how to travel in medication

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Can you pack your meds in a pill case and more questions answered

One of the more popular questions we get from travelers is: “Can I travel with my medication?” The answer is yes, with some qualifiers. Here are a few tips that you might find helpful.

• Medication in liquid form is allowed in carry-on bags in excess of 3.4 ounces in reasonable quantities for the flight. It is not necessary to place medically required liquids in a zip-top bag. However, you must tell the officer that you have medically necessary liquids at the start of the screening checkpoint process. Medically required liquids will be subject to additional screening that could include being asked to open the container.
• You can bring your medication in pill or solid form in unlimited amounts as long as it is screened.
• You can travel with your medication in both carry-on and checked baggage. It’s highly recommended you place these items in your carry-on in the event that you need immediate access.
• TSA does not require passengers to have medications in prescription bottles, but states have individual laws regarding the labeling of prescription medication with which passengers need to comply.
• Medication is usually screened by X-ray; however, if a passenger does not want a medication X-rayed, he or she may ask for a visual inspection instead. This request must be made before any items are sent through the X-ray tunnel.
• Nitroglycerin tablets and spray (used to treat episodes of angina in people who have coronary artery disease) are permitted and have never been prohibited.

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Traveling with Medications: What You Need to Know

Lindsay Tigar

Lindsay Tigar is a travel and lifestyle writer with a constant thirst for adventure and exploring new lands. You can find Lindsay globetrotting when the mood strikes, making sure to find time to explore both the wine and fitness scene in countries across the globe. Her work has appeared across dozens of outlets; learn more at LindsayTigar.com .

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If you’re heading out on a long trip—or moving abroad—and you rely on prescriptions, it’s vital to your health to know the rules about traveling with medication. “Millions of Americans are dependent on medicines and with the globalization of travel, access to prescription medicine is even more crucial,” explains Dr. Robert Quigley, senior vice president and regional medical director at International SOS .

From how to get more than a 30-day supply of pills to what you’ll need from your stateside doctor to get a prescription abroad, here’s advice from international healthcare experts about traveling with medication.

Bring a Note from Your Doctor

Dr. Christopher C. Hollingsworth, MD, a general and endovascular surgeon who has practiced in Europe and the United States, says it’s unlikely you’ll get stopped at customs or border control because you’re carrying more than a month’s supply of medicine. However, having an official prescription on hand when traveling with prescription medication is never a bad idea.

“In general, countries honor the rights of travelers to transport their prescribed medications with them,” Dr. Hollingsworth explains. As long as you have supporting documentation about your medical condition (ID cards or a letter from a physician), you are unlikely to have a problem.

Dr. Brendan Anzalone, a doctor of osteopathic medicine and the president and chief medical officer at AeroMD Air Ambulance , suggests going digital with these forms, as they can get lost or creased throughout your travels. This will ensure you won’t have to go digging if you’re questioned.

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Keep Medicines in Their Original Bottles

Again, while it’s unlikely you will face any sort of issue when you’re flying with medication, Dr. Anzalone still recommends keeping your pills in the original bottle—complete with the sticker on the front with your name and doctor’s name—as an extra safety precaution. “Carrying your medication in [its] original prescription bottle with a label on it from the pharmacy is helpful if there are any questions in the security line,” he explains.

If you don’t have room in your luggage for the full-size bottles and must downsize, you can pack a small day-of-the-week pill organizer rather than several bulky bottles. Ensure you have documentation from your physician to avoid any potential issues. Paul Tanenbaum, R.Ph., a retired pharmacist, offers this tip if your original prescription bottle is too large: “Make friends with your pharmacist and see if he or she could make you a smaller travel-size bottle for you to fill up.”

Learn the Laws Around Traveling Internationally with Medications

The recommendations for domestic trips also apply to traveling abroad with medication. When flying internationally with prescription medications, the U.S. Department of State  recommends storing medications in their original labeled containers and bringing a copy of a doctor’s letter to show customs officers and other officials if necessary. The prescription should note the brand and generic name of the drug.

If you’re taking an unusual drug or one that contains narcotics such as sedatives, carry a note from your doctor explaining what the medication is and why you need it.

Note that some over-the-counter drugs legal in the U.S. may be illegal elsewhere. For example, painkillers containing codeine are prohibited in the United Arab Emirates. Always double-check before you fly.

Exercise Caution with Herbal Medicines

Flying with herbal medicines or supplements to international destinations can be tricky since each country has its own laws about what’s allowed in. To find out what may be restricted in the countries you’ll be visiting or transiting through, refer to the  embassy website  or contact local consulates.

Make sure herbal remedies and Ayurvedic medicines are in clearly labeled, well-sealed containers, preferably in original bottles. Although the TSA doesn’t require it, it may be helpful to bring a doctor’s note explaining your remedies’ intended use. Keep up to date with any changes in TSA rules by downloading its free MyTSA app ( iOS | Android ).

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Always Pack Medicine in Your Carry-On

Now that you have the prescriptions you need and the note from your doc to prove your case, it’s time to pack. Depending on how much medicine you need each day, you may be tempted to shove your pill pack into your checked bag, but Dr. Anzalone warns against it: “It is best to keep medications in your carry-on baggage. If your checked baggage gets lost, you will still have your prescription medications with you. Remember some aircraft cargo holds are not temperature controlled, which may affect temperature-sensitive medications.”

If you’re worried about bringing medication that must be refrigerated (like insulin, for example) on a plane, Dr. Hollingsworth offers the TSA regulations on cool packs that are allowed through the gates. “Domestically, gel-cooling packs are allowed if frozen at time of presentation to security,” he notes.

Liquid medications (prescription or over-the-counter, like saline solution or eye drops) aren’t subject to the TSA’s three-ounce limits. However, you are required to declare anything over that amount to security officers and present it for inspection.

You may also travel with accompanying items, such as IV bags, pumps, and syringes, as long as they’re declared before you begin the screening process. All of these items will be X-rayed unless you request a manual inspection.

Bring Extra Medication

Dr. Hollingsworth’s rule of thumb is to bring twice the amount of medicine you need and to separate the bottles between your carry-on and your personal item. Why? Two words: flight troubles. “Changes or delays can have a butterfly effect that can have repercussions for the rest of your trip. Plan for the unexpected and pack extra medication you might need for an unplanned longer stay,” he says.

Exercise Caution When Flying with Narcotics

If you’re traveling with any type of prescribed narcotic used to relieve pain, such as Vicodin, Oxycontin, Percocet, or codeine, you might want to bring your prescription documentation, as well as a doctor’s note. Though this is not required by the TSA, it may prove helpful when getting through security. Since these types of drugs are widely abused, security screeners may be suspicious if they are unaccompanied by the proper paperwork. Having the original prescription will prove the pills’ necessity, and avoid any further delays or additional questioning.

The trouble of traveling with only a doctor’s note is that unless it was written in the previous month, it may lose validity. Prescriptions are clearly dated and include the signature of your doctor. Simply make a photocopy of each prescription before you have it filled. The photocopied version will be null and void, but this does not alter it as a valid document.

To take extra precaution, you may also want to travel with phone numbers for your pharmacy and prescribing doctor. This may seem like an unnecessary hassle, but it could prevent delays and problems at the airport.

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Be Strategic About Your Meds

If your carry-on is just too heavy to meet those puddle-jumper restrictions, Dr. Hollingsworth challenges you to be strategic. While you might want to take your mini-sized bottle of Advil, those sorts of medications are available everywhere.

“Give priority to any medications that are vital to your functioning or survival. Asthma inhalers, diabetic medications, anti-seizure medications, and blood pressure medications come to mind. Make sure to bring medications that have rebound or withdrawal symptoms if you run out,” he says. “A trip is not a good time to see how you function without your arthritis or anti-anxiety medications.”

Consider Travel Insurance

Many factors influence whether you should purchase travel insurance . How long will you be traveling? Where are you going? Will you be lounging by a beach for a week or undertaking adventure activities in a rainforest? Do you have ongoing medical conditions that might need care?

If you’ll need health insurance for your trip, Dr. Quigley recommends exploring your options before heading overseas to determine what policy and plan are best for you. You can also work with assistance companies—like International SOS—to help you if you’re struggling with a health situation overseas.

Make a Date with Your Doctors

If you’re leaving the U.S. for an extended time, in addition to getting foreign currency and shedding tears at your farewell party, you should schedule pre-departure appointments with your doctors. During these visits, get a full physical and begin a discussion about your wellness needs while traveling. Work with your physician to plan for the medications you’ll need. Medical professionals can help you secure more than a 30-day supply of any medicines along with the necessary paperwork. They can also offer advice about what you need to bring to keep your health top-notch.

Find the Loopholes for Refilling Prescriptions Overseas

Dr. Quigley explains that prescriptions cannot be filled abroad, nor can your primary care doctor call in a prescription for you. But there is a way around it: Know the generic forms and other names of the same medicine. Depending on the country, you may be able to get the medicine without a prescription.

As an example, Dr. Hollingsworth was able to walk into a pharmacy in Paris and receive antibiotics for a pal with a serious ear infection—no note required. Even so, packing a few “just in case” prescriptions before you leave will help ease your worries. Your primary care doctor or a travel clinic can help you navigate the options.

Tanenbaum recommends caution: “If you must obtain your meds from somewhere other than your U.S. pharmacy, beware that there is a major problem of counterfeit drugs out there.” He also notes that brand and generic drug names may differ from one country to another: “The same name may be for a totally different medication; if you have to get some while overseas, it may not be what you usually take so that it does not treat your medical condition, and may actually be dangerous for you to take.” Make sure you’re visiting a reputable pharmacist (ask for a recommendation from your hotel or the local tourist board) and that you double-check whether the drug you’re requesting actually treats your condition.

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Most Importantly, Plan Ahead

Plan ahead, especially if you are switching time zones and have to take medicine at a certain time of day. “Have a medical itinerary run parallel to your day-to-day travel itinerary. Plan out the nearest towns [to] where you’re going to be and identify the best providers for you based on your specific medical needs. Don’t let it be a fire drill when you get there,” recommends Dr. Hollingsworth. “If you know in 30 days [that] you need to have a prescription refilled, and you know where you will be within that time frame, then research which medical professional will be best for you. Do your homework.” It just may save your trip—or even your life.

Tips to Stay Healthy While Traveling

Want more expert tips and vacation inspiration? Subscribe to SmarterTravel on YouTube!

 Editor’s note: This story was originally published in 2017. It has been updated to reflect the most current information. Molly Feltner, Jessica Labrencis, Patricia Magaña, and Michele Sponagle contributed to this story. A previous version of this story had an incorrect spelling of Paul Tanenbaum’s name. It has been corrected. Some of the links featured in this story are affiliate links, and SmarterTravel may collect a commission (at no cost to you) if you shop through them. As an Amazon Associate, we earn from qualifying purchases.

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Careful packing: Where your prescription could get you in trouble

When traveling, especially internationally, sometimes the pre-travel checklist feels like it's a mile long.

Not only do you need to do the obvious things like making sure your passport is still valid and verifying whether you need a visa , but you may also need to seek written approval from a country's government to bring certain medications abroad.

