I think there’s a loophole with endurance athletes and asthma medication as well. But I would not immediately think, “mood or judgement altering” there.

We are still looking at whether over the counter pain killers are mood altering substances. I’ve seen circumstantial evidence of this in myself. (Though I don’t think I’d want me or a friend to fight on painkillers - reduced coagulation and bruises are no joke).