What is the process for prescribing in each state
Prescribing Schedule 8 Medications for ADHD: Patient Stability and Transfer of Care
Our clinic follows strict guidelines to ensure the safe prescribing of Schedule 8 (S8) medications. These medications, which include dexamphetamine, lisdexamfetamine, and methylphenidate, are highly regulated across Australia due to their potential for misuse.
Initial Treatment and Stabilization
• Patients starting S8 medications for ADHD must remain under the supervision of a specialist ( psychiatrist, paediatrician, or neurologist) until their condition stabilizes.
• This stabilization period is typically a minimum of six months. During this time, the specialist will closely monitor the patient’s response to ensure the correct dosage and effectiveness.
Transfer of Prescribing Responsibilities to a GP
• Once the patient is stable for at least six months, the specialist may provide a letter authorizing the patient’s GP to continue the prescription.
• The GP must then apply for an approval, which is valid for up to three years, provided there are no changes in the medication or dosage.
State-Specific Requirements
Each state in Australia has specific regulations for prescribing S8 medications. Below are some key guidelines for the states we serve:
• New South Wales (NSW): A Ministry of Health authority is required to prescribe psychostimulants. GPs must apply for continued prescribing after the patient is stabilized for two months or longer .
• Victoria (VIC): A permit is necessary for patients being treated with certain S8 drugs for more than eight weeks .
• Queensland (QLD) and Tasmania (TAS): Prescribing S8 medications for more than two months requires special approval .
Compliance and Monitoring
It’s important that GPs follow the legal framework to ensure ongoing safety in managing ADHD treatment. These requirements include applying for the necessary approvals and ensuring that the patient’s medication remains consistent with what was prescribed by the specialist.
For more information or specific state forms and guidelines, visit: