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Medical Exceptions for Banned Substances

The NCAA recognizes that some banned substances are used for legitimate medical purposes. Accordingly, the NCAA allows exceptions to be made for those student-athletes with a documented medical history demonstrating the need for regular use of such a drug. Exceptions may be granted for substances included in the following classes of banned drugs: stimulants (including those used to treat ADHD), beta blockers, beta-2 agonists, diuretics, peptide hormones, anabolic agents and anti-estrogens.

  • Pre-approval is required for the use of peptide hormones or anabolic agents. The institution must submit required documents prior to the student-athlete competing while using medications containing these substances.
  • For all other drug classes, the institution should maintain documents from the prescribing physician in the student-athlete’s medical record on campus that include the diagnosis, course of treatment and current prescription.
  • In the event that a student-athlete tests positive by the NCAA, the institution will be notified of the positive drug test, and at that time the director of athletics may request an exception by submitting required documents.
  • Requests for exceptions will be reviewed by the chair of the drug-testing and drug-education subcommittee of the CSMAS and reported back to the institution.

Last Updated: May 7, 2013