I must admit I didn't realize this was a thing until one of my TPG colleagues flagged this requirement she discovered when packing for her family's trip to Japan . Japan is just one country that strongly regulates travel with medicine.

Here's what you need to know about taking your medications to a variety of popular destinations that regulate travel with medicine.

Japan requires advance permission to enter with a variety of medications, including many common over-the-counter medicines openly sold in U.S. drugstores.

The Japanese government labels such drugs as "controlled substances," divided into six categories, including stimulants. Travelers who need these medications must apply for a "Yunyu Kakunin-sho" (or an import certificate), which should be declared and submitted to customs when entering.

Up to two months of approved over-the-counter medicines and four months of vitamins are permitted. Note that disposable contact lenses are also monitored, and those with a two-month supply or greater require an import certificate.

Travelers should also bring a copy of their prescription, along with a note stating the purpose of the medicine, if applicable.

Type of medicine : All medications containing stimulants, including over-the-counter allergy and sinus medications, plus Adderall listed here How to apply : Apply online for an import certificate through the Japanese Ministry of Health, Labour and Welfare Amount of medicine : Up to one month of allowable over-the-counter medication and up to a two-month supply of allowable vitamins Cost : N/A Processing time : N/A More information : Japanese Ministry of Health, Labour and Welfare ; Japan's Application for Import Confirmation ; Consulate-General of Japan in Seattle ; Japan Narcotics Control Department

Other Asian countries

• Thailand : Certain medications, including those containing codeine and drugs to treat ADHD, require a permit issued by the Ministry of Public Health .
• Hong Kong : Certain medications — including those with stimulants, such as sleeping pills and anxiety medication — require an import license and import certificate issued by the Department of Health .
• Singapore : Certain medications, including anxiety medication, sleeping pills and painkillers, require advance approval, per the Singapore Health Sciences Authority .
• China : Per various tourist organizations, including China Highlights , visitors must "provide written documentation from a medical institution to prove the necessity of the medicine," including sleeping aids, ADHD medication and painkillers.
• South Korea : Medicines classified as "narcotics" require advance approval via the Korean Food and Drug Administration .

Australia has a traveler's exemption for persons traveling to Australia to enter with certain prescribed medications, including Adderall. The Australian Government Department of Health and Aged Care directs travelers to either secure a prescription for the medicines they're carrying or seek a letter from their doctor specifying that the medicines they've been prescribed are for their personal use.

"Your doctor's letter must specify the name of the medicine and dosage. Ensure the medication remains in its original packaging with the dispensing label intact," per the Australian Government Department of Health and Aged Care. "This will assist with identifying each substance at the border. Be ready to declare all medication to the Australian Border Force upon arrival."

Type of medicine : Certain prescription medicines, including Adderall How to apply : N/A Amount of medicine : Up to three months' worth of medicine and medical devices Cost : N/A Processing time : N/A More information : Australian Government Department of Health and Aged Care

United Arab Emirates

Travelers to the UAE must apply for approval to carry controlled medication into the country. All other medication, including prescriptions for uncontrolled medication and over-the-counter medication, does not need prior approval. However, the government urges travelers to carry documentation for all medicine, including documentation explaining medical reasons for taking the medication and any other supporting documents.

To determine if your prescription is considered controlled, check with your doctor.

Type of medicine : Controlled medicine, including narcotics and psychotropics How to apply : Online through the United Arab Emirates Ministry of Health & Prevention Length of time : Maximum three-month supply for narcotics and controlled medicines; six-month supply for prescriptions Cost : Free Processing time : One business day More information : United Arab Emirates Ministry of Health & Prevention

Europe and Schengen countries

The Schengen Area includes most European Union countries. If you are traveling to this area, a Schengen certification for medicines that fall under the Opium Act, including narcotics, is required. Specific medicines bound by the act include strong painkillers, sleeping pills, anxiety drugs, ADHD medication and medical cannabis.

Since specific requirements vary by each country within the Schengen Area, you should contact the appropriate health agency of the country in question. For example, the Netherlands Ministry of Health, Welfare and Sport provides instructions for travelers to the Netherlands to help obtain this certificate, including a link to the application and a list of prohibited medications that fall under the aforementioned Opium Act. Information can also be found via the relevant U.S. Embassy and or Consulate .

Also note that some countries, including Greece , require further authorization for specific medicines, such as codeine without a prescription, via Greece's National Organization for Medicines.

Bottom line

Regardless of where you are traveling, it's a good idea to keep medicines in their original prescription packaging; this shows the purpose of the medicine and that it's for you and only you. As noted, it's also helpful to pack any accompanying doctor's note.

Related reading:

• Everything you need to know about State Department travel advisories
• When and how to renew your passport, according to the State Department
• I stayed at an IHG voco hotel for the first time — here are 7 reasons I'd stay again
• Everything you need to know about traveling with medication
• The best travel insurance policies and providers

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How to Travel With Prescription Medications

Last Updated: March 5, 2023 Approved

This article was medically reviewed by Shari Forschen, NP, MA . Shari Forschen is a Registered Nurse at Sanford Health in North Dakota. Shari has worked in healthcare since 1996 and her expertise lies in acute care bedside nursing on a medical oncology floor. She received her degree from Medcenter one College of Nursing in 2003 and her Family Nurse Practitioner Masters from the University of North Dakota in 2014. Shari is a member of the American Nurses Association. wikiHow marks an article as reader-approved once it receives enough positive feedback. In this case, 99% of readers who voted found the article helpful, earning it our reader-approved status. This article has been viewed 217,243 times.

When traveling, you want to make sure you remember any prescription medications you're taking. In most cases, you can travel with prescription medication without much hassle. However, when traveling abroad there may be some restrictions on certain types of medication. Even when traveling domestically, you want to make sure you take some precautions when packing and storing your medication. With a small amount of time and planning, however, traveling with prescription medication is a fairly easy process.

Planning Your Trip

• You can check regulations on your medications by checking country specific information on the State Department's website. You can also call the embassy or consulate of the country you plan to visit.
• It may be helpful to also browse the Center for Disease Control and Prevention website. The United Nations website also has information on prescription drug regulations by country. With a little detective work, you should be able to see what restrictions, if any, are placed on your medication.

• Doctors, especially in the US, tend to be very busy. It may take your doctor a few days, or even a few weeks, to write a letter about your medication. Start gathering these documents well in advance if you're planning on traveling abroad.

Packing Your Medications

• You should also make sure to keep your medication in all its original containers. If you're flagged for a security check, you do not want to look like you're carrying any suspicious pills.

• While it's unlikely any of the above items would be banned, it may be a good idea to double check airline regulations. In the event there are restrictions, you can usually get restrictions waived due to medical reasons.
• Even medications that do not need to be stored in cool temperatures may be affected by heat. It's unlikely the heat of an airplane would get hot enough to affect medication. However, it's a good idea to check with your doctor before traveling if there are any warnings about heat on your medication's label. It's better safe than sorry. [6] X Research source

• If you don't have a copy of your prescription, you should be able to get one from your doctor's office. This may take a few days, so plan ahead.

Avoiding Pitfalls

Expert Q&A

• If you are going to be out and about most days, consider getting a "pill organizer" and put your days worth of pills in it each night. Thanks Helpful 1 Not Helpful 0

You Might Also Like

• ↑ https://www.thatsinsurance.com/taking-medication-abroad-2018/
• ↑ http://www.cheapflights.com/news/traveling-with-medication/
• ↑ http://www.miusa.org/resource/tipsheet/medications
• ↑ http://travel.gc.ca/travelling/health-safety/medication
• ↑ http://www.nhs.uk/chq/Pages/1074.aspx?CategoryID=70
• ↑ https://www.iamat.org/blog/what-you-need-to-know-about-travelling-with-medications/

About this article

While traveling with prescription medication is typically an easy process, make sure to check restrictions so you don’t run into any problems. Certain prescriptions may be illegal in the country you're visiting, so check the State Department's website or call their consulate to check regulations. You may also need a letter from your doctor or a copy of your prescription while traveling, so make sure to have these documents before you travel. As you prepare for your trip, pack slightly more medication than you’ll need in case of delays and put it in your carry-on bag in case your checked bag gets lost. For more tips from our Medical co-author, including how to check airline policies on liquid medication, keep reading! Did this summary help you? Yes No

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Use this checklist to prepare for your next trip abroad. Make sure to bring items with you, since quality of items bought overseas cannot be guaranteed. Not all of these items may be relevant to you and your travel plans.

Pack for a Healthy Trip

Prescription medicines

• Your prescriptions
• Travelers’ diarrhea antibiotic
• Medicines to prevent malaria

Medical supplies

• Glasses and contacts
• Medical alert bracelet or necklace
• Diabetes testing supplies

Over-the-counter medicines

• Diarrhea medicine (Imodium or Pepto-Bismol)
• Antihistamine
• Motion sickness medicine
• Cough drops, cough suppressant, or expectorant
• Decongestant
• Pain and fever medicine (acetaminophen, aspirin, or ibuprofen)
• Mild laxative
• Mild sedative or sleep aid

Supplies to prevent illness or injury

• Hand sanitizer (containing at least 60% alcohol) or antibacterial hand wipes
• Water purification tablets
• Insect repellent (with an active ingredient like DEET or picaridin)
• Sunscreen (with UVA and UVB protection, SPF 15 or higher)
• Sunglasses and hat

First-aid kit

• 1% hydrocortisone cream
• Antibacterial or antifungal ointments
• Digital thermometer
• Oral rehydration salts
• Antiseptic wound cleaner
• Aloe gel for sunburns
• Insect bite anti-itch gel or cream
• Disposable gloves
• Cotton swabs (Q-Tips)
• Copies of your passport and travel documents
• Copies of all prescriptions (medications, glasses, or medical supplies)
• Health insurance card and documents
• Proof of yellow fever vaccination (if required for your trip)
• Contact card with the street addresses, phone numbers, and e-mail addresses of: Family member or close contact in the United States
• Health care provider(s) at home
• Lodging at your destination
• Hospitals or clinics (including emergency services) in your destination
• US embassy or consulate in the destination country or countries

Additional Resources

• Check the Transportation Security Administration website for updates on permitted and prohibited items, including medicines that you are allowed to carry onto an airplane.
• Some items may not be allowed in other countries. It is a good idea to check the  Customs and Import Restrictions section of the U.S. Department of State Tips for Traveling Abroad.
• Enroll in the Department of State Smart Traveler Enrollment Program to get the latest safety updates and help in an emergency.

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• Travel Tips

Everything You Need to Know When Flying With Medicine — Including What to Do If It Gets Lost

Including how to pack medicine effectively and the TSA rules you need to know.

Preparing for a trip should be part of the fun. After all, you get to plan outfits and make a  packing list that matches all your activities. You get to plot out every moment of your adventure to come and even lay out a cozy outfit for the plane ride to get there the night before. However, if you’re someone who takes regular medication, you know there is at least one major stress point to preparing to travel: Figuring out just how to pack it. 

From questions about prescription refills to TSA requirements, and right down to how much space you have in your luggage, packing medication for a trip can be tricky. But don’t stress too much, as we’ve got all the answers you’re looking for. Here’s what you need to know about traveling with medication. 

