A.I. Burnasyan FMBC clinical bulletin. 2026 № 1
A.A. Derevoedov1, N.V. Rylova1,3, A.V. Zholinsky1, V.S. Feshchenko1, I.E. Vysotsky1, I.T. Vykhodets2, A.A. Pavlova1
Topical Issues of Preparing Medical Documents for Requesting
Therapeutic Use of Prohibited Substances in Athletes
1Federal State Budgetary Institution “Federal Scientific and Clinical Center for Sports Medicine and Rehabilitation of the Federal Medical and Biological Agency”, Moscow, Russia
2Federal Medical and Biological Agency, Moscow, Russia
3International Office, State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russiа
Contact person: Rylova Natal’ya Victorovna: rilovanv@mail.ru
Abstract
The organization of anti-doping work by a sports medicine specialist requires constant analysis and improvement. At the same time, the areas of this work are constantly being refined and expanded. Recently, special attention has been paid to the doctor’s task of assisting athletes in preparing requests for therapeutic use. The use of substances and methods included in the Prohibited List is not limited to those included in the “Guidelines for Physicians on Therapeutic Use.”
An analysis of doctors’ requests for consultations shows that the most common issues are related to the use of diuretics for hypertension and head injuries, as well as contraceptives containing hormonal substances and, of course, beta-2 agonists and glucocorticoids. When using prohibited substances, it is important to follow not only the requirements of the International Standard for Therapeutic Use, but also clinical recommendations.
The drugs listed above, which cause problems for doctors when used in certain diseases for which there are no guidelines developed by WADA, require further analysis, systematization of information, and development of recommendations for doctors on their use.
Keywords: anti-doping in sports, therapeutic use of substances and methods prohibited in sports, athletes of sports national teams of the Russian Federation
For citation: Derevoedov AA, Rylova NV, Zholinsky AV, Feshchenko VS, Vysotsky IE, Vykhodets IT, Pavlova AA. Topical Issues of Preparing Medical Documents for Requesting Therapeutic Use of Prohibited Substances in Athletes. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2026.1:07-15. (In Russian) DOI: 10.33266/2782-6430-2026-1-07-15
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Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 23.11.2025. Accepted for publication: 25.12.2025