Can Heat Affect How Your Medicines Work?

Why Heat Is a Problem for Medicines

Most medicines are formulated to be stored at room temperature generally below 25°C, as stated on most patient information leaflets. When medicines are exposed to higher temperatures, the active ingredients can start to break down faster than they’re supposed to. This doesn’t always change how a tablet looks, smells or tastes, which is what makes it tricky. A medicine can lose potency without any obvious warning signs.

Insulin

Can lose effectiveness within hours in heat

Adrenaline Auto-Injectors

e.g. EpiPen — vulnerable to extreme heat & cold

Thyroid Medicines

Temperature-sensitive

GTN Tablets & Sprays

Glyceryl trinitrate

The Contraceptive Pill

Effectiveness can drop over time

Certain Antibiotics

Check the leaflet
Left one of these in a hot car or direct sunlight for a while? Ask your pharmacist whether it’s still safe and effective before using it.

Seniors and Children Are Most at Risk

Both from heat’s effect on the medicines themselves, and on a body when its medicines aren’t working as they should.

For Seniors

For Children

Planning for Warmer Climates

1

Pack medicines in hand luggage, not the hold. Aircraft holds reach extreme temperatures and aren’t climate-controlled like the cabin, especially important for insulin and auto-injectors.

2
Use a travel cool bag or wallet for insulin and items that must stay below a certain temperature. Many are inexpensive and use evaporative cooling, no ice or fridge needed.
3
Avoid hot spots, don’t leave medicines in un-air-conditioned hotel rooms, cars, on sun loungers or in beach bags. A hotel safe away from external walls is usually a good option.
4

Ask for a summary of what you’re taking and why, particularly for Egypt or destinations where you may need to explain medicines at customs or seek local medical help.

5
Check airline & destination rules in advance for insulin, injectables or controlled medicines, some require a doctor’s letter or prescription copy, and this varies by airline and country.
6

Build in a buffer, pack a few extra days’ supply for delays, and split medicines between hand luggage and a companion’s bag where practical, in case one goes missing.

Heading Somewhere Hot?

Pop in before you travel for advice on storing your medicines safely and ensuring you have enough for your trip.

Everyday Situations That Put Medicines at Risk

Heat exposure often happens in ways people don’t think twice about.

Pharmacy Bag in the Car

Left while running other errands

Postal Deliveries

Sitting on a hot doorstep for hours

Handbags & Rucksacks

Carried around on days out

Windowsills

In direct sun during a heatwave
Cars are the biggest culprit. Even on a mild 25°C day, a parked car can climb well above 40°C within an hour.

How to Protect Your Medicines This Summer

Your Summer Storage Checklist

Your Questions, Answered

Yes. Inhalers are allowed in hand luggage and don’t count towards your liquids allowance. Carry it in its original packaging and keep it with you rather than in the hold, since cabin temperatures are far more stable.

Yes, insulin and other injectable medicines are permitted in hand luggage, and this is actually the recommended way to carry them rather than checking them in. Airlines may ask for a letter from your GP or pharmacist confirming you need to carry it, so it’s worth requesting one before you travel.

Unfortunately, you often can’t tell just by looking, smelling or tasting it. If a medicine has been left somewhere hot, a car, a hotel room without air conditioning, direct sun, the safest approach is to bring it in and ask your pharmacist rather than assume it’s still fully effective.

Extreme heat exposure can affect the pill’s effectiveness over time, though a short period in a bag on a hot day is unlikely to cause an issue. If it’s been left somewhere very hot for an extended period, such as a car during a heatwave, it’s worth checking with your pharmacist.

A dedicated insulin cool bag or wallet is the easiest option, many use evaporative cooling and don’t need ice or refrigeration. Keep it in your hand luggage, not the hold, and avoid direct sunlight once you arrive at your destination.

In many cases, yes, speak to us in advance and we can talk through options for an extra supply, particularly for regular repeat prescriptions, so you’re not caught short if your return journey is delayed. NHS rules on early supply can be strict, so it’s worth checking against your repeat prescription policy in good time.

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