Refrigerate Medicine: Which Drugs Need Cold Storage and How to Do It

Not all medicines belong in the fridge. Putting the wrong drug in cold temperatures can ruin it, while leaving a temperature-sensitive medicine at room temperature can cut its effect. Here’s clear, usable guidance so your meds stay safe and work like they should.

Which medicines usually need refrigeration

Common items you’ll often see labelled "Keep refrigerated" include:

  • Insulin and many injectable diabetes drugs — most need 36–46°F (2–8°C) before opening.
  • Certain vaccines and biologics — these are part of a cold chain and must stay cool.
  • Some eye drops and nasal sprays — especially preservative-free options.
  • Live probiotic supplements and some liquid antibiotics once reconstituted (check the label).

Always read the drug label. If it says "store in refrigerator," follow that exact instruction.

How to store refrigerated meds safely

Keep medicines in their original container and the carton if possible. The label has expiry, batch number, and storage specifics you’ll need. Put a thermometer in the fridge where your meds sit so you can verify 36–46°F (2–8°C).

Avoid the fridge door. Temperatures there swing when the door opens. Use a middle shelf or a dedicated drawer where it’s more stable. Don’t store medicines next to raw food or strong-smelling items; airtight plastic boxes work well to prevent contamination and odor transfer.

Never freeze medicines unless the label explicitly permits freezing. Freezing can damage many biologic products and permanently reduce effectiveness. If a medicine accidentally freezes, contact your pharmacist before using it.

If you need to transport refrigerated meds, use an insulated cooler with ice packs. Keep the medicine in its original packaging and a thermometer if possible. Aim to minimize time out of refrigeration — a few hours is usually okay for many drugs, but check the label or ask a pharmacist for specifics.

When you open multi-dose vials or reconstitute suspensions, note any shorter storage times. Some liquids must be used within days once mixed; the label or leaflet will say how long.

If you see discoloration, crystals, cloudiness (in clear liquids), or an unusual smell, don’t use the medicine. Dispose of it following local guidelines and ask your pharmacist for a replacement.

Questions? Your local pharmacist is a great resource. They can confirm whether a drug needs refrigeration, advise on travel storage, and tell you what to do if a dose was stored incorrectly.

Keep this simple checklist handy: read the label, use a thermometer, avoid the door, don’t freeze, transport with cool packs, and ask a pharmacist when unsure. That will keep your meds effective and your health on track.