[The necessary dialogue between medicine and anti-doping for the integrity of sport and the athlete].

Rev Med Suisse

Recherche & expertise dans les sciences antidopage (REDs), Institut des sciences du sport, Synathlon - Quartier Centre - Bureau 2316, Université de Lausanne, 1005 Lausanne.

Published: July 2018

In the light of recurring anti-doping news, this article discusses some special cases and extends to the future prospects of developing effective anti-doping strategies. After recalling the current principles of the fight against doping, the use of substances tole-rated at a certain threshold, and the therapeutic use exemptions (TUE) are discussed. Authorized substances with a health risk for athletes are discussed before concluding on the development of the athlete's biological passport as a future common ground for anti-doping and medical follow-up of athletes. In conclusion, this approach emphasizes the imperative dialogue between anti-doping organizations and sports medicine in order to defend good practices preserving the intrinsic value of sport.

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