Danger in delivery: mail-order drugs at risk in summer heat

Millions of people rely on convenient mail-order prescriptions for essential medications. However, scorching summer temperatures pose a hidden threat. Excessive heat and humidity can degrade the effectiveness of various medications, putting patients’ health at risk.

The problem goes beyond seasonal fluctuations. Extreme temperatures, even at other times of the year, can affect the chemical composition of drugs, making them less potent or potentially harmful. This is especially concerning for drugs such as insulin, birth control pills, and life-saving liquid medications used by transplant patients.

While mail-order companies often use “weatherproof” packaging, independent studies raise concerns that medications exceed safe temperature ranges during transportation. Consumers report receiving medications in flimsy envelopes, potentially exposed to high temperatures for prolonged periods, especially during heat waves.

Additionally, there is a lack of federal regulations specifically addressing temperature screening for mail-order prescriptions during delivery. Existing FDA guidance focuses on transportation between manufacturers and pharmacies, leaving the final stop to potentially vulnerable patients.

Patient safety advocates and some state pharmacy boards are pushing for stricter regulations. However, the industry faces challenges in balancing cost-effectiveness with the need for stricter temperature-control measures.

This public health concern demands attention. As summer heatwaves become more frequent and intense, and as reliance on mail-order prescriptions increases, ensuring safe drug delivery requires a solution. Balancing costs, regulations, and patient safety is critical to protecting the millions of people who depend on these vital medications.

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By Robert K. Foster

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