1Short titleThis regulation may be cited as the Medicines and Poisons (Medicines) Amendment Regulation (No. 4) 2025.2CommencementThis regulation commences on 1 December 2025.3Regulation amendedThis regulation amends the Medicines and Poisons (Medicines) Regulation 2021.4Amendment of s 86 (Content of written prescription)Section 86(1)(m)—omit, insert—

(m)if the medicine is a restricted medicine—the details of the prescriber’s authorisation to prescribe the restricted medicine.Examples for paragraph (m)—

•the identifying number of the prescribing approval held by the prescriber

•the qualifications of the prescriber

5Amendment of s 87 (Additional content of written prescription for S8 medicine) (1)Section 87(2)(c)—omit, insert—

(c)if the S8 medicine is a psychostimulant medicine—

(i)words to indicate the condition being treated; or

(ii)the words ‘specified condition’ if the medicine is for the treatment of a specified condition.

(2)Section 87—insert—(7)In this section—specified condition means—

(a)ADHD; or

(b)brain injury; or

(c)narcolepsy.

6Amendment of s 161 (Selling S3 medicine with instructions for use)Section 161(3), example, ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device7Amendment of s 234 (Unlawful advertising of medicines)Section 234(2)(a)(ii)—omit, insert—

(ii)in accordance with the Therapeutic Goods Advertising Code under the Therapeutic Goods Act 1989 (Cwlth); or

8Amendment of sch 1 (Extended practice authorities and departmental standards)Schedule 1, part 1, table—omit, insert—NameVersionAboriginal and Torres Strait Islander health practitioners6Aboriginal and Torres Strait Islander health workers4Indigenous health workers5Queensland Ambulance Service5Midwives5Registered nurses6Pharmacists9Pharmacists—community pharmacy chronic conditions management pilot1Physiotherapists39Amendment of sch 2 (Categories of medicines)(1)Schedule 2, part 1, division 1, entry for hydroxychloroquine—omit.(2)Schedule 2, part 1, division 2, entries for amfetamines and methylphenidate—omit.(3)Schedule 2, part 1, division 2—insert—all psychostimulant medicines10Omission of sch 4, pt 1, div 3 (Specialist dentists)Schedule 4, part 1, division 3—omit.11Amendment of sch 4, pt 2 (Dental hygienists)Schedule 4, section 9, table, item 1, column 2, paragraph (a), first dot point—omit, insert—

•an adrenaline (epinephrine) device;

12Amendment of sch 4, pt 3 (Dental therapists)Schedule 4, section 11, table, item 1, column 2, paragraph (a), first dot point—omit, insert—

•an adrenaline (epinephrine) device;

13Amendment of sch 4, pt 4 (Oral health therapists)Schedule 4, section 13, table, item 1, column 2, paragraph (a), first dot point—omit, insert—

•an adrenaline (epinephrine) device;

14Amendment of sch 5, pt 2 (First aid providers)Schedule 5, section 6, table, item 1, column 2, paragraph (b), ‘adrenaline (epinephrine) autoinjector’—omit, insert—an adrenaline (epinephrine) device15Omission of sch 6, pt 1, div 4 (Continuing treatment with hydroxychloroquine)Schedule 6, part 1, division 4—omit.16Replacement of sch 6, pt 1, div 5 (Dealing with amfetamines or methylphenidates)Schedule 6, part 1, division 5—omit, insert—Division 5Dealing with psychostimulant medicines11Definition for divisionIn this division—relevant condition means—

(a)narcolepsy; or

(b)ADHD, or brain injury, of a child patient who is 4 years or more.

