All medicines should be stored in a cool, dark place, as direct sunlight and heat can damage their effectiveness.
Dear Dr. Roach: I am concerned and have been for some time about whether my prescriptions that arrive by mail are compromised, since they sit in vehicles with sun beating through the windows heating them up. Also, the plastic bottles in which the prescriptions are stored give off toxic emissions as they “broil” in the sun. The instructions that come with some of the meds warn about heat as well.
Liquid medicines, hormones and nitroglycerin are among the most sensitive. Medicines that need to be dosed exactly, such as transplant rejection medicines, biologicals and seizure medicines, are also particularly likely to cause problems if they are damaged in shipping. Although some medicines are supposed to be shipped in packaging with cold packs and insulation, this isn’t always the case.
If you have a temperature-sensitive medicine, such as the ones I mention above , request that your mail-order pharmacy sends it in special packaging during months of warm weather. You might also consider having them shipped to a place where they will be put into a temperature-controlled environment right away.
Weight loss with chronic lung disease, like COPD and bronchiectasis, is common. There are many possible reasons. One is that breathing can be hard work! It takes extra energy to breathe with chronic lung disease. Some medications used for bronchiectasis promote weight loss, often through poor appetite. Bronchiectasis is an inflammatory condition, so this can also lead to appetite suppression.
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