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Introduction
1. Medications
1.1 Generic names and brand names
1.2 Classification of medications
1.3 Drug interactions and contraindications
1.4 Medications by organ system
1.5 Drug strengths, dose, and dosage forms
1.6 Routes of administration and special handling of drugs
1.7 Medication side effects, adverse effects and allergies
1.8 Indications of medications and dietary supplements
1.9 Drug stability
1.10 Narrow therapeutic index (NTI) medications
1.11 Pharmaceutical incompatibilities
1.12 Proper storage of medications
1.13 Medication storage
1.14 Vaccine types and schedules
2. Patient safety and quality assurance
3. Order entry and processing
4. Federal requirements
Wrapping up
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1.13 Medication storage
Achievable PTCE
1. Medications
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Medication storage

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This chapter is currently being edited

Medications can lose potency, become unsafe, or degrade if stored improperly. Pharmacy technicians must understand proper storage requirements to maintain drug effectiveness, ensure patient safety, and comply with legal standards.

General storage requirements

Storage rule Required condition Notes / example
Temperature control Store between 36°F (2°C) and 140°F (60°C) Extreme heat may damage medications. Aspirin can break down into vinegar and salicylic acid when exposed to heat, which may cause stomach irritation.
Avoid humidity Store in a cool, dry place Kitchens and bathrooms are not ideal due to humidity. Pharmacies must maintain 40%–80% relative humidity to prevent moisture buildup that can lead to spoilage or damage.
Original containers Keep medications in their original container at home Preserves labeling, stability, and proper identification.
Special labeling Clearly label medications requiring special storage “Refrigerated” should appear next to drugs requiring refrigeration. “Moisture controlled” should appear next to drugs requiring controlled humidity.
Controlled substances Schedule I and II drugs must be stored in a safe or substantial steel cabinet Required for security and legal compliance.

Common medications that require refrigeration

Category Examples Storage notes
Insulins Various insulin products Refrigerate
Reconstituted antibiotic suspensions Amoxicillin suspension Refrigerate after reconstitution
Eye drops Latanoprost Refrigerate
Ear drops Chloramphenicol ear drops Refrigerate
Vaccines Various vaccines Refrigerate
Injectable biologics Pegasys (interferon), Neupogen (filgrastim), Humira (adalimumab), EPOGEN (epoetin), Enbrel (etanercept), Sandostatin (octreotide) Refrigerate
Nasal spray Miacalcin Refrigerate
Oral drops Lorazepam drops, Gabapentin drops Refrigerate
Antiretroviral Ritonavir capsules and tablets Refrigerate
Chemotherapy agents Chlorambucil (Leukeran), Melphalan (Alkeran), Etoposide (VePesid) Refrigerate
Cervical gel Prepidil (dinoprostone) Refrigerate
Type 2 diabetes injectables Byetta (exenatide), Victoza (liraglutide) Refrigerate
Semaglutide products Ozempic, Wegovy Refrigerate at 36–46°F before first use
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