CyclingCycling 72 72 Gymnastics Gymnastics 58 58BandyBandy 40 40

Totally Totally 51 SF51 SF

Abbreviated TUEAbbreviated TUE Second half of 2004Second half of 2004

TerbutalineTerbutaline 251 251

Budesonide,Becotide and FlutideBudesonide,Becotide and Flutide 202202

SalbutamolSalbutamol 142 142

FormoterolFormoterol 112112

Budesonide+Formotorol Budesonide+Formotorol 102102

Cortisone topical Cortisone topical 9999

Rhinocort/NasonexRhinocort/Nasonex 87 87

SalmeterolSalmeterol 6262

Ordinary TUEOrdinary TUE

Second half of 2004 Second half of 2004 1231232005 2005 196196First half of 2006First half of 2006 126 126

TotalTotal 445 445

TUE/Diagnosis TUE/Diagnosis

Allergy/asthmaAllergy/asthma 152 152

Diabetes type 1Diabetes type 1 85 85

Joint troubles/injuries Joint troubles/injuries 4242

Cardiac diseasesCardiac diseases 42 42

ADHD/DAMPADHD/DAMP 30 30

Endocrine diseasesEndocrine diseases 26 26

Colitis/Mb.CrohnColitis/Mb.Crohn 22 22

Diagnosis cont.Diagnosis cont.

HypertensionHypertension 16 16

Kidney diseasesKidney diseases 10 10

AlopeciAlopeci 12 12

Reumatic diseasesReumatic diseases 10 10

Neurological diseasesNeurological diseases 6 6

Cystic fibrosisCystic fibrosis 3 3

Other diseases (no.20) Other diseases (no.20) 2-1 2-1

SubstancesSubstances

GlucocorticosteroidsGlucocorticosteroids 240240InsulineInsuline 146146Concerta/Ritalina/AmphetamineConcerta/Ritalina/Amphetamine 25 25Beta-blockersBeta-blockers 28 28DiureticsDiuretics 2121AdrenalineAdrenaline 18 18FinasterideFinasteride 12 12Human Growth Hormone(hGH)Human Growth Hormone(hGH) 6 6

Sport Federations

Football 93 Ishockey 72Handball 41 Skiing 20Swimming 20 Athletics 20 Equestrian 19 Cycling 18Dance sport 17 Archery 17Floorball 16 Bandy 16American football 16 Powerlifting 15 Handicap sports 14 Motor sports 12

Orienteering 11, Budo 11, Basket 10, Shooting 8, Tabeltennis 8, Rugby 8, Wrestling 8, Boule 7, Bowling 7

The other 27 SF from 5 to 1 TUE.

Diabetes type 1Diabetes type 1FootballFootball 12 12 HandbollHandboll 99SkiingSkiing 8 8 Dance sportDance sport 7 7

AthleticsAthletics 66 IshockeyIshockey 6 6 BandyBandy 55 EquestrianEquestrian 44OrienteeringOrienteering 33 RugbyRugby 33

Basket, Boule, Cycling, Orienteering,Basket, Boule, Cycling, Orienteering,Floorball,Shooting, American football, Floorball,Shooting, American football, Volleyboll, Handicap sport, all Volleyboll, Handicap sport, all 229 SF only9 SF only 11

Allergy/asthmaAllergy/asthma

FootballFootball 40 40 IshockeyIshockey 26 26Handball Handball 1414 CyclingCycling 10 10Swimming Swimming 66 SkiingSkiing 6 6Athletics Athletics 66 Orienteering Orienteering 55American football American football 55 HandicapHandicap 3 3PowerliftingPowerlifting 33 GolfGolf 2 2BoxingBoxing 22 BasketBasket 2 2GolfGolf 22 Other SF(14) 1Other SF(14) 1

ADHD/DAMPADHD/DAMP

FootballFootball 77 Ishockey Ishockey 55

American Football American Football 44 Swimming Swimming 44

FloorballFloorball 2 2

Basket, Wrestling, Dance Sport, Canoe, Basket, Wrestling, Dance Sport, Canoe, Handball, Mountainbike, Equestrian, Handball, Mountainbike, Equestrian, Handicap, allHandicap, all 11

Cardiac diseasis, HypertensionCardiac diseasis, Hypertension

ArcheryArchery 77 Shooting Shooting 55

BowlingBowling 44 Power lifting Power lifting 44

FootballFootball 22 AeronaticsAeronatics 22

Motorsport 2Motorsport 2

Dance sport, Handball, Boule, Dance sport, Handball, Boule, Ice-sailing, Equestrian, all Ice-sailing, Equestrian, all 11

Endocrine diseasesEndocrine diseases

WrestlingWrestling 55

FootballFootball 55

Ishockey,Cycling and Ishockey,Cycling and

Gymnastics Gymnastics 22Bandy, Friisbee, Figure scatingBandy, Friisbee, Figure scating, , SwimmingSwimming, , Skiing, Biathlone, Power lifting, Basket, Skiing, Biathlone, Power lifting, Basket, Motor sport, Handicap allMotor sport, Handicap all 11

Colitis/ CrohnColitis/ Crohn

IshockeyIshockey 88

BandyBandy 2 2

Football, Athletics,Football, Athletics, SwimmingSwimming, , Scating, Scating, Powerlifting, Water skiing, Orienteering, Powerlifting, Water skiing, Orienteering, American Football, all American Football, all 11

AlopeciAlopeci

FloorballFloorball 33

FootballFootball 22

American football American football 11

ArcheryArchery 11

IshockeyIshockey 11

Power liftingPower lifting 11

AthleticsAthletics 11

CyclingCycling 11

Renal diseasesRenal diseases

ArcheryArchery 55

PowerliftingPowerlifting 22

MotorsportMotorsport 22

Dance sportDance sport 11

IshockeyIshockey 11

OrienteeringOrienteering 11

SummarySummary In spite of so many applications there In spite of so many applications there

were very seldom any problems in were very seldom any problems in accepting the TUE-applications.accepting the TUE-applications.

We had some problems with We had some problems with Testosterone and hGH.Testosterone and hGH.

We were surprised of ”so few” We were surprised of ”so few” applications for beta-2-agonists from applications for beta-2-agonists from swimmers.swimmers.