Scorching deliveries: mail order drugs at risk in the summer heat

Millions of Americans rely on mail-order medications for convenience or insurance purposes. However, scorching summer temperatures pose a hidden threat to these vital medications. Delivery trucks can reach scorching temperatures of over 150°F, far exceeding the recommended storage range for many medications.

Experts warn that extreme heat can degrade the effectiveness of several medications, including insulin, birth control pills, and life-saving liquid drugs used by transplant patients. Studies show that even without visible signs of damage, heat exposure can alter the chemical makeup of drugs, making them less potent or potentially harmful.

Despite the potential risks, regulations for storing drugs during mail delivery remain lacking. FDA guidance focuses on transportation between manufacturers and pharmacies, leaving the final leg unprotected for patients. While mail-order companies claim to use “weatherproof” packaging, independent research suggests that drugs often exceed safe temperature ranges during transit.

Patients report receiving medications in fragile bags that were exposed to high temperatures for long periods. Some have had health problems following deliveries during heatwaves, highlighting the potential consequences of compromised medications.

The lack of regulation and potential cost increases associated with stricter temperature screening measures create a complex challenge. Advocates and some state pharmacy boards are pushing for tougher rules, while industry lobbyists argue that existing practices are sufficient.

This public health issue demands attention. With rising global temperatures and the growing prevalence of mail-order medications, ensuring safe drug delivery during summer heatwaves becomes a critical concern. Balancing costs, regulations, and patient safety is critical to protecting the well-being of the millions of people who depend on these life-changing medications.

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By Robert K. Foster

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