Most (if not all) typical asthma medications are not prohibited items except in extremely high doses. You have no issues to worry about. You don't need a physician's note or declare it or get a TUE or anything. You will not fail a drug test.
Here is WADA's prohibited list:
https://www.wada-ama.org/...t_2017_eng_final.pdf S3. Beta-2 Agonists
All beta-2 agonists are prohibited at all times by any route of administration (oral, inhaled, injected), except for:
- Inhaled Albuterol (also called salbutamol) in dosages under 1600 micrograms (mcg) in any 24-hour period (not to exceed 800 mcg in 12 hours)
- Inhaled Formoterol in dosages less than 54 mcg in any 24-hour period
- Inhaled Salmeterol in dosages not to exceed 200 mcg in any 24-hour period
If you use more than these amounts of albuterol, formoterol, or salmeterol, are taking a diuretic medication in conjunction with these inhalers, or using an inhaler with another beta-2 agonist (like pirbuterol, indacaterol, procaterol, reproterol, terbutaline, fenoterol, olodaterol, vilanterol or any other beta-2 agonist), you are required to submit a TUE for use. The table below is a guide to determine the dosage of albuterol, formoterol and salmeterol inhaled beta-agonists that may be used in sport without a TUE. However, an athlete should examine his/her inhaler closely to determine the exact dose delivered.
Examples of Inhaler Brands and Strengths
Recommended Dosing by Manufacturer
WADA MAXIMUM doses per 24 hours
Advair Diskus 100/50, 250/50, or 500/50
Each has salmeterol 50mcg per puff
1 puff twice each day
(=100 mcg salmeterol)
Do not take more than Salmeterol 200 mcg in 24 hours
Advair HFA 45/21, 115/21, or 230/21
Each has salmeterol 21 mcg per puff
2 puffs twice each day
(=84 mcg salmeterol)
Do not take more than Salmeterol 200 mcg in 24 hours
Albuterol 108 mcg per puff
(dosing 90 mcg of salbutamol)
ProAir, Proventil, Ventolin
1-2 puffs every 4 hours as needed for wheezing
Do not take more than 8 puffs in 12 hours
Bevespi Aerosphere 4.8/9
2 puffs twice each day
(=9.2 mcg formoterol)
Do not take more than 11 puffs a day
Dulera 100/5 or 200/5
Each has formoterol 5 mcg per puff
2 puffs twice each day
(=20 mcg formoterol)
Do not take more than 10 puffs a day
Foradil Aerolizer 12 mcg per puff
1 capsule inhaled every 12 hours
(=24 mcg formoterol)
Do not take more than 4 puffs a day
Serevent Diskus 50 mcg per puff
1 puff twice each day
(=100 mcg salmeterol)
Do not take more than Salmeterol 200 mcg in 24 hours
Symbicort 80 /4.5 or 160 /4.5
Each has formoterol 4.5 mcg per puff
2 puffs twice each day
(=18 mcg formoterol)
Do not take more than 12 puffs a day
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