San MarinoTravelling with ADHD medication: rules, permits and documents
EuropeLast 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.
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
PrescriptionAtomoxetine, 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.
- Area Modulistica: FarmaceuticaGovernment
- Uffici ed Enti (elenco completo)Government
- Modulistica per gli utentiGovernment
- Informazioni per chi visita San MarinoGovernment
- Testi Coordinati (consolidated texts) index: the consolidated Codice Penale includes Legge 139/1997 as amended, from page 204Government
- Delegated Decree 64 of 2021, narcotics list (replaced in September 2026): amphetamines and dexamfetamine listed, methylphenidate and lisdexamfetamine not, page 1Government, 2021-04-15
- Law 73 of 2009, current article 1 of Law 139 of 1997: importing without authorisation is a criminal offence; personal use lawful only on an ISS-issued or ISS-recognised prescription, art 3, page 2Government, 2009-06-19
- Decree 91 of 2000: San Marino gives full effect to the 1971 Convention on Psychotropic Substances, page 1Government, 2000-09-18
- Law 139 of 1997 on drug offences, text as enacted (article 1 was replaced in 2009; see Law 73 of 2009)Government, 1997-11-26
- Delegated Decree 136 of 2026, narcotic and psychotropic tables: amphetamine, dexamfetamine and lisdexamfetamine in Table I, pages 22, 31 and 39; methylphenidate in Table IV, page 58; medicines table A, pages 61 to 62Government, 2026-09-10
- Istituto per la Sicurezza Sociale (ISS)Government
- Authority SanitariaGovernment
- Country Regulations for Travellers (index)Treaty body
Your trip pack
A doctor's letter for San Marino, 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 San Marino embassy or consulate before travelling.