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Don’t Leave Your Mail Order Medicine Out in the Cold

Does your medicine come in the mail? That could be bad at this time of year. Pill organizers can also pose problems. Find out why a blister pack is better.

Why Mail-Order medicine Poses a Problem:

More and more people are getting prescription medicines through the mail. That’s because their insurance companies are encouraging them to use specific mail-order pharmacy services to save money.

This seems like a great idea on the surface, but at this time of year mail order medicine could pose problems. Cold temperatures and moisture from snow, sleet and rain can affect many medications.

Delivery services such as UPS, FedEx and the U.S. Postal Service do not deliver most packages in temperature- or humidity-controlled vehicles. Your medicine may ride around in freezing weather for hours and then be left in the mail box or on the doorstep for hours longer.

Why Transporting Mail Order Medicine Matters:

Why is this a problem? Check the official prescribing information for most medicines and you will discover that they are supposed to be kept within a narrow temperature range (68 to 77 degrees Fahrenheit). Temporary fluctuations of 59 to 86 degrees are usually okay, but in the winter medicine is likely to get much colder than 59 degrees in many parts of the country.

FDA Drug Storage Alert for Pradaxa:

A new alert from the Food and Drug Administration tells why this is so important. Pradaxa (dabigatran) is an anticoagulant pill that helps prevent blood clots and is used to ward off strokes. The FDA warns that Pradaxa capsules must be kept in their original packaging and protected from “excessive moisture, heat, and cold.” That means they should not be allowed to freeze in the back of a delivery vehicle.

Pill Organizers Can Be Troublesome:

Once Pradaxa is delivered to patients, the capsules should not be loaded into a multi-compartment pill organizer. Many older people find such boxes helpful to keep their medication regimen straight. They may put pills into a weekly reminder box to keep from skipping or duplicating doses.

The trouble is that these containers are rarely airtight. Consequently, moisture can penetrate. In the case of Pradaxa, this can break down the medication.

Keep Pills out of the Bathroom Medicine Chest:

Drugs should never be stored in the bathroom medicine cabinet for the same reason. Moisture is the enemy of many medicines. Take a look at the mirror the next time you step out of the shower. If it’s fogged over you know that the humidity in your bathroom is too high for safe drug storage.

Blister Packs to the Rescue:

One way to bypass the moisture problem is to use blister packs. Pradaxa is sold in both bottles and blister packs. The blister pack should protect the pills from moisture.

Some companies offer customized bubble packs with every medication organized and listed. That way the patient has the benefits of an easy-to-follow regimen without the pills being exposed to humidity. One such service is CurantHealth.com. This doesn’t solve the problem of freezing in the winter and roasting in the summer, but it does help eliminate the moisture concerns.

How Do You Get Your Medicine Home?

Even people who purchase their medicines in a local pharmacy are not home free. If they leave their medication in the glove box, the trunk or on the seat while they do other errands, the changes in temperature may affect their drugs. Liquid medicine may be especially vulnerable.

Now that so many prescriptions have become so pricey, they deserve to be treated like expensive wine or fresh fish. Don’t leave them sitting around where they could deteriorate.

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About the Author
Joe Graedon is a pharmacologist who has dedicated his career to making drug information understandable to consumers. His best-selling book, The People’s Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. In 2006, Long Island University awarded him an honorary doctorate as “one of the country's leading drug experts for the consumer.”.
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