859 EP081 – Analgesic optimization protocol for youth athletes at the 2024 Gangwon youth olympic games: after banned tramadol and glucocorticoids local injections in-competition use

Background The ban on tramadol by World Anti-Doping Agency (WADA) starting 2024 will pose a quandary, requiring alternative pain management solutions. Additionally, the Therapeutic Use Exemptions (TUE) requirement on glucocorticoids local injections (GC-INJ) necessitates prescribers to be adept with alternatives, making it imperative to have clear protocols. Objective It is to evaluate at-a-glance but meticulous analgesic optimization protocols (AOP) focusing on details of non-steroidal anti-inflammatory drugs (NSAIDs) ensuring for prescribers select the most suitable analgesics during the Youth Olympic Games. Design Qualitative and survey research. The Pharmacy Guide is updated with AOP to elucidate NSAID selection based on injury specifics, with dosages, formulation, combination uses tailored to injury severity and athlete physiology. The Pharmacy Guide will be evaluated by experts' surveys. Setting At the 2024 Gangwon Youth Olympic Games. Participants Prescribers at the Games Interventions AOP implementation Main Outcome Measurements 1. AOP development for the Pharmacy Guide 2. Feedbacks by experts' opinions Results The Pharmacy Guide is developed by updating according to recent changes of the WADA Prohibited Lists in tramadol and GC-INJ. The alternatives of tramadol and GC-INJ were suggested considering the severity and types of pain. Initial feedback from prescribers will be analyzed quantitatively and qualitatively to evaluate the reception metrics regarding the AOP in the Pharmacy Guide. Nevertheless, a commitment to continuous improvement ensures the AOP's reliance, responding to emerging needs for preventing worsening of injury related pain and emotional stress. Conclusions The 2024 Gangwon Youth Olympic Games amplifies the challenges in analgesic uses, accentuated by strict changes of anti-doping regulations of tramadol and GC-INJ use In-Competition. Our newly updated Pharmacy Guide endeavors to arm practitioners with the requisite knowledge and tools.