12Class of personA medical practitioner.13Dealing authorisedColumn 1DealingColumn 2MedicineColumn 3Scope of dealing1prescribea psychostimulant medicinethe medicine is prescribed for the treatment of a relevant condition2give a treatment dosea psychostimulant medicinethe medicine is given for the treatment of a relevant condition3dispensea psychostimulant medicinethe medicine is dispensed for the treatment of a relevant condition4administera psychostimulant medicinethe medicine is administered for the treatment of a relevant condition5give a purchase orderstock of a psychostimulant medicinethe stock is for the treatment of relevant conditions, other than at a specified place6possessa psychostimulant medicinethe medicine is possessed for a purpose mentioned in this column17Amendment of sch 6, pt 2, hdg (Specialist medical practitioners)Schedule 6, part 2, heading, after ‘practitioners’—insert—and registrars18Amendment of sch 6, pt 2, div 3 (Dermatologists)Schedule 6, section 22, ‘hydroxychloroquine,’—omit.19Omission of sch 6, pt 2, div 4 (Emergency medicine physicians)Schedule 6, part 2, division 4—omit.20Insertion of new sch 6, pt 2, div 5ASchedule 6, part 2—insert—Division 5AGeneral practitioners26ADefinition for divisionIn this division—adult ADHD means ADHD of an adult patient. 26B Class of personA medical practitioner who is a specialist registrant in general practice.26C Dealing authorisedColumn 1DealingColumn 2MedicineColumn 3Scope of dealing1prescribea psychostimulant medicinethe medicine is prescribed for the treatment of adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine2give a treatment dosea psychostimulant medicinethe medicine is given for the treatment of adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine3dispensea psychostimulant medicinethe medicine is dispensed for the treatment of adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine4administera psychostimulant medicinethe medicine is administered for the treatment of adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine5give a purchase orderstock of a psychostimulant medicinethe stock is for the treatment of adult ADHD, other than at a specified place6possessa psychostimulant medicinethe medicine is possessed for a purpose mentioned in this column21Amendment of sch 6, pt 2, div 8 (Haematologists)Schedule 6, section 32, ‘hydroxychloroquine,’—omit.22Omission of sch 6, pt 2, div 9 (Immunologists)Schedule 6, part 2, division 9—omit.23Amendment of sch 6, pt 2, div 10 (Infectious diseases specialists)Schedule 6, section 36, ‘hydroxychloroquine or’—omit.24Omission of sch 6, pt 2, div 11 (Intensive care physicians)Schedule 6, part 2, division 11—omit.25Omission of sch 6, pt 2, div 13 (Nephrologists)Schedule 6, part 2, division 13—omit.26Amendment of sch 6, pt 2, div 15 (Paediatricians)(1)Schedule 6, section 45—omit, insert—45Definitions for divisionIn this division—relevant child condition means ADHD, or brain injury, of a child patient. young adult ADHD means ADHD of an adult patient who is under 25 years.(2)Schedule 6, section 47—omit, insert—47 Dealing authorisedColumn 1DealingColumn 2MedicineColumn 3Scope of dealing1prescribe(a)a psychostimulant medicinethe medicine is prescribed— •for the treatment of young adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or•for the treatment of a relevant child condition(b)sodium oxybate2give a treatment dose(a)a psychostimulant medicinethe medicine is given— •for the treatment of young adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or•for the treatment of a relevant child condition(b)sodium oxybate3dispense(a)a psychostimulant medicinethe medicine is dispensed— •for the treatment of young adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or•for the treatment of a relevant child condition(b)sodium oxybate4administer(a)a psychostimulant medicinethe medicine is administered— •for the treatment of young adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or•for the treatment of a relevant child condition(b)sodium oxybate5give a purchase order(a)a psychostimulant medicinethe stock is for the treatment of young adult ADHD or relevant child conditions, other than at a specified place(b)sodium oxybatethe stock is not for a specified place6possess(a)a psychostimulant medicinethe medicine is possessed for a purpose mentioned in this column(b)sodium oxybate27Amendment of sch 6, pt 2, div 16 (Psychiatrists)(1)Schedule 6, section 48, definitions maximum dosage, relevant adult condition and relevant child condition—omit.(2)Schedule 6, section 48—insert—adult ADHD means ADHD of an adult patient. relevant child condition means ADHD, or brain injury, of a child patient.(3)Schedule 6, section 50—omit, insert—50 Dealing authorisedColumn 1DealingColumn 2MedicineColumn 3Scope of dealing1prescribe(a)clozapine, MDMA or psilocybine(b)a psychostimulant medicinethe medicine is prescribed— •for the treatment of adult ADHD up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or•for the treatment of a relevant child condition2give a treatment dose(a)clozapine(b)a psychostimulant medicinethe medicine is given— •for the treatment of adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or •for the treatment of a relevant child condition3dispense(a)clozapine(b)a psychostimulant medicinethe medicine is dispensed— •for the treatment of adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or•the treatment of a relevant child condition4administer(a)clozapine, MDMA or psilocybine(b)a psychostimulant medicinethe medicine is administered—•for the treatment of adult ADHD, up to an amount that does not exceed the maximum daily dose, if any, for the medicine; or•for the treatment of a relevant child condition5give a purchase order(a)stock of clozapine, MDMA or psilocybinethe stock is not for a specified place(b)stock of a psychostimulant medicinethe stock is for the treatment of adult ADHD or relevant child conditions, other than at a specified place6possess(a)clozapine, MDMA or psilocybine(b)a psychostimulant medicinethe medicine is possessed for a purpose mentioned in this column28Amendment of sch 6, pt 2, div 18 (Rheumatologists)Schedule 6, section 54, ‘hydroxychloroquine,’—omit.29Amendment of sch 6, pt 2, div 20 (Specialist physicians)Schedule 6, section 58, ‘hydroxychloroquine,’—omit.30Amendment of sch 7, pt 1 (Nurse practitioners)(1)Schedule 7, section 1, definition continuing hydroxychloroquine treatment—omit.