Table 1

League sport recommendations for precompetition glucocorticoid use

RouteOral and rectalIntramuscular, intravenousIntra-articular, intrabursal, periarticular and other ‘local’ tissue injections
RecommendationOnly under medical control;
cease 1 week precompetition
Avoid altogether; consider requesting a TUE if use is less than 1 month precompetitionAvoid 3 days precompetition;
avoid long-acting formulations (triamcinolone);
follow manufacturer’s dose recommendations;
retain full medical documentation for AAF investigation purposes
  • AAF, adverse analytical finding; TUE, Therapeutic Use Exemption.