Tanya Joy/Getty Images

Ensure you have refills available

Dr. Scott Kaiser , a family physician and geriatrician at the Pacific Neuroscience Institute in Santa Monica, California, shared with  Travel + Leisure  that travelers should confirm they have available refills on any essential medications before   they leave for their trip. If they don’t, he suggested they call their doctor to request refills before departure, so it will be easier to fill a prescription during your trip if needed.

“When traveling, as with many things in life, it’s all about preparation—especially being prepared for the unexpected,” he said. 

Kaiser added, because packing and preparing for travel can be stressful – and that stress can interfere with our memory – checklists and reminders are extremely helpful. “Either good old-fashioned paper or electronic reminders and alarms on your smartphone or other devices can be a lifesaver,” Kaiser said.

Always pack medication in carry-on luggage

Nobody anticipates their  luggage getting lost or delayed , but as the U.S. Department of Transportation reported,  191,624 bags were “mishandled”  in February 2022 alone. Rather than risk your medication becoming a part of this statistic, always carry it in your carry-on bag. Trust me — I am one of those 191,624 mishandled bag owners. 

My mother, who lives with Parkinson’s, regularly flies to stay with me in New York City. She requires a significant amount of medication. However, it’s always placed in her bag, my sister’s, or mine. But following a last-minute  flight cancelation  and rerouting, my sister asked the gate agent to check our mom’s carry-on bag, believing this would help lessen the stress on our mom. Given the rush, my sister forgot to remove medication from our mom’s carry-on bag, and, lo and behind, this would be the day her bags would be left behind in Boston. So please, do as I say, not as I do. 

Bring extra medication just in case

Just like you should always place medication in carry-on luggage, you should also always bring more medication than you anticipate needing. For example, we organize my mother’s medicine in a seven-day compartmentalized pill box, one for each day of the week. But, to ensure she can stay longer if she wants or needs, we pack a few extra days, so we’re never scrambling to fill (or stretch) essential medications. Need a hot tip? Buy a  second, seven-day pill box  to easily store your extra meds and keep things organized. 

Understand TSA rules

The Transportation Security Authority (TSA) is famous for its  liquid rules  and security checks. But, Daniel Velez, a spokesman for the New England Region with the TSA, explained that airline passengers may always bring medically necessary liquids, medications, and creams in excess of 3.4 ounces (or 100 milliliters) in their carry-on bag.  

He added, the TSA “strongly recommends that passengers clearly label their medication to facilitate the screening process.”

The TSA also compiled a helpful  Disabilities and Medical Conditions page  along with a  Traveling with Medication  video that should answer any lingering questions you may have. 

What to do if your medication is lost

If your medication is lost or delayed during transit, immediately file a lost baggage claim with your airline before leaving the airport. Save the claim ticket (and take a picture of it), as you’ll need this to follow up on your claim.

If you have refills available on your medications (and you should, because you confirmed that before your trip, right?), you can transfer prescriptions to a local pharmacy, particularly if you use a chain like Walgreens or CVS. If you don’t have refills available, you’ll need to call your prescribing doctor.

Keep in mind that some medications cannot be issued without a new prescription. In this case, pharmacists will usually refer patients to a local urgent care facility. If the medication cannot be refilled for another 30, 60, or 90 days, you may have to call your health insurance provider to request an early refill authorization. Again, avoid this by checking in with your doctor before your travels, or at the very least, have all these numbers (your doctor, your insurance, and the number of a local urgent care) saved in your phone before take off, just in case. Because, as the saying goes, “luck favors the prepared.” 

Related Articles

Emergency Support

In case of emergency abroad, first call the local equivalent of 911 listed in the global 911 directory .

You may also contact International SOS by phone at +1-617-998-0000 or through the Assistance App .

IEMT Portal

Access your International Emergency Management Team (IEMT) portal for information.

Tips for Traveling with Medication

Photo via Tomek Baginski/Unsplash

Many common U.S. medications and supplements are illegal abroad or require government authorization before your arrival.

Drug Facts: Traveling with Medication

Adderall. Benadryl. Birth control. Protein powder. These are just a few of the common U.S. medications and supplements that are illegal in some countries or require government authorization prior to your arrival.

Travelers are often caught off guard by the wide variance of laws regulating the importation of and access to medications across borders, whether mailed or hand carried. Depending on your destination, you could be subject to increased scrutiny from customs officials ( not a big deal, you think ) or confiscation and imprisonment ( that escalated quickly ). In Turkey, Egypt, and Malaysia, for example, a drug offense conviction can result in the death penalty.

Know Before You Go

Be aware of your destination’s banned and restricted medications. The US embassy website of your destination country is a good place to start—a quick query in the search bar should do the trick. You can also check your airline's website to see if things like flying with Adderall, for example, are prohibited.

If any of your medications are on the embassy's or airline's list of banned or restricted substances, you'll need to talk with your health care provider about suitable alternatives. Make sure the alternative medications are legally permitted and readily available in your destination.

Common Restrictions

• Narcotics and psychotropic medications (e.g. Adderall and Ambien)
• Over-the-counter medications and nutritional supplements (e.g. protein powder)
• Hormone medications (e.g. birth control pills, morning after pills, and hormone therapy medication for gender transition)
• Certain ingredients or quantities of ingredients (e.g. pseudoephedrine found in Sudafed, and diphenhydramine HCI found in Benadryl and Tylenol PM)

Ignorance isn’t an Excuse

Take this example of an American Toyota executive arrested in Tokyo after Japanese customs officials found a controlled pain medication in a package she mailed to herself. Japanese authorities can detain suspects without charge for up to 23 days, and the executive spent almost three weeks in jail before being released without charge. At a press conference, Toyota explained that their executive did not intentionally violate local laws; however, ignorance, in this case, had serious repercussions .

Chronic Conditions

For travelers with chronic physical or mental health conditions, anticipate how your new environment can affect your health. For example, if you have asthma and are traveling to areas with high levels of air pollution, you’ll want to discuss mitigation strategies with your health care provider. If you require injections, you’ll need to review airline and country-specific regulations for traveling with needles or syringes. Many airlines, like Emirates, have a list of prohibited goods on their website, as well as guidelines for traveling with a chronic health condition.

Mental Health

Practice self-care; difficulty in adjustment can be mitigated by trying to maintain your daily routine while abroad. If there are aspects of your routine that keep you happy at home—for example, working out—try to find facilities in your destination by which you can continue them.

Preexisting mental health conditions can be intensified by living in a different culture, and local resources may be less than or different from those to which you’re accustomed to at home. Discuss these concerns with your health care provider and know the counseling resources available to you abroad—including International SOS —should you need help.

Sexual and Reproductive Health

Cultural norms and laws that impact individuals’ access to sexual and reproductive health vary by country (and by state in the US). Consider bringing personal care and health-related items that may be unavailable or difficult to obtain in your destination, including menstruation products and contraceptives; as with your prescription and over-the-counter medications, make sure any contraceptives you bring with you are legal in your destination country.

Before You Leave

• Research your destination and transit locations. The International SOS destination guides, available in the Assistance App and member portal , include medical information such as vaccines, documentation, medication, clinics, and hospitals. Log in with your HarvardKey.
• If you're traveling to a region with a high risk of malaria, review the CDC's malaria advice and assess whether you'd like to carry preventative medication with you. Speak to your doctor about obtaining malaria medication, and treat it during travel just like you would any other prescription.
• Obtain necessary permits or government authorization.
• Ask your doctor for a letter on their letterhead explaining your medical treatment and necessity, translated into the host country’s language, if necessary.
• If you have to take your medication at a specific time, talk with your doctor about adjusting your schedule accordingly based on your travel time and time zone changes.
• Pack enough medication to last the length of your trip—plus extra in case of delays, but no more than personal-use quantities.

During Travel

• Keep all medications in your carry-on luggage and in their original, labeled containers; do not combine multiple medications into one container.
• The name on the prescription should match the name on travel documents and identification.
• Be prepared for additional screening.
• Carry a written prescription and a letter from your doctor explaining the medication and medical condition.
• Do not have banned or controlled substances mailed to you.
• In case of an emergency, contact International SOS if you are sick, injured, or need medical advice.

Returning to the U.S.

• If you're prescribed medication abroad, review U.S. Customs & Border Patrol's list of restricted and prohibited items to certify that medication obtained abroad may be brought back into the country.
• Declare all medication and associated items at customs.
• Carry medication obtained abroad in its original container.

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Tips for Traveling With Prescription Drugs

As air travel becomes increasingly more restrictive, people can sometimes have a tough time traveling with their medications. Even for domestic flights, security has tightened to the point where even liquid medications can be seized from your carry-on if they are over 100 milliliters (ml), and you don't have a prescription. So how can those of us who take daily medications avoid such hassles when traveling?

There are a few tips that can help.

Before You Leave

The earlier you prepare, the longer you have to get the necessary prescriptions and medical letters from your healthcare provider if needed. Among the things you'll need to do:

• Pack extra medicine and supplies when traveling in case you are away from home longer than you expect or there are travel delays. It is generally not a good idea to pack all of your HIV drugs in your check-in baggage in the event they are lost or delayed in transit. Either separate them so that you have a two- to three-day supply on you, or pack all of them in your carry-on.
• Carry a copy of your prescriptions in your carry-on, purse, or wallet when traveling.
• If taking injectable medications (like Egrifta, insulin, testosterone) you must have the medications physically on you in order to carry empty syringes. You cannot carry syringes without proof of their use. They will most likely be seized and discarded.
• Do not remove syringes or medicines from the original packaging and be sure to retain the printed labels and manufacturer's information. Keeping them in their original packaging is the best way to help airport security identify your medicines. Opening packages or taking pills out of their bottles can potentially cause delays in security.
• Certain drugs need to be refrigerated and may require a cooler pack. Norvir (ritonavir) capsules do not require a cooler per se but should be kept at a cooler temperature (ideally below 77F or 25C). Cooler packs are best carried with you rather than in your check-in luggage.
• If traveling abroad, become familiar with the laws, restrictions, and requirements of the countries you are traveling to. A small handful of countries limit entry if you are HIV-positive , although in many cases they are not actively enforced. Contact the U.S. State Department for information regarding travel restrictions and medication. The U.S. requires all passengers to declare medications and syringes when traveling abroad.

At the Airport

Particularly if you going overseas, arrive extra early if you're carrying a supply of personal medication with you. Allow for extra time (as long as two hours domestically or three hours internationally) to clear security without a rush. There are a few other facts that can help:

• In most cases, you will probably not be asked for copies of prescriptions if you are carrying your personal medication with you. This generally only becomes a problem if you are carrying a lot of medication (as can sometimes happen) or if you are carrying syringes, liquid formulation, or temperature-controlled drugs in cooler packs.
• When in doubt, be proactive and present copies of your prescriptions and/or your medication vials when approaching airport security. If you have any problems, ask to see a supervisor.
• You can ask and are entitled to a private screening to maintain your medical confidentiality. Always know your rights as a person living with HIV, whether at home or abroad, as well as the legal protections governing your medical privacy .

Boarding Your Flight

Once you're on your flight, you'll need to take some extra steps to keep your medications safe and ensure easy access in case you need a dose while in flight.

In some cases, the airline or onboard staff may request that they take and store your syringes for you during a flight. Make life easier for yourself by packing your drugs, syringes, and other medical supplies in one carry-on to minimize the risk of loss as well as the hassle of digging through all your belongings.

If you have any questions pertaining to the transports of drugs from overseas into the U.S., contact the Division of Drug Information at 855-543-DRUG (3784) or email druginfo@fda.hhs.gov. For any questions related to the carrying of prescription medications in your luggage or carry-on, contact the Transportation Security Administration (TSA).

By Mark Cichocki, RN Mark Cichocki, RN, is an HIV/AIDS nurse educator at the University of Michigan Health System for more than 20 years.  

Flying with Prescribed Drugs: How-to Pack, Tips & More! [Ultimate Travel Guide]

• July 6, 2023
• Lauren Stuttaford

Are you a frequent traveler who relies on prescribed medications to maintain your well-being? Or perhaps you’re a first-time flyer with concerns about how to navigate the skies with your essential drugs. Don’t panic – we’ve got you covered with our ultimate guide on how to pack prescription meds for air travel.

In this guide, we’ll explore the ins and outs of flying with prescribed drugs, from understanding airline regulations to organizing your medications and navigating security screenings.

Wondering, “How do I pack my prescriptions for air travel”?

We’ll equip you with the knowledge and confidence to embark on your travels with ease. So, let’s dive in and discover how to pack like a pro, ensuring your medications are as ready for takeoff as you are!

Prescription Medicine and Air Travel: Can You Fly with Medication?

The good news is that you can fly with your medication. Airlines and airport authorities understand the importance of carrying necessary medications during air travel. However, there are a few essential considerations to keep in mind to ensure a seamless journey. We cover everything you need to know about international air travel with prescription medication below!

Understanding Airline & Airport Regulations for Flying with Prescribed Drugs

When you’re flying with prescribed drugs, it’s important to be familiar with the rules and regulations governing air travel so you can ensure everything is in order when packing prescription medication for air travel. Also, keep in mind that different airlines and countries may have specific guidelines, so you should do your own research on each destination to avoid any unnecessary hassles or delays.

Here’s what you need to know about air travel with prescription drugs:

Carrying prescribed drugs on flights:

• Passengers are generally allowed to carry prescribed medications both in their carry-on luggage and checked bags. But when packing prescriptions for air travel, it’s strongly recommended to keep your essential medications in your carry-on to ensure immediate access during the flight.
• Avoid packing medications in unmarked containers or plastic bags. Instead, use their original pharmacy-labeled packaging whenever possible.

Proper documentation and identification:

• Carrying proper documentation is crucial when you’re planning air travel with prescriptions. Make sure to bring your original prescription labels with your name, medication details, and prescribing doctor’s information clearly printed.
• If you’re traveling with injectable medications or medical devices like syringes, carry a doctor’s note or medical certificate stating their necessity.

Specific restrictions and limitations:

• Liquids and gels: If you’re not sure how to pack prescription meds for travel, you should know, the TSA’s 3-1-1 rule applies to liquid medications as well. You can carry medications in liquid or gel form, but they must be in containers of 3.4 ounces (100 milliliters) or less and fit into a clear quart-sized bag. Medications are exempt from the 3-1-1 rule but be prepared for additional screening if needed.
• Controlled substances: When it comes to air travel and prescription drugs, you should do extra research if your prescribed drugs fall under controlled substances, such as certain pain medications or anxiety drugs. Check the specific regulations of the destination country and obtain any necessary permits or approvals in advance.

TSA regulations:

The Transportation Security Administration (TSA) is a federal agency that is responsible for security at airports and other transportation hubs in the United States. The TSA has regulations on flying with prescribed medicines in order to ensure the safety of passengers and crew members.

These regulations are important because they help to prevent the illegal transportation of controlled substances and other dangerous materials. They also help to ensure that passengers have access to their essential medications in case of an emergency and that they adhere to regulations on packing prescription drugs for air travel.

The full TSA regulations on flying with prescribed medicines can be found on the TSA website . However, here are some key points to keep in mind:

• You can bring your prescribed medications in your carry-on luggage or your checked luggage.
• Liquid medications must be in containers of 3.4 ounces (100 milliliters) or less and must fit in a clear quart-sized bag.
• You may need to declare controlled substances to the TSA.
• Be prepared to show documentation for your medication, such as your prescription or a doctor’s note.

If you are traveling with a large quantity of medication, you may need to declare it to the TSA. You can request a private screening if you prefer not to disclose personal medical information in public.

Always check the official websites of your airline, the TSA, and the destination country’s aviation or transportation authority for the most up-to-date information on air travel regulations prescription drugs and more information on how to pack prescription meds for air travel. Remember, it’s better to be over-prepared than to be caught unaware, so take the time to understand and follow these regulations to make your journey as smooth as possible.

Consult with Your Healthcare Provider

Before you travel (and learn how to pack prescription meds for air travel), it’s important to consult with your healthcare provider to discuss your medication needs. They can help you adjust your medication schedule, ensure you have an adequate supply, and advise you on how to store your medications safely.

Here are some things to discuss with your healthcare provider:

• Your travel plans, including the duration of your trip, the destinations you’ll be visiting, and any potential challenges or concerns you anticipate.
• Any changes in your medication schedule that may be necessary due to time zone changes or disruptions to your regular routine.
• The need for additional prescriptions to cover the entire period of travel.
• How to store your medications safely, especially if they have specific storage requirements or are sensitive to temperature changes.
• Emergency contact information, including the number of your healthcare provider and the nearest hospital or clinic at your destination.

By consulting with your healthcare provider, you can ensure that your medications are well-managed during your travels and get info on how to pack prescription meds for air travel. This will help you stay on top of your health and enjoy your trip with peace of mind.

Organizing Medications

It’s important to know how to pack prescription meds for airline travel with prescription drugs, since proper organization of your medications is essential for easy access, safety, and convenience while traveling. Here are some tips:

• Use pill organizers to keep your medications neatly sorted and easily accessible.
• Label your medication containers clearly with your name, the name of the medication, dosage instructions, and any other relevant information.
• Keep your medications in their original packaging, especially for prescription medications.
• Separate medications by type to avoid confusion.
• Carry extra medications in case of unexpected delays or changes to your itinerary.
• Place liquid medications in sealable, clear plastic bags to comply with TSA regulations and prevent leaks.
• Carry your medications in your carry-on luggage for easy access.

By following these tips, you can ensure that your medications are well-organized and easily accessible while traveling.

How to Pack Prescription Meds for Air Travel : Carry-On or Checked Luggage

When packing prescription medications for air travel, it is generally recommended to keep them in your carry-on luggage. This ensures that you have immediate access to them during your flight and reduces the risk of lost or delayed luggage.

If you do choose to pack your medications in your checked luggage, be sure to pack extra medication in case of unforeseen circumstances. It is also important to check the specific regulations and guidelines of your airline regarding carrying prescription medications to ensure compliance and a smooth travel experience.

Here are some of the pros and cons of each option:

Carry-On Luggage

• Immediate access to medications
• Mitigates the risk of lost or delayed luggage
• Liquid restrictions (3-1-1 rule)

Checked Luggage

• Convenience
• Ease of travel
• Risk of lost or delayed luggage
• Limited access to medications during security screenings

Following these tips helps ensure that your prescription medications are safe and accessible during your flight.

Documentation and Labeling

When it comes to international air travel with prescription drugs, it is important to carry proper documentation and ensure clear labeling. This will help you verify the legitimacy of your medications, expedite security clearance, and comply with international travel requirements.

For documentation, carry the original prescription labels or packaging provided by the pharmacy. These labels should include your name, the medication’s name, prescribing doctor’s information, and the dosage instructions. Additionally, consider obtaining a letter or note from your healthcare provider explaining the necessity of your prescribed medications, especially for controlled substances or injectable medications.

For labeling, you can use adhesive labels or waterproof markers to write your name, dosage, and any other relevant information directly on the medication packaging. Alternatively, you can attach removable labels or use medication-specific labeling systems designed for this purpose.

Clearly labeling your medications will help you identify them easily, stay organized, and maintain medication adherence. It will also help prevent mix-ups or accidental ingestion of the wrong medication.

By carrying proper documentation and labeling your medications clearly, you can enhance safety, facilitate security screenings, and demonstrate compliance with regulations. It will also help you manage your medications effectively while traveling, ensuring a worry-free and well-organized journey.

How to Pack Prescription Meds for Air Travel: Security Screening and Airport Procedures

When going through security at the airport, it’s important to be prepared and aware of how it may affect your prescribed medications. Here are some tips to help you navigate the process smoothly:

• Medication Screening: Prescription medications are allowed through security checkpoints, but they may be subject to additional screening procedures. Be ready to present your medications separately for inspection if requested.
• X-ray Scanning: Medications, including pills and inhalers, can typically go through X-ray scanners without any issues. However, you can request a manual inspection instead if you prefer that your medications are not X-rayed.

Communicating with Security Personnel:

• Inform Security Officers: Advise the security officers that you are carrying prescribed medications and have them readily accessible for inspection. Clear communication from the start helps prevent any misunderstandings and ensures a smoother process.
• Carry Documentation: Carry your prescriptions or doctor’s notes with you and present them if requested. Proper documentation strengthens the legitimacy of your medications and can expedite the screening process.

Private Screening Option:

• Request Privacy: If you feel uncomfortable or prefer additional privacy during the screening process, you have the right to request a private screening. This allows you to discuss your medications confidentially and address any concerns or questions you may have.

Remember, security personnel are trained to handle situations involving prescription medications and medical needs. By cooperating, communicating clearly, and being prepared, you can navigate the security screening process with ease and ensure the safety and accessibility of your prescribed drugs.

Other Tips for a Smooth Journey

In addition to the tips mentioned earlier, here are some additional things you can do to ensure your air travel with prescription meds goes smoothly:

• Carry extra medication. This is especially important if you are traveling internationally, as there is a higher risk of luggage delays or loss. You should also carry extra medication if you have a chronic condition that requires you to take medication on a regular basis.
• Adjust your medication schedule for time zone changes. This can be done by gradually moving your medication times forward or backward by a few hours each day. If you are traveling across multiple time zones, you may need to adjust your medication schedule multiple times.
• Research local regulations. This is an important step to take before traveling to any country, as the regulations regarding prescribed medications can vary from country to country. You can usually find this information on the website of the country’s embassy or consulate.

What To Do If You Lose Your Medications?

If you happen to lose your prescribed medications while traveling, take the following steps to address the situation:

Losing your medications can be distressing but try to remain calm and composed. Panicking will make it harder to think clearly and find a solution.

Contact Your Healthcare Provider:

Reach out to your healthcare provider as soon as possible. Explain the situation and ask for guidance on what to do next. They may be able to provide advice, suggest alternatives, or assist with obtaining replacement medications.

Seek Medical Assistance:

If you require immediate medical attention or your condition is critical, seek medical help at a local healthcare facility or contact emergency services. Explain the situation and provide any relevant medical history to ensure proper care.

Locate the Nearest Embassy or Consulate:

If you are in a foreign country and need assistance, contact the nearest embassy or consulate. They can provide guidance, help facilitate communication with local healthcare providers, and assist in obtaining replacement medications if necessary.

File a Report:

If your medications were lost or stolen in a public place, consider filing a report with local law enforcement. This documentation may be required for insurance purposes or to facilitate any necessary legal processes.

Explore Local Healthcare Options:

Depending on your destination, there may be local healthcare facilities or pharmacies where you can seek assistance. Contact them and explain your situation to see if they can help provide replacement medications or suggest alternatives.

Arrange for Prescription Refills:

If you have travel insurance, check if it covers the cost of prescription refills in case of loss or theft. Contact your insurance provider to understand the process for obtaining replacement medications.

Consider Prescription Transfer:

If it is feasible, inquire about the possibility of transferring your prescription from your home pharmacy to a local pharmacy. This may require coordination between your healthcare provider, home pharmacy, and the local pharmacy.

Take Preventive Measures:

To minimize the risk of future medication loss, consider keeping medications in your carry-on luggage, ensuring proper labeling and documentation, and utilizing pill organizers to stay organized.

Remember, it is essential to consult with healthcare professionals and follow their advice in situations involving lost medications. They can provide the most accurate and appropriate guidance based on your specific circumstances.

How Air Doctor Can Help You Fill Prescriptions Abroad

Traveling abroad can be an amazing experience, but it can also be stressful. One of the biggest stressors is figuring out how to fill prescriptions if you get sick. In many countries, there are different healthcare regulations and it can also be difficult to find a doctor who speaks your language. This is where Air Doctor can help.

Air Doctor is an app that connects travelers to trusted, local doctors abroad. With Air Doctor, you can find a doctor who speaks your language and who is familiar with the local healthcare system. You can also get local, valid prescriptions.

Here are some of the benefits of using Air Doctor to fill prescriptions abroad:

• You can find a doctor who speaks your language.
• You can filter doctors according to other preferences.
• You can book clinic, at-home (hotel), or video consultations.
• You can get 24/7 multi-lingual support from the Air Doctor team.
• No lengthy claims processes.
• We’re partnered with insurance providers worldwide.
• Find trusted medical care, anywhere, anytime.

If you’re planning on traveling abroad, be sure to download the Air Doctor app so you can have peace of mind knowing that you’ll be able to get the medical care you need if you get sick.

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Flying with Medication

Can i fly with medications.

Yes, you can bring medications on a plane. But traveling with medicines requires extra planning. Medications may need additional screening in airport security. However, passengers should be able to bring all prescribed medicines and medical supplies onto the airplane.

To make travel easier, review travel guidelines for medications ahead of time. Arrive to the airport early. Have written documentation from your doctor about the medical condition and needed medicines.

When traveling on long flights, be aware of time zones. You might need to adjust your medication schedule. Also, plan for meals if medicines need to be taken with food.

Air travel checklist for travelers with medical needs:

• Have all medicines and supplies.
• Know medicine guidelines and laws for the places you will visit.
• Carry written documentation and prescription information.
• Pack and store each medicine properly.
• Plan for airport security.
• Arrive early.
• Let airline workers and security agents know about health needs, medical devices, and medications.
• Make sure that you have extra medicine in a carry-on bag in case luggage gets lost.

How do I carry medication on a plane?

• All prescription medicines are allowed on airplanes, whether in a carry-on or checked bag.
• There is no limit to the amount of medications in pill or solid form that you can bring.
• Liquid medicines are also allowed. Normally, liquids in a carry-on bag have to be 3.4 ounces or less per item. Medicines do not have to follow this rule.
• Medical equipment such as IV pumps, bags, and syringes are also allowed.

The Transportation Security Administration (TSA) limits the amount of liquids you can bring onto a flight in your carry-on luggage to 3.4 ounces (100 mL). Some medical items do not have to follow this rule.

Medical liquids allowed in a carry-on bag include:

• Liquid medications
• Medications in aerosol form (inhalers)
• Gels, ointments, creams, or pastes
• Medical accessories such as IV bags, ice packs, or gel packs

How do I pack medication for a flight?

• Checked luggage can be delayed or lost and may not arrive at your final destination.
• Checked luggage can be exposed to temperature changes and moisture that could affect your medications.
• Packing medications in a carry-on bag lets you have immediate access.
• TSA does not require medications to be in their original, labeled, prescription containers. However, using the original containers may limit delays or additional questioning. This is especially important if you have pain medications or other controlled substances.
• Individual states may also have laws regarding labeling of prescription medications. Contact a local pharmacy in the state you are traveling to if you have questions.
• Refrigerated medications may be packed using freezer packs, insulated lunch boxes, or coolers within carry-on luggage.
• Used syringes should be placed in a hard-surface container.

Medications are allowed on a flight in either a carry-on or checked bag. It is usually best to pack medicines in a carry-on bag.

How do I go through airport security with medicines?

• Arrive early to allow time for additional screening at the security checkpoint.
• Bring a medication list and note from your doctor. This can speed up the screening process and help answer questions.
• Tell the security agent that you have medically necessary medications. Otherwise, you may be asked to throw out items that are over the limit for liquids allowed.
• Liquid medications do not have to be placed in a clear plastic bag.
• Label all medications and supplies. This can help speed up security screening.
• Keep medical items separate from the rest of your luggage when you go through the checkpoint. Use separate bins for personal items. Keep medicines and supplies such as freezer packs, IV bags, pumps, and syringes together for inspection.
• Liquid medications will need to be X-ray screened. The container may be visibly opened, and a sample may be taken and transferred into another container and inspected by a TSA agent.
• If you do not want your medications to be X-rayed or opened, additional screening methods may be used.

What do I need to know about international travel with medicines?

• A valid prescription or doctor’s note is required for all medications entering the United States.
• Each country has their own laws relating to medications and controlled substances. Medicines that are legal in one country may be illegal in another. Check regulations for each place you will visit, including customs and border checkpoints. Contact the foreign embassy to learn more about specific national laws.
• Find out how much medicine you are allowed to bring into the country at a time. There might be a limit such as 30-day supply or 90-day supply.
• Keep medicines in their original containers with a prescription label. If medicines are not in their original containers, carry a copy of your medication list or letter from your doctor.

TSA passenger support

Call the TSA Cares helpline: 1-855-787-2227 .

Contact TSA passenger support for help with the security screening process for persons with disabilities and medical conditions.

https://www.tsa.gov/travel/passenger-support

More information on flying with medication

• Disabilities and Medical Conditions | TSA
• Disability Notification Card | TSA
• Traveling Abroad with Medicine | CDC
• Traveling With Cancer: 5 Steps to Take Before You Start Packing | Cancer.Net
• Country Regulations for Travellers Carrying Medicines Containing Controlled Substances | International Narcotics Control Board

— Reviewed: January 2020

Traveling with Medications

Managing medicines during travel can be a challenge, but having a plan can help. Learn ways to make traveling with medicines easier and safer.

Keeping up with medicines can be a challenge for pediatric cancer patients and families. It is important for caregivers to know how to safely handle, prepare, and store medicines. Managing medicines is an important part of at-home care.

Learn about common medications used in the treatment of pediatric cancer. Read about potential side effects and other important information.

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Medication and medical equipment.

Travelling with medication and medical devices overseas can be difficult. You may have trouble finding some things you need overseas. You may also have trouble taking what you need with you on your flight or cruise.

Some medication could be illegal in your destination. Locally bought medication can be poor quality or counterfeit, or some just hard to find, especially if they're not widely accepted in the local culture.

Plan ahead. Get the information you need before you go. When you're informed, you can take steps to reduce the risk of having problems with medication or medical equipment while you're away. 

Before you travel, make sure you:

• see your doctor or travel clinic for medical advice
• get travel insurance
• learn about Australian laws
• learn about the local laws around medication
• find out any cultural considerations about your medication or condition
• pack enough medication to stay in good health on your trip
• check whether your airline or cruise ship have restrictions on your medical equipment or mobility aids
• make emergency plans in case things go wrong .

This page is for Australians planning to travel overseas with medication or medical equipment. If you're already overseas and need medical supplies, see our general advice on  medical assistance overseas .

1. See your doctor

Consider your physical and mental health before you travel. Especially if you have a pre-existing medical condition. You could put your health at risk if you run out of medication while you're away.

See your doctor or travel clinic to:

• have a basic health check-up
• ask if your travel plans may affect your health
• plan any vaccinations you need
• make sure you have enough medication to cover your needs overseas, and a bit more to cover any unforeseen events.

Do this at least 8 weeks before you leave.

Authorities overseas may ask for evidence to prove the medication is yours. Ask your doctor for a letter stating:

• what the medicine is
• how much you'll take
• that it's for personal use. 

If you have a chronic health condition, talk to your doctor about how you will manage it while you're away. For more information, see our general advice on  vaccinations and preventative health.  

2. Get travel insurance

You need  insurance to travel overseas. Check if your insurer will cover:

• pre-existing conditions
• replacing a medical device if it's lost, damaged or stolen
• seeing a local doctor
• medical evacuation.

If you want cover for prescription medication you may need a specialised insurance policy. Most insurers won't cover the cost of prescription medication. This includes:

• if your bag is lost or stolen and your medication was inside
• if you are hospitalised and need a prescription medication.

Some countries have a  reciprocal health care agreement  with Australia. This covers essential medical care. It might not cover the cost of medication you need  while you're away . You will still need  travel insurance  to visit these countries.

3. Understand Australian law

You can only take prescription medicine out of Australia if it's for personal use and limits apply. This includes medicines supplied under the Pharmaceutical Benefits Scheme (PBS).  Find out if there are laws or restrictions on how much PBS-subsidised medication you can take overseas .

4. Understand the law in your destination

Not all medicine you take in Australia is available in other countries. Some common medicines may even be considered illegal or a controlled substance. Commonly restricted drugs include:

• amphetamines, such as ADHD medications
• medical marijuana/cannabis
• opioid-based painkillers, such as codeine
• medication containing pseudoephedrine, such as cold and flu tablets
• sleeping pills
• anti-anxiety and antidepressant medications.

If you're taking medication with you, confirm it's legal in your destination or if any rules or restrictions apply. Depending on your medication, you may need to apply for a permit to bring it to your destination.

What you can do:

• Contact the consulate or embassy of your destination. Ask their advice.
• Talk to your doctor if your medication is illegal in your destination. Ask if there's an alternative they can prescribe.
• Always carry medication in its original packaging.

Penalties for carrying or using controlled drugs can be severe. Read our travel advice for your destination .

5. Learn about local culture and attitudes

Attitudes and beliefs about some illnesses and medication can be negative in other countries. This includes attitudes and beliefs about seizures and  mental health  episodes.

It also includes attitudes toward reproductive health. Even if contraception is legal there, some doctors and pharmacists may refuse to supply it.

• Find out if your medication is controversial in your destination. You may wish to be discreet about it. 
• Find out if your  mental illness  is generally accepted in your destination. If it isn't, you may have trouble refilling scripts for it.
• Research your destination. Explore online resources for people with your condition or medication. Read the health section in our travel advisory.