(2)Schedule 7, section 3, table—omit, insert—Column 1DealingColumn 2MedicineColumn 3Scope of dealing1prescribe(a)a medicine, other than a restricted medicine(b)a restricted medicine, other than an approved opioidthe medicine is prescribed for administration by a health practitioner—•for the continuing institutional treatment of a patient; and•under the supervision of a registrar or specialist medical practitioner authorised to prescribe the medicine(c)an approved opioidthe medicine is prescribed for administration for the continuing opioid dependence treatment of a patient2make a standing order, other than a clinical protocolan S2, S3 or S4 medicine, other than an S4 diversion-risk medicine or restricted medicine3give a treatment dose(a)a medicine, other than a restricted medicine(b)a restricted medicine, other than an approved opioidthe medicine is given—•for the continuing institutional treatment of a patient; and•under the supervision of a registrar or specialist medical practitioner authorised to give the medicine4administer(a)a medicine, other than a restricted medicine(b)a restricted medicine, other than an approved opioidthe medicine is administered—•for the continuing institutional treatment of a patient; and•under the supervision of a registrar or specialist medical practitioner authorised to give the medicine(c)an approved opioidthe medicine is administered for the continuing opioid dependence treatment of a patient(d)any medicine, including a restricted medicinethe medicine is administered on a prescription5repackageany medicinethe medicine is repackaged for giving a treatment dose for a patient6give a purchase orderstock of an S4 or S8 medicinethe stock is not for a specified place7possessan S4 or S8 medicine mentioned in this columnthe medicine is possessed for a purpose mentioned in this column8disposewaste from a diversion-risk medicine mentioned in this column31Amendment of sch 7, pt 3, div 5 (Custodial nurses)Schedule 7, part 3, section 17, item 1, column 2, ‘amfetamine or methylphenidate’—omit, insert—a psychostimulant medicine32Insertion of new sch 7, pt 3, div 6Schedule 7, part 3—insert—Division 6Hospital and health service nurses17A Class of personA registered nurse employed by, or for, a Hospital and Health Service. 17BDealing authorisedColumn 1DealingColumn 2MedicineColumn 3Scope of dealing1give a treatment dosean S2, S3 or S4 medicine, other than a restricted medicinethe medicine is given—•for preparation of the bowel for a procedure; and•on a prescription or a standing order2possessan S4 medicinethe medicine is possessed for a purpose mentioned in this column33Amendment of sch 10, pt 2 (Podiatrists)Schedule 10, section 3, table, item 1, column 2, paragraph (b), ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device34Amendment of sch 12, pt 2 (Clinical perfusionists)Schedule 12, section 3(a), ‘at’—omit, insert—for35Amendment of sch 12, pt 3 (Nuclear medicine technologists)Schedule 12, section 6, table, item 1, column 2, ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device36Amendment of sch 12, pt 4 (Physiotherapists)Schedule 12, section 8, table, item 3, column 2, after ‘S4’—insert—or S837Amendment of sch 12, pt 5 (Respiratory scientists)(1)Schedule 12, section 9(a), ‘at’—omit, insert—for(2)Schedule 12, section 10, table, item 1, column 2, ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device38Amendment of sch 12, pt 6 (Speech pathologists)(1)Schedule 12, section 12(a), ‘at’—omit, insert—for(2)Schedule 12, section 13, table, item 1, column 2, ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device39Amendment of sch 13, pt 2 (School workers)Schedule 13, section 11, table, item 1, column 2, paragraph (a), ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device40Amendment of sch 13, pt 3 (Child care facilities)(1)Schedule 13, part 3, heading, ‘facilities’—omit, insert—workers(2)Schedule 13, section 16, table, item 1, column 2, paragraph (a), ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device41Amendment of sch 22 (Dictionary)(1)Schedule 22, definition adrenaline (epinephrine) autoinjector—omit.(2)Schedule 22—insert—ADHD means attention deficit hyperactivity disorder.adrenaline (epinephrine) device means an S3 medicine that is adrenaline (epinephrine) in a device designed to administer a single dose of the medicine for the purpose of managing anaphylaxis or allergic reactions.maximum daily dose, of a psychostimulant medicine, means—

(a)for dexamfetamine—40mg a day; or

(b)for lisdexamfetamine—70mg a day; or

(c)for methylphenidate—80mg a day.

psychostimulant medicine means an S8 medicine that is—

(a)dexamfetamine, lisdexamfetamine or another type of amfetamine; or

(b)methylphenidate.

specialist medical practitioner means a medical practitioner who is a specialist registrant in any field of practice. (3)Schedule 22, definition anaphylaxis training, paragraph (b), ‘adrenaline (epinephrine) autoinjector’—omit, insert—adrenaline (epinephrine) device