2019 List of Prohibited Substances and Methods

THE WORLD ANTI-DOPING CODE
INTERNATIONAL
STANDARD
PROHIBITEDLIST
JANUARY2019
The official text of the Prohibited List shall be maintained by WADA and shall be published in English and French.
In the event of any conflict between the English and French versions, the English version shall prevail.
This List shall come into effect on 1 January 2019

2
IN ACCORDANCE WITH ARTICLE 4.2.2 OF THE WORLD ANTI-DOPING CODE, ALL PROHIBITED SUBSTANCES SHALL
BE CONSIDERED AS “SPECIFIED SUBSTANCES” EXCEPT SUBSTANCES IN CLASSES S1, S2, S4.4, S4.5, S6.A, AND
PROHIBITED METHODS M1, M2 AND M3.
PROHIBITED SUBSTANCES
SUBSTANCES & METHODS
PROHIBITED AT ALL TIMES
(IN- AND OUT-OF-COMPETITION)
NON-APPROVED SUBSTANCES
Any pharmacological substance which is not
addressed by any of the subsequent sections of the
List and with no current approval by any governmental
regulatory health authority for human therapeutic use
(e.g. drugs under pre-clinical or clinical development
or discontinued, designer drugs, substances approved
only for veterinary use) is prohibited at all times.
ANABOLIC AGENTS
Anabolic agents are prohibited.
1. ANABOLIC ANDROGENIC STEROIDS (AAS)
a. Exogenous* AAS, including:
1-Androstenediol (5α-androst-1-ene-3β,17β-diol);
1-Androstenedione (5α-androst-1-ene-3,17-dione);
1-Androsterone (3α-hydroxy-5α-androst-1-ene-17-one);
1-Testosterone (17β-hydroxy-5α-androst-1-en-3-one);
Bolasterone;
Calusterone;
Clostebol;
Danazol ([1,2]oxazolo[4',5':2,3]pregna-4-en-20-yn-17α-ol);
Dehydrochlormethyltestosterone (4-chloro-17β-hydroxy-
17α-methylandrosta-1,4-dien-3-one);
Desoxymethyltestosterone (17α-methyl-5α-androst-
2-en-17β-ol and 17α-methyl-5α-androst-3-en-17β-ol);
Drostanolone;
Ethylestrenol (19-norpregna-4-en-17α-ol);
Fluoxymesterone;
Formebolone;
Furazabol (17α-methyl [1,2,5]oxadiazolo[3',4':2,3]-5α-
androstan-17β-ol);
Gestrinone;
S0
S1
Mestanolone;
Mesterolone;
Metandienone (17β-hydroxy-17α-methylandrosta-1,4-dien-
3-one);
Metenolone;
Methandriol;
Methasterone (17β-hydroxy-2α,17α-dimethyl-5α-
androstan-3-one);
Methyldienolone (17β-hydroxy-17α-methylestra-4,9-dien-
3-one);
Methyl-1-testosterone (17β-hydroxy-17α-methyl-5α-
androst-1-en-3-one);
Methylnortestosterone (17β-hydroxy-17α-methylestr-4-en-
3-one);
Methyltestosterone;
Metribolone (methyltrienolone, 17β-hydroxy-17α-
methylestra-4,9,11-trien-3-one);
Mibolerone;
Norboletone;
Norclostebol;
Norethandrolone;
Oxabolone;
Oxandrolone;
Oxymesterone;
Oxymetholone;
Prostanozol (17β-[(tetrahydropyran-2-yl)oxy]-1'H-
pyrazolo[3,4:2,3]-5α-androstane);
Quinbolone;
Stanozolol;
Stenbolone;
Tetrahydrogestrinone (17-hydroxy-18a-homo-19-nor-17α-
pregna-4,9,11-trien-3-one);
Trenbolone (17β-hydroxyestr-4,9,11-trien-3-one);
and other substances with a similar chemical structure
or similar biological effect(s).