It's important you respect your destinations' culture and attitudes, even if you don't agree with them. If you don't, you could find yourself in trouble. The Australian Government is limited in how and when it can help you. See the  Consular Service Charter . 

6. Pack enough for your trip

You may not be able to refill your script easily in your destination. If possible, pack enough medication to last your whole trip. If you're going for a long time, make sure the quantity you're taking is  within the law.

Medication and equipment that are cheap in Australia can cost a lot more overseas, especially if your items are subsidised by the Australian Government. This includes items subsidised under the  Pharmaceutical Benefits Scheme  (PBS) and  National Disability Insurance Scheme  (NDIS). 

• If it looks like you're taking a lot, local authorities could suspect you plan to sell it. You could be  arrested or jailed  for  carrying or using drugs . Check the  law .
• You may need to prove it's for you. Keep a copy of your script or a letter from your doctor with your medication, and if possible keep the medication in its original pharmacy packaging.
• Don't risk losing it all. If you keep all your medication together and your bag is  lost or stolen , you could be stuck without any. Keep a quantity of your medication is a separate bag, just in case. 

If you do run out while you're overseas, you need to know how to get more. Read our advice about getting  medical assistance  overseas. See the 'Health' section of your destination's  travel advisory  for local health care information.

7. Check restrictions on medical equipment

Your  airline or  cruise ship  may have restrictions on what you can carry on board. This often applies to carrying mobility aids and medical equipment. 

Restrictions often apply to assistance animals, battery-operated devices and sharps. This includes syringes.

Most airlines will require you to check in your wheelchair.

Talk to your airline or cruise about what restrictions may apply. Make sure you can:

• take the equipment you need
• access toilets and other facilities
• get the right support from the crew.

See our advice for travellers with a  disability .

8. Make emergency plans

Talk to the people you're travelling with about your and their medical needs. You may need to support each other if one of you gets sick overseas.

Have an action plan. If you carry emergency medication or use any medical or mobility aids, show your travelling companions what to do.

Know local emergency contact numbers. You can find these in our  travel advice for your destination .

Consular services and health

You're responsible for managing your health and access to medication and medical equipment while overseas.

If you need  medical assistance overseas , check local contacts in our  travel advice for your destination .

The Australian Government is limited as to how and when we can help. Read the  Consular Services Charter  for more information. 

What we can do

• We can provide consular help in a medical emergency.
• We can provide details of local doctors and hospitals.
• We can , in some destinations, provide a list of pharmacies.
• We can contact friends or family on your behalf, if you consent.
• We can transfer you to telephone counselling services.

What we can't do

• We can't give you medical advice.
• We can't guarantee your health and safety.
• We can't pay for your medication and medical expenses overseas.
• We can't recommend local doctors or hospitals to write you a script.
• We can't recommend a local pharmacy to refill your script.
• We can't get you out of jail if local authorities suspect you're carrying or using drugs .
• Read our general advice on  vaccinations and preventative health .
• See our advice for  mature travellers  or those travelling with  children .
• Know what happens if you're suspected of  carrying or using drugs  and  arrested or jailed overseas .
• See our advice for people travelling with a  disability  or a  mental health  condition.
• Read about about Australia's  reciprocal health care agreements .
• Before you go, get  international travel insura nce .
• See information about  travelling overseas with PBS medicines  (Services Australia).
• Read about  taking medicines and medical devices overseas  (Therapeutic Goods Administration).
• Read the  travel insurance buying guide  (CHOICE).

Related content

Many countries don't have the same access, services or support for people with disabilities as Australia. Learn more about travelling with a disability.

When you go overseas, you may be exposed to a range of infectious diseases. Before you go, learn about the health risks in your destination and see your doctor.

Medical tourism is when you go overseas for medical treatment. Before you go, gather the information you need. Make informed choices about your medical procedure.

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Travelling with medication

The information on this page will help you if you’re travelling abroad with prescription, over-the-counter medication or medical equipment.

Medications may come under intense scrutiny when going through border controls in other countries or at the land border between Canada and the United States.

On this page

Before you leave, while you’re away, if you need help.

Some over-the-counter and prescription medications, dietary supplements, and herbal and homeopathic products legally available in Canada may be illegal in other countries or require prior approval from local authorities.

• Consult the health section of our destination-specific travel advice and advisories
• Contact the foreign government office accredited to Canada of the country you plan to visit to confirm the status of your medications in that country
• Keep all medications in their original, labelled containers.
• a copy of the original prescription and ensure that both the generic and trade names of the medications are included in case of loss or theft
• a doctor’s note explaining why you are taking the medications (highly recommended)
• Learn about what you can and cannot pack in your carry-on luggage
• fly with medications and medical items
• travel into and out of Canada with prescription medications that contain controlled substances
• Don’t buy medications outside Canada unless you have been advised by a health care professional.
• Know that some medications might come with certain stigmas, associate individuals with a vulnerable group or raise questions at your destination. For example, contraception, pre-exposure prophylaxis (PrEP) and anti-depressants might not be widely accepted, depending on your destination’s culture and laws.
• Remember that even if you’re authorized to use cannabis for medical purposes, it is illegal to transport it and all products containing cannabis, including products containing cannabidiol (CBD), across the Canadian border.
• It’s your responsibility to know and abide by local laws.
• Your Canadian citizenship offers no immunity from prosecution, and consular officials can’t get you out of jail.
• nearest Canadian office abroad
• Emergency Watch and Response Centre in Ottawa

Related links

• Sickness or injury
• Receiving medical care outside Canada
• Vaccinations
• Travelling with disabilities
• Travelling with a medical device
• What you can bring on a plane  (Canadian Air Transport Security Authority)
• Animal and plant ingredients in traditional medicine  (Environment and Climate Change Canada)

Essential Tips For Traveling With Prescriptions In China

• Last updated May 09, 2024
• Difficulty Beginner

• Category Travel

China is a fascinating country with a rich history, diverse culture, and extraordinary landscapes that attract millions of tourists every year. However, for travelers who rely on prescription medications, navigating the healthcare system and ensuring access to their medications can be a daunting task. In this guide, we will provide essential tips for traveling with prescriptions in China, helping you stay healthy and worry-free during your trip. From understanding local regulations to carrying necessary documentation, we will cover everything you need to know to make your travel experience in China as smooth as possible.

What You'll Learn

Planning ahead and researching china's prescription medication regulations, gathering necessary documentation for traveling with prescriptions in china, finding a reliable pharmacy or medical services in china, tips for safely storing and carrying prescription medications while traveling in china.

When planning a trip to China, it is important to be aware of the country's regulations on prescription medications. It is necessary to plan ahead and ensure that you have all the necessary documentation and medication to avoid any complications during your trip. Here are some key steps to take to make sure you are fully prepared:

• Research China's regulations: Start by familiarizing yourself with China's regulations on prescription medications. Different countries have different policies, so it is essential to know what is allowed and what is not. China has strict regulations on certain medications, such as opioids and strong painkillers, so it is advisable to avoid carrying these drugs with you.
• Consult your doctor: Make an appointment with your doctor well in advance of your trip. Inform them about your travel plans and discuss the medications you will need during your stay in China. Your doctor can advise you on whether it is possible to get a prescription for an extended supply or if any alternative medications are available.
• Check if your medication is allowed: Some medications that are easily accessible in your home country may be strictly regulated or even banned in China. Contact the Chinese embassy or consulate in your country to obtain a list of permitted medications. Additionally, you can consult the China Food and Drug Administration (CFDA) website for more information.
• Translate your prescription: It is recommended to have your prescription translated into Chinese. This will facilitate communication with local authorities if any questions or concerns arise. Consider using a professional translator or a translation app to ensure accuracy.
• Carry your medication in its original packaging: When traveling with prescription medication, always keep it in its original packaging. This helps establish the legitimacy of the medication and makes it easier to identify during customs checks. If possible, obtain a letter from your doctor stating the necessity of the medication and any special conditions associated with its use.
• Declare your medication at customs: Upon arrival in China, be sure to declare your medication at customs. Fill out any necessary forms and present your prescription and supporting documentation to the customs officers. This will help avoid any misunderstandings or delays.
• Research local pharmacies: Before your trip, research local pharmacies in the cities you plan to visit. Find out if your medication is available there and if any specific regulations apply. It is always good to have a backup plan if you run out of medication or need a refill during your trip.
• Be aware of language barriers: Communication can be challenging in a foreign country, especially if you have language barriers. Learn some basic medical terms or phrases in Mandarin to help you express your needs or concerns to healthcare professionals or pharmacists.

By following these steps and planning ahead, you can ensure a smooth and hassle-free trip while being prepared with your necessary prescription medications. Remember to always check the latest regulations and stay informed to avoid any complications.

Why Is It Necessary to Call Visa When Travelling?

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Traveling to China with prescription medication can seem like a daunting task, but with proper preparation and documentation, it is entirely possible. To ensure a hassle-free journey, it is crucial to gather all the necessary paperwork before your trip. Here are some essential steps to follow when gathering the required documentation for traveling with prescriptions in China:

• Obtain a doctor's letter: Start by visiting your healthcare provider and explaining your travel plans to China. Request a letter that includes your medical condition, prescribed medications, dosage, and any other relevant information. This letter should be on the doctor's official letterhead and preferably signed.
• Translate the letter: It is important to have a translated copy of the doctor's letter in Chinese. If your healthcare provider does not offer translation services, consider hiring a professional translator or using online translation tools to ensure accuracy. Having the letter translated will help customs officials and medical professionals understand your situation more easily.
• Obtain a certificate of authenticity: In addition to the doctor's letter, it is advisable to obtain a certificate of authenticity for each of your prescription medications. This document should include details such as the medication name, dosage, duration of treatment, and your personal information. This certificate can be obtained from your doctor or pharmacist and should be notarized.
• Check Chinese regulations: Before traveling to China, familiarize yourself with the specific rules and regulations regarding prescription medications. Some medications may be prohibited or require additional documentation. The Chinese Embassy or Consulate in your country can provide you with detailed information on the restrictions and requirements.
• Carry medications in original packaging: When packing your prescription medications, make sure to keep them in their original packaging. This helps to establish their authenticity and legitimacy. Avoid transferring medications to alternative containers or combining multiple medications in a single container.
• Keep medications in your carry-on: It is recommended to carry your prescription medications in your carry-on luggage rather than your checked baggage. This way, you have easy access to them during the flight, and they are less likely to be lost or damaged.
• Bring extra medications: It is a good idea to pack extra medication in case of unexpected delays or extended stays. Having an ample supply will give you peace of mind and prevent any potential issues.
• Declare medications at customs: When you arrive in China, declare your medications at the customs checkpoint. Show your doctor's letter, certificate of authenticity, and any other supporting documentation. Be transparent about your medical condition and provide any necessary information requested by the customs officials to ensure a smooth entry.

Remember, it is always prudent to consult with an embassy or consulate representative to ensure you are aware of the most up-to-date regulations regarding prescription medications in China. By following these steps and gathering the necessary documentation, you can travel to China with your prescriptions with confidence and peace of mind.

