North MacedoniaTravelling with ADHD medication: rules, permits and documents
EuropeLast checked 20 Jul 2026Medium confidenceHow we rate a record
North Macedonia treats these medications differently. Of the 7 we track, 3 come in on paperwork with a supply cap, 1 has no published rule we could find and 3 need only your prescription.
Serious penalties: Possessing a Lists II/III medicine without medical documentation, or in a quantity above the Article 45 7-day/15-day limit, fineable 3,000-5,000 EUR equivalent under Article 93(7).
By medication
Brand names first, generic in brackets. Each line resolves the drug class rule below, plus anything North Macedonia records specifically for that medication.
- Vyvanse (lisdexamfetamine)Not named: Unclear
Lisdexamfetamine (Vyvanse) is not named in North Macedonia's law (Lists classifying narcotic drugs and psychotropic substances, Official Gazette 104 of 10 May 2021: narcotic categories 1 to 3 and psychotropic categories 1 to 4, pages 1 to 19), so no rule for it is published. Ask the authority listed here before you travel.
- Ritalin, Concerta (methylphenidate)Restrictedmax 7 days' supply
You may carry up to 7 days' supply for your own use, and only with medical documentation. When you cross the border you must tell the customs officer the medicine's name and quantity and show that documentation (Law on Control of Narcotic Drugs and Psychotropic Substances, article 45). The law sets out no permit for this. The customs administration says foreign travellers should hold a confirmation from their home health institution that the medicine, in that quantity, is needed for their own treatment.
- Dexedrine (dexamfetamine)Restrictedmax 7 days' supply
The same rule as Ritalin, Concerta above.
- Strattera (atomoxetine)Prescription
Atomoxetine, guanfacine and viloxazine are not narcotic/psychotropic; a home-country doctor's certificate for personal use suffices without the Bureau for Drugs licence.
- Adderall (mixed amphetamine salts)Restrictedmax 7 days' supply
The same rule as Ritalin, Concerta above.
- Intuniv (guanfacine)Prescription
The same rule as Strattera above.
- Qelbree (viloxazine)Prescription
The same rule as Strattera above.
Rules by drug class
Narcotic (opioids)
Prescription- Quantity
- 7 days. 15 days for substitution therapy of dependence, or terminal-phase palliative therapy.
- Permit
- Not required.
- Documents
- medical certificate
Psychotropic (ADHD stimulants, benzodiazepines, sleep)
Restricted- Quantity
- 7 days. At most 7 days' supply for personal use. A 15-day allowance exists only for people on substitution therapy for addiction or on symptomatic therapy in the terminal phase of cancer.
- Permit
- Not required.
- Documents
- Doctor's letter
- A confirmation from your home health institution that the medicine, in that quantity, is needed for your own treatment. This is how the Customs Administration describes the medical documentation the law requires (Law on Control of Narcotic Drugs and Psychotropic Substances, article 45).
- Customs declaration
- When you cross the border, tell the customs officer the medicine's name and quantity and show the medical documentation (Law on Control of Narcotic Drugs and Psychotropic Substances, article 45). The law names no form.
- Doctor's letter
Not internationally controlled
PrescriptionAtomoxetine, guanfacine and viloxazine are not narcotic/psychotropic; a home-country doctor's certificate for personal use suffices without the Bureau for Drugs licence.
Connecting through North Macedonia
The same rules as entry. The Customs Administration says border customs offices approve transit and temporary import for foreign passengers when the medicines are for their personal use and they hold a confirmation from their home health institution that the medicines, in that quantity, are needed for their own treatment. The law's limit of 7 days' supply on medical documentation, declared to the customs officer, applies to anyone crossing the border (article 45). Nothing separate is published for a passenger who stays airside.
Responsible authority
Bureau for Drugs (Bureau for Medicines), Ministry of Health of the Republic of North Macedonia
Ministry of Health, 15 50 Divizija Street, Skopje; email contact@zdravstvo.gov.mk; phone +389 2 3112 500
Sources
The sources behind everything above, so you can check it yourself rather than take our word for it. Always confirm the current rule with the source before you travel.
- Ministry of Health medicines/legislation portal, document index pageGovernment
- Customs Administration, Medicines page: quotes article 45 (7 days on medical documentation, declared to customs); foreign passengers hold a confirmation from their home health institutionGovernment
- Law on Control of Narcotic Drugs and Psychotropic Substances (2008, original text): 7 days' supply on medical documentation, declared to customs, art 45, pages 16 to 17Government, 2008-08-19
- Lists of narcotic drugs and psychotropic substances (Služben vesnik 112/2009): amphetamine, dexamfetamine and methylphenidate in psychotropic category 2, page 38; lisdexamfetamine not namedGovernment, 2009-09-09
- MALMEDGovernment
- Information not yet provided by countryTreaty body
Your trip pack
A doctor's letter for North Macedonia, filled in with your medications and your stops, ready to sign.
The rules above are free and stay free. The pack is the paperwork that goes with them: a checklist for each stop in travel order, a printable PDF, and the letter to take to your GP.
Build your trip packThis page organises publicly available government information and links. It is not legal or medical advice. Rules change and enforcement varies, so always confirm with the official sources above or the North Macedonia embassy or consulate before travelling.