3
b. Endogenous** AAS and their Metabolites and isomers,
when administered exogenously, including but not
limited to:
4-Androstenediol (androst-4-ene-3β,17β-diol);
4-Hydroxytestosterone (4,17β-dihydroxyandrost-4-en-3-
one);
5-Androstenedione (androst-5-ene-3,17-dione);
7α-hydroxy-DHEA;
7β-hydroxy-DHEA;
7-keto-DHEA;
19-Norandrostenediol (estr-4-ene-3,17-diol);
19-Norandrostenedione (estr-4-ene-3,17-dione);
Androstanolone (5α-dihydrotestosterone, 17β-hydroxy-5α-
androstan-3-one);
Androstenediol (androst-5-ene-3β,17β-diol);
Androstenedione (androst-4-ene-3,17-dione);
Boldenone;
Boldione (androsta-1,4-diene-3,17-dione);
Epiandrosterone (3β-hydroxy-5α-androstan-17-one);
Epi-dihydrotestosterone (17β-hydroxy-5β-androstan-3-
one);
Epitestosterone;
Nandrolone (19-nortestosterone);
Prasterone (dehydroepiandrosterone, DHEA,
3β-hydroxyandrost-5-en-17-one);
Testosterone.
2. OTHER ANABOLIC AGENTS
Including, but not limited to:
Clenbuterol, selective androgen receptor modulators
(SARMs, e.g. andarine, LGD-4033, enobosarm (ostarine)
and RAD140), tibolone, zeranol and zilpaterol.
For purposes of this section:
* “exogenous” refers to a substance which is not ordinarily
produced by the body naturally.
** “endogenous” refers to a substance which is ordinarily produced
by the body naturally.
PEPTIDE HORMONES, GROWTH FACTORS,
RELATED SUBSTANCES, AND MIMETICS
The following substances, and other substances with
similar chemical structure or similar biological effect(s),
are prohibited:
1. Erythropoietins (EPO) and agents affecting erythropoiesis,
including, but not limited to:
1.1 Erythropoietin-Receptor Agonists, e.g.
Darbepoetins (dEPO);
Erythropoietins (EPO);
EPO-based constructs [e.g. EPO-Fc, methoxy polyeth-
ylene glycol-epoetin beta (CERA)];
EPO-mimetic agents and their constructs
(e.g. CNTO-530, peginesatide).
1.2 Hypoxia-inducible factor (HIF) activating agents, e.g.
Argon;
Cobalt;
Daprodustat (GSK1278863);
Molidustat (BAY 85-3934);
Roxadustat (FG-4592);
Vadadustat (AKB-6548);
Xenon.
1.3 GATA inhibitors, e.g.
K-11706.
1.4 TGF-beta (TGF-β) inhibitors, e.g.
Luspatercept;
Sotatercept.
1.5 Innate repair receptor agonists, e.g.
Asialo EPO;
Carbamylated EPO (CEPO).
S2