Tips for Traveling with Ice Cream and Keeping it Solid

When traveling to China, it's important to plan ahead if you have any prescription medications that you need to bring with you. Finding a reliable pharmacy or medical services in China can be a challenge, but with the right information, you can ensure that you have access to the medications you need during your time in the country. Here are some tips on finding a reliable pharmacy or medical services in China:

• Research before you go: Before traveling to China, it's a good idea to do some research on the local pharmacies and medical services in the area you will be staying. Look for recommendations from fellow travelers or expats who have experience obtaining medications in China. Online forums or expat groups can be a great resource for this type of information.
• Bring enough medication for your trip: To avoid running out of medication while in China, make sure you bring enough medication to last for the duration of your trip. It's important to keep your prescriptions in their original containers and carry a copy of your prescription with you, in case you need to show it to customs officials or medical professionals.
• Check if your medication is allowed in China: Some medications that are commonly prescribed in your home country may be restricted or not available in China. It's a good idea to check if your medication is allowed in China before you travel. You can consult the Chinese Embassy or Consulate for information on specific medications or visit the official Chinese customs website for a list of restricted medications.
• Find a reliable pharmacy: Once you arrive in China, you can start looking for a reliable pharmacy. Look for pharmacies that are well-established and have a good reputation. You may want to ask locals or expats for recommendations or look for pharmacies that are part of a reputable chain.
• Consult a doctor if needed: If you need to fill a prescription or get a new medication in China, it's a good idea to consult a local doctor. They can help you navigate the local healthcare system, as well as provide you with a prescription if necessary. You can find English-speaking doctors in major cities and tourist areas.
• Language considerations: It's important to note that many pharmacists in China may not speak English, so it's a good idea to have a written translation of your medication or medical condition, just in case. This can help ensure that you receive the correct medication and dosage.
• Be cautious with online pharmacies: While there are online pharmacies in China, it's important to exercise caution when using them. Stick to reputable and well-known online pharmacies, and be wary of any websites that do not require a prescription or seem too good to be true.

Overall, finding a reliable pharmacy or medical services in China may require some research and planning, but with the right information, you can ensure that you have access to the medications you need during your time in the country. Remember to bring enough medication with you, check if your medication is allowed in China, and consult local healthcare professionals if needed.

How to Convert the Anemo Traveler to Geo in Genshin Impact

China is a popular destination for travelers from all over the world. If you are planning a trip to China and you take prescription medications, it's important to know how to safely store and carry them during your travels. Here are some tips to help you ensure that your prescription medications are safe and easily accessible while in China.

• Pack your prescription medications in your carry-on bag: When you are traveling, it's always a good idea to keep your prescription medications with you in your carry-on bag. This way, you can access them easily during your flight and also avoid the risk of your checked luggage getting lost or delayed. It's also a good idea to pack enough medication for your entire trip, plus a few extra days, in case of any unforeseen delays.
• Keep your medications in their original packaging: It's important to keep your prescription medications in their original packaging, as this will help customs officials and security personnel identify them easily. Make sure that the packaging includes your name, the name of the medication, dosage instructions, and the prescribing doctor's information. If your medications are in blister packs, it's a good idea to keep them in their original cardboard box as well.
• Carry a copy of your prescription and a letter from your doctor: To avoid any potential issues with customs or security, it's a good idea to carry a copy of your prescription and a letter from your doctor. The copy of your prescription should list the medications you are taking, their dosages, and the prescribing doctor's information. The letter from your doctor should include information about your medical condition and why you need the medications. Both of these documents can help you explain the purpose of your medications and prevent any misunderstandings.
• Be aware of local regulations: Before traveling to China, it's important to familiarize yourself with the local regulations regarding prescription medications. While most common medications are allowed in China, there may be certain restrictions or requirements for certain medications. You can check with the Chinese embassy or consulate in your country for more information. It's also a good idea to carry a list of your medications, including their generic names, as some medications may have different brand names in China.
• Store your medications properly: It's important to store your prescription medications properly to ensure their effectiveness and safety. Keep your medications in a cool and dry place, away from direct sunlight, heat, and moisture. Avoid storing them in the bathroom, as the humidity can affect their potency. If any of your medications require refrigeration, make sure to pack them in a small cooler bag with ice packs. Remember to dispose of any expired or unused medications properly, as per local regulations.
• Be prepared for language barriers: When traveling in China, it's important to be prepared for language barriers, especially when it comes to your prescription medications. If possible, try to have a translation of your medications' names and dosages in Chinese. This can be helpful when communicating with healthcare professionals or purchasing medications from a local pharmacy. You can also consider using a translation app or carrying a small medical dictionary to help you communicate your needs.

Traveling with prescription medications can seem daunting, but with proper planning and preparation, you can ensure that your medications are safe and easily accessible during your trip to China. By following these tips, you can have peace of mind knowing that you have taken the necessary steps to store and carry your prescription medications in a responsible and secure manner. Enjoy your trip to China!

A Comprehensive Guide on Checking Points on TD Travel Visa

Frequently asked questions.

Yes, you are allowed to bring prescription medications to China for personal use.

Yes, it is recommended to declare your prescription medications at customs when entering China to avoid any issues.

Yes, you can get your prescription medications refilled in China. However, it is advisable to bring enough medication for the duration of your stay.

Yes, there are certain restrictions and regulations for bringing prescription medications to China. It is advisable to check with the Chinese embassy or consulate in your country for the latest information.

It is recommended to carry a doctor's letter or prescription for your medications when traveling to China, as it can be useful in case of any questions or issues at customs.

• Kryms Kaya Author Traveller

• Julia May Author Editor Reviewer Traveller

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Louisiana considering criminalizing possession of two abortion-inducing drugs

NEW ORLEANS (WVUE) -An amended bill that originated in the Louisiana Senate is getting national attention because it would criminalize the possession of two abortion-inducing drugs.

Pro-life forces support the idea of adding mifepristone and misoprostol to the list of Schedule IV drugs in Louisiana. Pro-choice groups say that categorizing the drugs as controlled dangerous substances would impede women’s health care.

Republican Sen. Thomas Pressly’s legislation (SB 276), in its original form, would make it a crime to intentionally give an abortion-inducing drug to a pregnant woman without her knowledge or consent. He said the impetus for the bill was something he says his sister experienced in another state.

“My sister was a victim a little over two years ago of domestic violence by her then-husband, who tried to kill her unborn baby with an abortion pill that he grinded up and put into water and told her to drink,” Pressly said on the Senate floor. “She had a medical emergency at that time and luckily -- and by the grace of God -- was able to save my niece Josephine’s life.”

But after his bill won Senate approval, it was amended on the House side of the legislature, to categorize the two abortion-inducing drugs as controlled dangerous substances.

“Louisiana Right to Life completely supports this being added to the Schedule IV Substance list,” said Sarah Zargorski, communications director for Louisiana Right to Life.

She said the group worked “in conjunction” with Pressley to get the amendment added to the bill.

“Louisiana Right to Life believes that these need to be on the Schedule IV list, because it is so easily available online,” Zagorski said. “Minors can get them online without parental consent, for example. They can be shipped right to your door. Predators can get them. Sex traffickers can supply them to others, just by a simple web search: ‘Abortion pills online.’”

But groups that champion a woman’s right to choose say the amendment would interfere with health care and inaccurately describes the drugs.

“We’re worried that adding Mifepristone and Misoprostol to list of scheduled controlled substances in Louisiana really gives the false impression that these are dangerous drugs that require additional regulation, when study after study has found them to be safe and effective,” said Michelle Erenberg, executive director of Lift Louisiana.

Elyse Degree, reproductive justice engagement coordinator with Women with a Vision, said the legislation is unwarranted.

“This legislation is completely unnecessary in a state where abortion care is already criminalized,” Degree said. “It’s a scare tactic to further prevent people from having and seeking access to abortion care.”

Critics say that if the bill becomes law in Louisiana, it could have a chilling effect on healthcare professionals, including OB-GYNs.

“It will have healthcare providers in a bind, scared not only for themselves, for their patients,” Degree said.

Healthcare providers and medical students sent a letter to Pressly expressing their displeasure with the amendment.

“We know that physicians have reached out to Sen. Pressly to express their concerns,” Erenberg said.

Pro-choice organizations from around the country are weighing in on the bill, which they say would make Louisiana the first state in the nation to criminalize medication abortion.

Julie Burkhart, president of Wellspring Health Access, said in a statement, “It is appalling that Louisiana lawmakers are seeking to recategorize Mifepristone and Misoprostol as controlled substances in the state, especially given both drugs are used safely by hundreds of thousands of women each year to terminate their pregnancies.”

Zagorski said she expects the amendment to remain intact.

“Of course, Sen. Pressly’s story is a big part of why we did this,” she said. “But he’s received, and we’ve received, other examples of women and girls getting these pills without any problem.”

Degree thinks legislators should focus more on reducing maternal mortality in Louisiana.

“I feel that lawmakers should work on laws that can increase access to health care, instead of laws that will target health care,” she said.

Sen. Pressly did not respond to email and telephone requests for comment on his amended bill.

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Save this prescription drug discount program that's a 'lifeline' for low-income folks

The illinois legislature should save the 340b program, which is holding on by a thread. in some counties, patients are being forced to travel far out of their way to get vital medications..

Under the 340B program, manufacturers who participate in Medicaid agree to provide outpatient drugs to covered organizations or hospitals at significantly reduced prices.

stock.adobe.com

Time is running short on the Illinois legislative session, and we are dialing 911 for the critical 340B drug discount program to protect patient care.

We represent 54 community health centers across Illinois providing care to more than 1.5 million people, many of whom are low-income, uninsured or underinsured. For more than 30 years, we have used the federally approved 340B drug discount program as a lifeline. It dramatically decreases the cost of prescription drugs, and we use those to provide affordable access to life-saving drugs and prop up other care that is underfunded or not available without these discounts.

Free colonoscopies and mammograms, mobile clinics and free transportation to appointments are not a luxury for people without other options. They only happen at our clinics and at hospitals across the state through the 340B program.

SEND LETTERS TO: [email protected]. To be considered for publication, letters must include your full name, your neighborhood or hometown and a phone number for verification purposes. Letters should be a maximum of approximately 375 words.

Today, 340B is holding on by a thread, and time is running short. In some Illinois counties, patients are being forced to travel far out of their way to get vital medications. With the uninsured, that simply isn’t an option, and their health will suffer greatly for it.

In a recent letter to the four legislative leaders, governor and other leadership in Springfield, we warned that staff layoffs and service cuts are imminent if something isn’t done soon.

Five other states have approved, and 20 others are considering, a solution modeled in Senate Bill 3727 that would simply stop the harmful restrictions on 340B that are threatening care. We are confident it will work here. In Arkansas, multiple court rulings have now upheld a similar law despite a hard legal fight against it by the drug companies.

We call on the legislature to approve Senate Bill 3727 now and assure Illinoisans we will continue to support and protect health care options that are under attack.

Ollie Idowu, president and CEO, Illinois Primary Health Care Association

Hamas bears blame for suffering of Gazans

Why is it that nobody seems to notice that the only thing standing between peace in Gaza is Hamas? Israel is in a no-win situation, the people who were living peacefully (mostly) in Gaza are caught in a meat-grinder surely anticipated by Hamas leadership, and the worse it gets, the press and the protesters fail to realize who is really at blame here.

