Law and everyday life

Law and everyday life

The prescription answers the medical question. It does not answer the ones that follow: may I drive? What happens at a roadside check? Can I travel? These questions get asked across the borders and are answered quite differently in the three countries — and here a mistake costs not money but the driving licence.

Driving — three countries, three systems

Autofahren in drei Systemen: Deutschland mit Grenzwert und Patientenausnahme, Österreich ohne Grenzwert und ohne vergleichbare Ausnahme, Schweiz mit Nulltoleranz und PatientenausnahmeDeutschlandREGELGrenzwert 3,5 ng/mlFÜR PATIENT:INNENAusnahme bei ärztlicher Verordnung§ 24a Abs. 4 StVGÖsterreichREGELkein GrenzwertFÜR PATIENT:INNENkeine vergleichbare Ausnahme§ 5 Abs. 1 StVOSchweizREGELNulltoleranz ab 1,5 µg/LFÜR PATIENT:INNENAusnahme bei ärztlicher VerschreibungArt. 2 Abs. 2ter VRV
Alle drei Ausnahmen enden dort, wo tatsächliche Fahrunsicherheit beginnt — kein Rezept erlaubt das Fahren im Rausch. Und in allen drei Ländern läuft das Verfahren der Fahrerlaubnisbehörde getrennt vom Straf- oder Bußgeldverfahren.

The diagram above is kept in German because it is a drawn figure rather than copy. It reads: Germany applies a limit of 3.5 ng/ml with an exception for patients holding a medical prescription (§ 24a Abs. 4 StVG); Austria has no limit and no comparable exception, working instead from the impaired state under § 5 Abs. 1 StVO; Switzerland applies zero tolerance from a detection limit of 1.5 µg/L with an exception for patients holding a medical prescription (Art. 2 Abs. 2ter VRV). The caption underneath adds that all three exceptions end where actual unfitness to drive begins — no prescription permits driving while intoxicated — and that in all three countries the licensing authority's procedure runs separately from the criminal or administrative-fine proceedings.

Germany

Patients are exempt from the THC limit — but not from criminal liability if they are in fact unfit to drive.

Details for Germany

Austria

Austria has no THC limit. What counts is being impaired — established by a medical examination.

Details for Austria

Switzerland

Zero tolerance — with an explicit exception for patients.

Details for Switzerland

The short version, because it is so often confused: Germany has a limit and exempts patients from it. Switzerland has zero tolerance and exempts patients from it. Austria has no limit at all — there the medical examination decides, and there is no exception in that sense.

Travel

Within the Schengen area you travel with a certificate under Article 75 of the Convention Implementing the Schengen Agreement. Who issues and authenticates it differs by country — in Germany the supreme health authority of the federal state, in Austria the public health officer of the district administrative authority, in Switzerland the pharmacy.

Travelling with a cannabis prescription

At a police check

  • Carry the evidence with you. The prescription or the pharmacy label bearing your name, ideally together with a short medical certificate confirming the ongoing therapy. The exception for patients applies only where use as directed can be evidenced — in German higher-court decisions of 2026 it failed on exactly that point.
  • Say that you are in treatment. Concealing it does not help; the laboratory analysis will find it anyway.
  • The exception does not protect against being unfit to drive. Anyone who drives while actually impaired commits an offence regardless of any prescription. No prescription permits driving while intoxicated.
  • Administrative and criminal proceedings are separate. Even where fine proceedings are discontinued, the driving licence authority can take steps of its own. Anyone affected should seek a lawyer, not a forum.