Kratom | North Macedonia Flag: North Macedonia

The Macedonian Law on Control of Drugs and Psychotropic Substances takes into consideration the UN conventions’ lists regarding controlled substances, therefore kratom is not officially listed. However, there is a draft for a new law, more generic regarding psychoactive substances that must be carefully interpreted.

National drug strategy and laws

The drug policy in North Macedonia is changing from punitive laws towards a public health approach. The possession of drugs for personal use is not a crime, and drug use is considered a misdemeanour against public order and is penalised with fines. On the other hand, production, sale, possession for sale, and enabling the use of drugs are all considered to be criminal offences. In practice, however, possession is most often treated within the framework of the Criminal Code.

Most drug-related cases in the courts are based on article 215 “The unauthorised production and release for trade of narcotic drugs and other psychotropic substances and precursors”.

The Criminal Code is not specific about the distinction between small and large quantities, which is why the Public Prosecutor’s office adopted internal guidelines which lists the cut-off levels for different types of drugs. Thus, according to the Public Prosecutor’s office, a lesser quantity is considered to be 5 grams of marijuana, or 2 grams of heroin or cocaine.


Based on Article 16, paragraph 1, item 5 and paragraph 3 of the Law on Health Protection (Official Gazette of the Former Yugoslav Republic of Macedonia, no. 43/2012 and 145/2012), the Government adopts an annual Healthcare Programme for People with Addictions, and approves the treatment budget.

Treatment provided under the Healthcare Programme (including treatment in day hospitals, hospital treatment for 30–90 days, and treatment following a court order) is a combination of pharmacotherapy and psychotherapy, which is carried out following an assessment of the needs of the addict and his or her family

The main method of drug addiction treatment for opiate addiction in North Macedonia uses methadone or buprenorphine to prevent withdrawal symptoms.

The organisations that provide methadone substitution therapy and buprenorphine therapy under the Healthcare Programme are: the University Clinic of Toxicology, Skopje; the Psychiatric Hospitals, Skopje; drug abuse treatment units within the hospitals in Tetovo, Veles, Kumanovo, Strumica, Shtip, Gevgelija, Ohrid, Bitola and Kavadarci; the remand prison ‘Skopje’; and Idrizovo Prizon, Skopje.

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