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 - Football Association
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.
You can also read