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The World Anti-Doping Agency will add the painkiller tramadol to the list of banned substances for athletes in competition from 2024 and has maintained its ban on cannabis after a review.

“Tramadol abuse, with its dose-dependent risks of physical dependence, opiate addiction and overdoses in the general population, is of concern and has led to it being a controlled drug in many countries,” WADA said in a news release.

Former England soccer goalkeeper Chris Kirkland said in July he had been driven to the point of suicide by his addiction to, and abuse of, tramadol after using the opioid to treat back injuries. The ban on cannabis came into focus last year when American sprinter Sha’Carri Richardson was ruled out of the Tokyo Olympics 100 metres after receiving a one-month ban for using the drug in the wake of her mother’s death.

After requests from some “stakeholders”, however, WADA agreed to review the cannabis ban but decided on Friday to maintain it because the use of the drug “violated the spirit of sport”.

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