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San MarinoTravelling with ADHD medication: rules, permits and documents

Europe

Last checked 20 Jul 2026Low confidence: check with the embassyHow we rate a record

San Marino treats these medications differently. Of the 7 we track, 4 have no published rule we could find and 3 need only your prescription.

Serious penalties: San Marino's drug law (Law 139 of 1997, article 1, as replaced by Law 73 of 2009) makes it a criminal offence to import a listed substance without authorisation. Holding a listed substance without authorisation, even with no commercial purpose, and personal use are also criminal offences. The only exemption is for personal use that follows a prescription issued by San Marino's social security institute (Istituto per la Sicurezza Sociale) or recognised by it as valid. That exemption is written for use, not for bringing the medicine in, and San Marino publishes nothing on how a foreign prescription is recognised or how a traveller obtains an import authorisation.

We could not find strong recent official guidance for this country. Contact the embassy or consulate directly before you travel.

ActionA written answer from Authority Sanitaria della Repubblica di San Marino naming your medication, before you book
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By medication

Brand names first, generic in brackets. Each line resolves the drug class rule below, plus anything San Marino records specifically for that medication.

  • Vyvanse (lisdexamfetamine)Unclear

    Named in its own right ('lisdexamfetamina') in Tabella I (page 39) and Section A of the medicines table (page 61) of Decreto Delegato 136/2026, the same places as dexamfetamine, so it takes the same treatment as dexamfetamine. Art. 1 of Legge 139/1997 reaches it in full, including the offence of importing a listed substance without authorisation. Art. 1 (as replaced by Law 73 of 2009) has an exemption that covers personal use only and requires an ISS-issued or ISS-recognised prescription, with no published route to that recognition and no description of the introduction authorisation, so the position is unclear on the same reasoning as the narcotic class.

  • Ritalin, Concerta (methylphenidate)Unclear

    On the schedule: 'Metilfenidato' is in Tabella IV (page 58) and Section A of the medicines table (page 62, special prescription in triplicate) of Decreto Delegato 136/2026, which replaced the Legge 139/1997 Art. 12 list in September 2026. Art. 1 therefore reaches it, including the offence of importing a listed substance without authorisation. Art. 1 (as replaced by Law 73 of 2009) has an exemption that covers personal use only and requires an ISS-issued or ISS-recognised prescription, with no published route to that recognition and no description of the introduction authorisation, so the position is unclear on the same reasoning as the narcotic class.

  • Dexedrine (dexamfetamine)Unclear

    Named ('Destroamfetamina') in Tabella I (page 31) and Section A of the medicines table (page 61) of Decreto Delegato 136/2026, which replaced the Legge 139/1997 Art. 12 list in September 2026, so Art. 1 reaches it in full, including the offence of importing a listed substance without authorisation. Art. 1 (as replaced by Law 73 of 2009) has an exemption that covers personal use only and requires an ISS-issued or ISS-recognised prescription, with no published route to that recognition and no description of the introduction authorisation, so the position is unclear on the same reasoning as the narcotic class.

  • Strattera (atomoxetine)Prescription

    Atomoxetine, guanfacine and viloxazine are not internationally controlled; standard prescription medicine rules apply on the entry route via Italy.

  • Adderall (mixed amphetamine salts)Unclear

    Covered: Amfetamina (page 22) and Destroamfetamina (page 31) are each named in Tabella I of Decreto Delegato 136/2026, and the tables expressly include salts (page 69, point 2). Art. 1 of Legge 139/1997 therefore reaches mixed amphetamine salts in full, including the offence of importing a listed substance without authorisation. Art. 1 (as replaced by Law 73 of 2009) has an exemption that covers personal use only and requires an ISS-issued or ISS-recognised prescription, with no published route to that recognition and no description of the introduction authorisation, so the position is unclear on the same reasoning as the narcotic class.

  • Intuniv (guanfacine)Prescription

    The same rule as Strattera above.

  • Qelbree (viloxazine)Prescription

    The same rule as Strattera above.

Rules by drug class

Narcotic (opioids)

Unclear
Quantity
No quantity, day-supply figure or cap is published anywhere in Legge 139/1997 or Decreto Delegato 64/2021. The only condition the statute states is qualitative (possession conforming to an ISS-issued or ISS-recognised prescription), and no source characterises any basis, so basis is omitted rather than asserted.
Permit
Not published.
Documents
prescription

Psychotropic (ADHD stimulants, benzodiazepines, sleep)

Unclear
Quantity
No quantity limit is published for any ADHD stimulant, scheduled or not, so there is no number whose basis could be characterised and basis is omitted.
Permit
Not published.

Not internationally controlled

Prescription

Atomoxetine, guanfacine and viloxazine are not internationally controlled; standard prescription medicine rules apply on the entry route via Italy.

Responsible authority

Authority Sanitaria della Repubblica di San Marino

info.authority@pa.sm; Tel +378 0549 887032. For narcotics and psychotropics: sabrina.villa@pa.sm (+378 0549 887036) or erika.giardi@pa.sm (+378 0549 887035).

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.

Your trip pack

A doctor's letter for San Marino, filled in with your medications and your stops, ready to sign.

A$59

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 pack

This 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 San Marino embassy or consulate before travelling.