4
2. Peptide Hormones and their Releasing Factors,
2.1 Chorionic Gonadotrophin (CG) and Luteinizing
Hormone (LH) and their releasing factors in males,
e.g. Buserelin, deslorelin, gonadorelin, goserelin,
leuprorelin, nafarelin and triptorelin;
2.2 Corticotrophins and their releasing factors, e.g.
Corticorelin;
2.3 Growth Hormone (GH), its fragments and releasing
factors, including, but not limited to:
Growth Hormone fragments, e.g.
AOD-9604 and hGH 176-191;
Growth Hormone Releasing Hormone (GHRH) and
its analogues, e.g.
CJC-1293, CJC-1295, sermorelin and tesamorelin;
Growth Hormone Secretagogues (GHS), e.g.
lenomorelin (ghrelin) and its mimetics, e.g.
anamorelin, ipamorelin, macimorelin and
tabimorelin; GH-Releasing Peptides (GHRPs), e.g.
alexamorelin, GHRP-1, GHRP-2 (pralmorelin),
GHRP-3, GHRP-4, GHRP-5, GHRP-6, and examorelin
(hexarelin).
3. Growth Factors and Growth Factor Modulators,
Fibroblast Growth Factors (FGFs);
Hepatocyte Growth Factor (HGF);
Insulin-like Growth Factor-1 (IGF-1) and its analogues;
Mechano Growth Factors (MGFs);
Platelet-Derived Growth Factor (PDGF);
Thymosin-β4 and its derivatives e.g. TB-500;
Vascular-Endothelial Growth Factor (VEGF);
and other growth factors or growth factor modulators
affecting muscle, tendon or ligament protein synthesis/
degradation, vascularisation, energy utilization,
regenerative capacity or fibre type switching.
BETA-2 AGONISTS
All selective and non-selective beta-2 agonists,
including all optical isomers, are prohibited.
Fenoterol;
Formoterol;
Higenamine;
Indacaterol;
Olodaterol;
Procaterol;
Reproterol;
Salbutamol;
Salmeterol;
Terbutaline;
Tretoquinol (trimetoquinol);
Tulobuterol;
Vilanterol.
Except:
• Inhaled salbutamol: maximum 1600 micrograms over
24 hours in divided doses not to exceed 800 micrograms
over 12 hours starting from any dose;
• Inhaled formoterol: maximum delivered dose of
54 micrograms over 24 hours;
• Inhaled salmeterol: maximum 200 micrograms over
24 hours.
The presence in urine of salbutamol in excess of 1000 ng/mL
or formoterol in excess of 40 ng/mL is not consistent with
therapeutic use of the substance and will be considered as an
Adverse Analytical Finding (AAF) unless the Athlete proves,
through a controlled pharmacokinetic study, that the
abnormal result was the consequence of a therapeutic dose
(by inhalation) up to the maximum dose indicated above.
S3

5
HORMONE AND METABOLIC
MODULATORS
The following hormone and metabolic modulators
are prohibited:
1. Aromatase inhibitors including, but not limited to:
2-Androstenol (5α-androst-2-en-17-ol);
2-Androstenone (5α-androst-2-en-17-one);
3-Androstenol (5α-androst-3-en-17-ol);
3-Androstenone (5α-androst-3-en-17-one);
4-Androstene-3,6,17 trione (6-oxo);
Aminoglutethimide;
Anastrozole;
Androsta-1,4,6-triene-3,17-dione (androstatrienedione);
Androsta-3,5-diene-7,17-dione (arimistane);
Exemestane;
Formestane;
Letrozole;
Testolactone.
2. Selective estrogen receptor modulators (SERMs)
Raloxifene;
Tamoxifen;
Toremifene.
3. Other anti-estrogenic substances including, but not
limited to:
Clomifene;
Cyclofenil;
Fulvestrant.
4. Agents preventing activin receptor IIB activation
including, but not limited, to:
Activin A-neutralizing antibodies;
Activin receptor IIB competitors such as:
Decoy activin receptors (e.g. ACE-031);
Anti-activin receptor IIB antibodies (e.g. bimagrumab);
Myostatin inhibitors such as:
Agents reducing or ablating myostatin expression;
Myostatin-binding proteins (e.g. follistatin, myostatin
propeptide);
Myostatin-neutralizing antibodies (e.g. domagrozumab,
landogrozumab, stamulumab).
S4
5. Metabolic modulators:
5.1 Activators of the AMP-activated protein kinase
(AMPK), e.g. AICAR, SR9009; and Peroxisome
Proliferator Activated Receptor δ (PPARδ) agonists,
e.g. 2-(2-methyl-4-((4-methyl-2-(4-(trifluoromethyl)
phenyl)thiazol-5-yl)methylthio)phenoxy) acetic acid
(GW1516, GW501516);
5.2 Insulins and insulin-mimetics;
5.3 Meldonium;
5.4 Trimetazidine.
DIURETICS AND MASKING AGENTS
The following diuretics and masking agents are
prohibited, as are other substances with a similar chemical
structure or similar biological effect(s).
• Desmopressin; probenecid; plasma expanders,
e.g. intravenous administration of albumin, dextran,
hydroxyethyl starch and mannitol.
• Acetazolamide; amiloride; bumetanide; canrenone;
chlortalidone; etacrynic acid; furosemide; indapamide;
metolazone; spironolactone; thiazides, e.g. bendroflu-
methiazide, chlorothiazide and hydrochlorothiazide;
triamterene and vaptans, e.g. tolvaptan.
Except:
• Drospirenone; pamabrom; and ophthalmic use of
carbonic anhydrase inhibitors (e.g. dorzolamide,
brinzolamide);
• Local administration of felypressin in dental
anaesthesia.
The detection in an Athlete’s Sample at all times or
In-Competition, as applicable, of any quantity of
the following substances subject to threshold
limits: formoterol, salbutamol, cathine, ephedrine,
methylephedrine and pseudoephedrine, in conjunction
with a diuretic or masking agent, will be considered as
an Adverse Analytical Finding (AAF) unless the Athlete
has an approved Therapeutic Use Exemption (TUE) for
that substance in addition to the one granted for the
diuretic or masking agent.
S5

