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African News Herald > Blog > Health > Monthly prescription rule blocks ADHD treatment for South African children –
Health

Monthly prescription rule blocks ADHD treatment for South African children –

ANH Team
Last updated: June 11, 2025 11:34 pm
ANH Team
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Rescheduling methylphenidate to a schedule five drug does not mean that it will be freely available over the counter. It simply means that doctors will be able to prescribe the medication for longer periods, reducing the need for monthly visits and making it more accessible to those who need it. 

Improved treatment adherence

By allowing doctors to prescribe six-monthly scripts of methylphenidate, patients with ADHD will have better treatment adherence. This means that they are more likely to stick to their treatment plan, leading to better outcomes in terms of symptom management and overall quality of life. 

With fewer barriers to access, patients will be able to focus on their treatment and well-being, rather than worrying about the logistics of getting a new prescription every month. This will ultimately lead to more successful treatment outcomes and improved long-term health for individuals with ADHD.  

Reduced burden on healthcare system

By making methylphenidate more accessible through rescheduling, we can reduce the burden on the healthcare system. Currently, the scheduling restrictions create unnecessary barriers to treatment, leading to gaps in care and poorer health outcomes for individuals with ADHD. By streamlining the prescribing process, we can ensure that more people receive the treatment they need, ultimately reducing the strain on healthcare resources in the long run. 

In conclusion, rescheduling methylphenidate to a schedule five drug is a necessary step to improve access to treatment for individuals with ADHD. By removing unnecessary barriers to care, we can ensure that more people receive the medication they need to manage their symptoms and lead healthy, productive lives. It’s time for our healthcare policies to reflect the needs of those who rely on these medications for their well-being.

The article discusses the challenges faced by individuals with ADHD in accessing treatment due to the current scheduling restrictions on methylphenidate, a key medication for managing the condition. The author highlights the impact of untreated ADHD on individuals and their families, emphasizing the need for improved access to medication.

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The article calls for the rescheduling of methylphenidate to a schedule five drug, which would allow doctors to prescribe the medication for longer periods, reducing the need for monthly visits and improving treatment adherence. The author argues that this change would not only benefit individuals with ADHD but also reduce the burden on the healthcare system by streamlining the prescribing process.

Overall, the article makes a compelling case for policy change to improve access to essential medications for individuals with ADHD. By addressing the current barriers to care, the healthcare system can better support individuals with ADHD in managing their symptoms and improving their overall quality of life. Rescheduling Methylphenidate: A Step Towards Improving Access and Adherence to ADHD Medication

The misuse of methylphenidate, a medication commonly used to treat ADHD, is a growing concern. Despite strict scheduling regulations, individuals determined to misuse the drug find ways to do so, whether through doctor’s prescriptions, obtaining it from friends, or buying it illegally. This raises the uncomfortable truth that while scheduling aims to prevent abuse, it may also restrict access for genuine patients who rely on the medication to thrive.

A recent South African study revealed that only a fraction of students who used methylphenidate had been diagnosed with ADHD, highlighting the issue of medication misuse. On the other hand, individuals with ADHD face challenges in adhering to their prescribed medication due to the monthly script requirement. This can lead to suboptimal treatment outcomes and hinder their ability to manage their condition effectively.

Moreover, rescheduling methylphenidate does not imply deregulation but rather a more nuanced approach to ensure better access and adherence to medication. By streamlining the prescription process and reducing administrative barriers, patients with ADHD are more likely to take their medication correctly, leading to improved treatment outcomes and overall quality of life.

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Interestingly, the need for rescheduling extends beyond ADHD medication. South Africa’s HIV plan for 2023–2028 advocates for moving certain antidepressants and anti-anxiety medications from schedule five to schedule four drugs, allowing trained nurses to prescribe them. This shift aims to address mental health challenges faced by individuals with HIV and improve treatment adherence among this population.

In essence, rescheduling methylphenidate and other psychiatric medications is about prioritizing inclusivity, access, and patient-centered care. It is a step towards empowering patients, families, and healthcare providers to navigate the complexities of managing chronic conditions effectively. By reevaluating scheduling policies and embracing a more holistic approach to medication management, we can ensure that individuals receive the care they need to thrive.

In response to calls for rescheduling, Sahpra’s chief executive, Boitumelo Semete-Makokotlela, acknowledges the need for scientific evidence and data to support such changes. The process involves thorough review by expert committees and careful consideration of all relevant information before making a decision.

Overall, rescheduling methylphenidate and other psychiatric medications is a crucial step towards enhancing access, adherence, and patient outcomes. It reflects a commitment to promoting holistic healthcare and addressing the unique needs of individuals living with chronic conditions. As we navigate the complexities of medication management, let us prioritize inclusivity, empowerment, and healing for all. The world of fashion is constantly evolving, with new trends emerging each season and designers pushing the boundaries of creativity. One trend that has been gaining popularity in recent years is sustainable fashion. As consumers become more aware of the environmental impact of the fashion industry, they are seeking out clothing that is made ethically and with minimal impact on the planet.

Sustainable fashion encompasses a wide range of practices, from using organic and recycled materials to producing clothing in ethical working conditions. One of the key principles of sustainable fashion is to reduce waste and minimize the use of resources. This means using eco-friendly materials such as organic cotton, hemp, and bamboo, as well as recycled fabrics like polyester made from plastic bottles.

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In addition to using sustainable materials, many fashion brands are also focusing on reducing their carbon footprint by producing clothing locally and using eco-friendly production methods. This includes using natural dyes and avoiding harmful chemicals in the manufacturing process. Some brands are even experimenting with innovative technologies such as 3D printing to create clothing in a more sustainable way.

Another important aspect of sustainable fashion is promoting fair labor practices and ensuring that workers are paid a living wage and have safe working conditions. Many sustainable fashion brands are transparent about their supply chain and work closely with factories to ensure that workers are treated fairly.

Consumers are increasingly seeking out sustainable fashion brands, not only because of their commitment to ethical practices, but also because of the unique and stylish designs they offer. Sustainable fashion is no longer just about basic, earthy clothing – it can be high fashion, with innovative and cutting-edge designs that rival those of traditional luxury brands.

As the demand for sustainable fashion continues to grow, more and more designers and brands are embracing this movement and incorporating sustainable practices into their collections. From small indie labels to major fashion houses, sustainability is becoming a key focus for the industry as a whole.

In conclusion, sustainable fashion is not just a passing trend – it is a movement that is here to stay. By supporting brands that prioritize ethical and eco-friendly practices, consumers can make a positive impact on the planet and help shape the future of the fashion industry. Whether you’re looking for a chic new outfit or simply want to make more conscious choices with your wardrobe, sustainable fashion offers something for everyone.

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