Version May 2024
| Medication | Risks and implications | Our approach |
| Antibiotics | ||
| Fluoroquinolones | Tendinopathy/tendon rupture | Avoid if possible, stop if symptoms of tendon pain arise |
| Photosensitivity | Emphasize use of sunscreen and protective clothing, particularly if participating in outdoor sports | |
| QTc prolongation – May fail electrocardiogram (EKG) screening (if required for clearance for participation) | Reasonable to avoid where possible if athlete will have electrocardiogram (EKG) checked for clearance/eligibility | |
| Macrolides | QTc prolongation – May fail EKG screening (if required for clearance for participation) | Reasonable to avoid where possible if athlete will have electrocardiogram checked for clearance/eligibility |
| Tetracyclines/sulfonamides | Photosensitivity | Emphasize use of sunscreen and protective clothing, particularly if participating in outdoor sports |
| Any antibiotic | Antibiotic-associated diarrhea – Decreased performance/increased risk for dehydration | Use narrow-spectrum antibiotics, avoid extended courses |
| Fatigue (possible) – Impaired performance | When possible, avoid dosing antibiotics (eg, prophylactic antibiotics for acne) around the time of competition | |
| Medications used for symptom relief | ||
| Expectorants | None | May be used |
| Antihistamines | Anticholinergic effects – Increased risk of dehydration/heat illness | Advise to stay well-hydrated |
| Sedation – Increased risk of injury | Avoid in competition | |
| Antitussives | Fatigue – Increased risk of injury | Use with caution |
| Oral decongestants | May contain banned substances | Avoid in competition |
| Dehydration/hyperthermia | Advise to stay well-hydrated | |
| Antipyretics | May mask a fever | Should not be used to mask fever in order to allow participation in competition |
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