6
PROHIBITED METHODS
MANIPULATION OF BLOOD AND
BLOOD COMPONENTS
The following are prohibited:
1. The Administration or reintroduction of any quantity of
autologous, allogenic (homologous) or heterologous
blood, or red blood cell products of any origin into the
circulatory system.
2. Artificially enhancing the uptake, transport or delivery
of oxygen.
Perfluorochemicals; efaproxiral (RSR13) and modified
haemoglobin products, e.g. haemoglobin-based blood
substitutes and microencapsulated haemoglobin
products, excluding supplemental oxygen by inhalation.
3. Any form of intravascular manipulation of the blood or
blood components by physical or chemical means.
CHEMICAL AND PHYSICAL
MANIPULATION
The following are prohibited:
1. Tampering, or Attempting to Tamper, to alter the
integrity and validity of Samples collected during
Doping Control.
Urine substitution and/or adulteration, e.g. proteases.
2. Intravenous infusions and/or injections of more than
a total of 100 mL per 12-hour period except for those
legitimately received in the course of hospital
treatments, surgical procedures or clinical diagnostic
investigations.
M1
M2
GENE AND CELL DOPING
The following, with the potential to enhance sport
performance, are prohibited:
1. The use of polymers of nucleic acids or nucleic acid
analogues.
2. The use of gene editing agents designed to alter genome
sequences and/or the transcriptional,
post-transcriptional or epigenetic regulation of gene
expression.
3. The use of normal or genetically modified cells.
M3

7
IN ADDITION TO THE CLASSES S0 TO S5 AND M1 TO M3 DEFINED ABOVE, THE FOLLOWING CLASSES
ARE PROHIBITED IN-COMPETITION:
SUBSTANCES METHODS
PROHIBITED IN-COMPETITION
PROHIBITED SUBSTANCES
STIMULANTS
All stimulants, including all optical isomers, e.g.
d- and l- where relevant, are prohibited.
Stimulants include:
a: Non-Specified Stimulants:
Adrafinil;
Amfepramone;
Amfetamine;
Amfetaminil;
Amiphenazole;
Benfluorex;
Benzylpiperazine;
Bromantan;
Clobenzorex;
Cocaine;
Cropropamide;
Crotetamide;
Fencamine;
Fenetylline;
Fenfluramine;
Fenproporex;
Fonturacetam [4-phenylpiracetam (carphedon)];
Furfenorex;
Lisdexamfetamine;
Mefenorex;
Mephentermine;
Mesocarb;
Metamfetamine(d-);
p-methylamfetamine;
Modafinil;
Norfenfluramine;
Phendimetrazine;
Phentermine;
Prenylamine;
Prolintane.
A stimulant not expressly listed in this section
is a Specified Substance.
S6
b: Specified Stimulants.
3-Methylhexan-2-amine (1,2-dimethylpentylamine);
4-Methylhexan-2-amine (methylhexaneamine);
4-Methylpentan-2-amine (1,3-dimethylbutylamine);
5-Methylhexan-2-amine (1,4-dimethylpentylamine);
Benzfetamine;
Cathine**;
Cathinone and its analogues, e.g. mephedrone,
methedrone, and α - pyrrolidinovalerophenone;
Dimetamfetamine (dimethylamphetamine);
Ephedrine***;
Epinephrine**** (adrenaline);
Etamivan;
Etilamfetamine;
Etilefrine;
Famprofazone;
Fenbutrazate;
Fencamfamin;
Heptaminol;
Hydroxyamfetamine (parahydroxyamphetamine);
Isometheptene;
Levmetamfetamine;
Meclofenoxate;
Methylenedioxymethamphetamine;
Methylephedrine***;
Methylphenidate;
Nikethamide;
Norfenefrine;
Octopamine;
Oxilofrine (methylsynephrine);
Pemoline;
Pentetrazol;
Phenethylamine and its derivatives;
Phenmetrazine;
Phenpromethamine;
Propylhexedrine;
Pseudoephedrine*****;

