Proper Storage Conditions
The effectiveness and safety of your medications depend on proper storage. Most medications should be stored according to these guidelines:
Temperature
The FDA recommends storing most medications at room temperature, typically between 68°F and 77°F (20°C–25°C). Some medications tolerate brief excursions to 59°F–86°F (15°C–30°C). Avoid storing medications in locations exposed to temperature extremes:
- Not in the bathroom: Heat and humidity from showers degrade medications.
- Not in the kitchen: Stove and sink heat create temperature fluctuations.
- Not in the car: Vehicles can reach extreme temperatures quickly.
- Not near windows: Direct sunlight heats medications and degrades active ingredients.
Moisture
Moisture can cause tablets to dissolve, capsules to stick together, and powders to clump. Keep medications in their original containers with desiccants when provided. Never store medications in the bathroom cabinet near the shower or sink.
Light
Some medications are light-sensitive and should be kept in opaque containers away from direct light. If your medication comes in a dark-colored bottle, do not transfer it to a clear container.
Keeping Medications Away from Children and Pets
Accidental medication ingestion is a leading cause of poisoning in children. The American Academy of Pediatrics (AAP) recommends:
- Store all medications high and out of reach: Use a locked cabinet or a high shelf, not a countertop or nightstand.
- Keep medications in child-resistant containers: Always re-close caps properly after use.
- Never refer to medicine as "candy": This can encourage children to take more.
- Count and track scheduled drugs: Keep a running count of opioid and other controlled medications.
- Store pet medications separately: Many pet medications (especially flea and tick treatments) are toxic to children.
If a child or pet ingests medication, call Poison Control at 1-800-222-1222 or call 911 immediately.
Special Storage Requirements
Some medications have specific storage needs beyond room temperature:
- Refrigerated medications (36°F–46°F / 2°C–8°C): Insulin, certain eye drops, suppositories, and some antibiotics. Do not freeze these medications.
- Frozen medications: Some biologics and certain formulations must be frozen. Follow the manufacturer's instructions exactly.
- Room temperature only: Liquid medications, inhalers, and nitroglycerin are particularly sensitive to heat and moisture.
- Travel considerations: Use insulated medication travel cases for temperature-sensitive medications. Keep medications in your carry-on bag during air travel.
FDA Disposal Guidelines
The FDA recommends these disposal methods in order of preference:
- Drug take-back programs (preferred method)
- FDA flush for medications on the flush list
- Household trash for most other medications
When using household trash disposal for medications not on the flush list:
- Remove medications from their original containers.
- Mix medications with an undesirable substance (used coffee grounds, dirt, cat litter).
- Place the mixture in a sealed container (zip-lock bag, empty can, or container with a lid).
- Remove or black out personal information on the empty prescription bottles before recycling them.
- Place the sealed container in your household trash.
Drug Take-Back Locations
The most secure disposal option is using a DEA-authorized drug take-back program:
- DEA Take-Back Day: The DEA hosts National Prescription Drug Take-Back Days twice a year (typically April and October). Find locations at deadiversion.usdoj.gov.
- Permanent collection kiosks: Many pharmacies (CVS, Walgreens, Walmart), hospitals, and police stations have year-round medication collection kiosks.
- Mail-back programs: Some pharmacies and insurance plans offer prepaid mail-back envelopes for unused medications.
Take-back programs accept both prescription and over-the-counter medications, including scheduled drugs. They do not typically accept sharps (needles) or inhalers.
The FDA Flush List
The FDA flush list includes medications that are especially dangerous if accidentally ingested by children, pets, or others. These should be flushed down the toilet immediately rather than thrown in the trash:
- Fentanyl patches (Duragesic and generic versions)
- Morphine tablets and oral solutions
- Oxycodone tablets (OxyContin and others)
- Hydrocodone combination tablets (Vicodin, Norco, and others)
- Hydromorphone tablets (Dilaudid and others)
- Methadone tablets
- Methylphenidate transdermal patches (Daytrana)
- Certain other controlled substance formulations
The full, current flush list is maintained at FDA.gov. The FDA acknowledges the environmental concern but considers the risk of accidental ingestion greater than the environmental impact.