8
Selegiline;
Sibutramine;
Strychnine;
Tenamfetamine (methylenedioxyamphetamine);
Tuaminoheptane;
and other substances with a similar chemical structure
or similar biological effect(s).
Except:
• Clonidine;
• Imidazole derivatives for topical/ophthalmic use
and those stimulants included in the 2019
Monitoring Program*.
* Bupropion, caffeine, nicotine, phenylephrine,
phenylpropanolamine, pipradrol, and synephrine: These
substances are included in the 2019 Monitoring Program, and
are not considered Prohibited Substances.
** Cathine: Prohibited when its concentration in urine is greater
than 5 micrograms per milliliter.
*** Ephedrine and methylephedrine: Prohibited when the
concentration of either in urine is greater than 10 micrograms
per milliliter.
**** Epinephrine (adrenaline): Not prohibited in local administration,
e.g. nasal, ophthalmologic, or co-administration with local
anaesthetic agents.
***** Pseudoephedrine: Prohibited when its concentration in urine
is greater than 150 micrograms per milliliter.
NARCOTICS
The following narcotics are prohibited:
Buprenorphine;
Dextromoramide;
Diamorphine (heroin);
Fentanyl and its derivatives;
Hydromorphone;
Methadone;
Morphine;
Nicomorphine;
Oxycodone;
Oxymorphone;
Pentazocine;
Pethidine.
CANNABINOIDS
The following cannabinoids are prohibited:
• Natural cannabinoids, e.g. cannabis, hashish and
marijuana,
• Synthetic cannabinoids e.g. Δ9-tetrahydrocannabinol
(THC) and other cannabimimetics.
Except:
• Cannabidiol.
GLUCOCORTICOIDS
All glucocorticoids are prohibited when administered
by oral, intravenous, intramuscular or rectal routes.
Including but not limited to:
Betamethasone;
Budesonide;
Cortisone;
Deflazacort;
Dexamethasone;
Fluticasone;
Hydrocortisone;
Methylprednisolone;
Prednisolone;
Prednisone;
Triamcinolone.
S7
S8
S9

9
SUBSTANCES PROHIBITED
IN PARTICULAR SPORTS
BETA-BLOCKERS
Beta-blockers are prohibited In-Competition only, in
the following sports, and also prohibited Out-of-Competition
where indicated.
• Archery (WA)*
• Automobile (FIA)
• Billiards (all disciplines) (WCBS)
• Darts (WDF)
• Golf (IGF)
• Shooting (ISSF, IPC)*
• Skiing/Snowboarding (FIS) in ski jumping, freestyle
aerials/halfpipe and snowboard halfpipe/big air
• Underwater sports (CMAS) in constant-weight apnoea
with or without fins, dynamic apnoea with and without
fins, free immersion apnoea, Jump Blue apnoea,
spearfishing, static apnoea, target shooting, and variable
weight apnoea.
*Also prohibited Out-of-Competition
Acebutolol; Labetalol;
Alprenolol; Metipranolol;
Atenolol; Metoprolol;
Betaxolol; Nadolol;
Bisoprolol; Oxprenolol;
Bunolol; Pindolol;
Carteolol; Propranolol;
Carvedilol; Sotalol;
Celiprolol; Timolol.
Esmolol;
P1

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