If Hamas gets a cease-fire, they will use it to rebuild and rearm, attack again at a time that suits them, more people will die and Israel will get the blame. Everyone who is condemning Israel for this mess, although not totally innocent, should also focus on who controls life and death in Gaza. Read Hamas’ charter that calls for the total destruction of Israel. The Gazan population are the pawns of Hamas leadership and they don’t care if their people suffer and die. Mayhem suits their cause.

Ken Weiss, Palatine

Go away, Donald Trump

I enjoyed Gene Lyons’ column “Looking for a permanent overseas vacation if Trump gets elected? You may not have to pack your bags.” Where would I move if Trump won? I have thought of this often. My family would move to Hawaii. Yes, it is in the U.S., but I would not be as concerned because I would be living in paradise.

I agree with Gene that Trump has no chance of winning the November election. I pray that President Joe Biden will begin his new term without a repeat of the tragedy on Jan. 6, 2021. I also hope Trump will no longer be the focal point of our news media, and he can just go away.

Linda Padgurskis, Clearing

• Looking for a permanent overseas vacation if Trump gets elected? You may not have to pack your bags

Keep waterways closed

I read the op-ed regarding the Illinois Department of Natural Resources “protecting” 98% of waterways, e.g. Embarras River, from the general public.

I side with landowners who want to keep the general public away from their properties. I am in favor of protecting the pristine beauty of our natural waterways, forests and natural monuments.

Generally, the public does not respect and does very little to maintain the exquisite beauty of these natural waterways on both private and public lands. They throw trash, dump garbage on grounds and waterways with abandon, and expect maintenance crews to pick up all the debris.

The landowners are justified in keeping the public from their private lands for fear of contaminating their surroundings with garbage and disrespect.

So, I am hoping that all landowners hold firm and resist a bill by Rep. Janet Yang Rohr of Naperville which would destroy the beauty of their properties.

Maria Sklavounou, West Ridge

• Why does Illinois’ Department of Natural Resources claim the public has no right to 98% of waterways?

TikTok in Mnuchin’s hands?

Former Trump Treasury Secretary Steven Mnuchin said on Bloomberg television that he wants to buy TikTok and then reconfigure its algorithm. As much as I distrust the Chinese Communist Party, I trust Steven Mnuchin even less.

John Regan, Lemont

Worrying about the nation

I spent time closely monitoring campus protests, the hush money case against Trump, the arguments before the Supreme Court about presidential immunity and the latest presidential polls, which fortunately are not always accurate this early in the race. I held my nose and watched with disgust most of the network TV Sunday news shows.

All of this prompts me to worry that the legal cases against Trump, even if decided before November, will not impact the 2024 election. Sadly, I continue to be amazed that so many potential voters don’t appear to care whether Trump committed crimes or engaged in despicable behavior.

Moreover, despite all of Joe Biden’s accomplishments, too many are willing to vote for someone who, by his own admission, will use the presidency as a tool for revenge and will undermine democracy and the rule of law. And as a Jew, I am disturbed by the not-so-coincidental rise in antisemitism.

I remain perplexed by the possibility that the majority of Americans are poised to vote against the only candidate who’s a decent human being and cares more about his country and its citizens than himself. Never in my 72 years have I experienced such angst about our nation.

Richard Cherwitz, Ph.D., professor emeritus, University of Texas at Austin

4 flight attendants arrested, accused of taking millions in drug money to Dominican Republic

Four flight attendants abused “their privileges as airline employees” and smuggled “millions of dollars of drug money” out of New York City to the Dominican Republic, federal authorities said Wednesday.

The suspects had access to the " Known Crewmember (KCM) " lane at John F. Kennedy International Airport, giving them fast and X-ray-free passage through security, authorities said.

"In effect, given these loosened security procedures, KCM privileges allow flight attendants to bypass airport security with large quantities of cash without that cash being seized," a Homeland Security Investigations special agent wrote in a complaint.

Charlie Hernandez, 42; Sarah Valerio Pujols, 24; Emmanuel Torres, 34; and Jarol Fabio, 35, all face various charges connected to "unlicensed money transmission," prosecutors said. They were arrested Tuesday, a Homeland Security Investigations spokesperson said.

Hernandez lives in West New York, New Jersey, while the other three defendants live in New York City, officials said.

They are accused of smuggling about $8 million in total in "bulk cash" to the Dominican Republic, prosecutors said.

"As alleged, these flight attendants smuggled millions of dollars of drug money and law enforcement funds that they thought was drug money from the United States to the Dominican Republic over many years by abusing their privileges as airline employees," U.S. Attorney Damian Williams said in a statement.

An informant gave Hernandez $121,215 — funds "derived from narcotics trafficking" — and he then gave Pujols $61,215 of it for them to take to the Dominican Republic in December 2019, according to the complaint.

Torres is accused of smuggling at least $1.5 million in drug money to the Dominican Republic from 2015 to 2022, the complaint says. Fabio sneaked out $1.5 million from 2015 to 2023, federal authorities alleged.

Delta Airlines confirmed that two of the defendants work for it.

“Delta has cooperated fully with law enforcement in this investigation and will continue to do so," it said in a statement.

An attorney for Pujols said her client is no longer in custody but would not comment further.

A lawyer for Fabio could not immediately be reached for comment Wednesday. No attorneys were immediately listed in court records for Hernandez and Torres.

David K. Li is a senior breaking news reporter for NBC News Digital.

Jay Blackman is an NBC News producer covering such areas as transportation, space, medical and consumer issues.

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Canada Letter

Lessons from the front lines of canada’s fentanyl crisis.

In a visit supported by the U.S. government, a group of Mexican experts came to British Columbia to discuss ways of responding to rampant opioid deaths.

By Vjosa Isai

A machine used for chemical analysis, with a slight resemblance to a printer, thrummed repeatedly as technicians at a drug testing site in Victoria, British Columbia, prepared to open its doors to local drug users.

Most of the samples handed to Substance Drug Checking , a lab led by researchers at the University of Victoria, were found to have contained fentanyl, the synthetic opioid driving fatal overdoses in the province to record levels.

Alarm about the spread of fentanyl is entrenched in how Canada and the United States talk about the opioid crisis. But in Mexico, the government has repeatedly denied that fentanyl abuse is spilling over its border and has asserted that the problem is exclusive to its northern neighbors.

Weak detection efforts, in public health settings or during drug death investigations, have meant that the extent of fentanyl’s reach in Mexico is largely an open question.

“We don’t know, because we’re not looking for it,” said Xóchitl Cárdenas, a forensic services chemist at the attorney general’s office in Sonora State, along Mexico’s northern border, where experts say the fentanyl crisis is acute.

Ms. Cárdenas was one of about a dozen Mexican forensic scientists, medical researchers and government workers who traveled to Vancouver and Victoria this week to learn how Canadian agencies are responding to the toxic drug supply. She watched as Pablo Gonzalez, a graduate student running the lab, listed the capabilities of the drug analysis software being developed by the university, which can spit out drug test results in under 30 minutes.

I traveled with the group this week as members visited some of the sites where drug users can receive services — including stalls they can use to inject substances under the supervision of health care personnel, group meetings that offer grief counseling and pharmacies that dispense therapeutic drugs for patients suffering from opioid use disorder.

The Mexican visitors’ trip to Canada was sponsored by the Bureau of International Narcotics and Law Enforcement Affairs at the U.S. Embassy in Mexico. In February, the bureau organized a similar tour to a “body farm” in Colorado, a site where Mexican medical examiners observed how decomposing cadavers can be tested for fentanyl poisoning.

Natalie Kitroeff, my colleague who leads the Mexico City bureau at The Times, reported on that visit, which U.S. State Department officials hoped would further their diplomatic goal of holding a mirror up to Mexico’s fentanyl crisis.

[ Read Natalie’s story: How a ‘Body Farm’ Might Help Tackle Fentanyl Abuse ]

Canada is an important partner in tackling the opiod crisis across the region, said Alex Thurn, the deputy director of the embassy bureau.

“The strides that Canada has made in this fight is very impressive,” Mr. Thurn told me, adding that his group hoped to bring its study tour full circle with an invitation for Canadian and American experts to visit northern Mexico.

The trip came as political tensions in Canada erupted over British Columbia’s experimental approach to lowering opioid deaths by decriminalizing the possession of small amounts of the drug for personal use.

[ Read: Canada Decriminalizes Opioids and Other Drugs in British Columbia ]

Public health and policy experts we heard from in Vancouver’s downtown east side, a neighborhood viewed as ground zero of the opioid crisis, said de facto decriminalization had been in place long before it officially began in January 2023. They told us that the police often used their discretion in making arrests but still seized drugs, which commonly sent drug users racing to unsafe options to satisfy their addictions. For those arrested, withdrawal symptoms in prison could have dangerous results.

David Eby, the premier and leader of the New Democratic Party, has been under increasing pressure ahead of the October provincial elections to address public drug use and announced last week that he was looking to effectively shut down that experiment about halfway through its expected three-year run. Doing so requires authorization from the federal health department, which approved the experiment.

Pierre Poilievre, the federal Conservative leader, seized on the drug decriminalization issue this week to attack Prime Minister Justin Trudeau. He called Mr. Trudeau a “wacko” in a biting exchange during a question-and-answer period on Tuesday that ended with his temporary ejection from the House of Commons for using unparliamentary language.

Drug overdoses from toxic substances are the leading cause of death among the largest swath of British Columbia’s population, those from 10 to 59 years old. They kill more people than homicides, suicides, accidents and natural diseases combined, according to the coroner’s office, and have caused more than 14,000 deaths in the province since 2016.

Despite politicians backtracking on the issue, a main difference between the drug situations in the two countries is, as the Mexican visitors pointed out, the wide availability of Canadian government funding to address the dangers from opioids.

“We have no support from the government,” said Lourdes Angulo, director of Verter, a nonprofit organization that offers services for drug users in Mexicali, the capital of the northern border state of Baja California.

“We are sometimes afraid for our own safety because the government is always looking for something to stop our organization from doing what we do,” she said.

For experts like Ms. Cárdenas, the chemist from Sonora, the experience of walking through homeless encampments along the streets of Vancouver and Victoria, where outreach workers make their rounds with naloxone kits to reverse overdoses, gave new meaning to the results she would look for in the lab.

“It gives me a different perception of what drugs are like on the streets,” she said.

Trans Canada

The police in Surrey, British Columbia announced the arrests of three men in the investigation into the shooting of Hardeep Singh Nijjar, a Sikh nationalist and temple president.

In a Guest Essay for The Times, the author Stephen Marche argues that public views of Prime Minister Justin Trudeau’s leadership have dimmed in the face of Canada’s growing polarization .

For the first time in a decade, three Premier League teams — Arsenal, Liverpool and Manchester City — are in the championship as it enters its final weeks. Shawna Richer, an editor working on coverage of sports in America, followed soccer fans to a bar in Toronto .

Scaachi Koul, a Canadian culture writer, reflects on how watching episodes of “Indian Idol” with her family helped bring some respite during her mother’s cancer diagnosis.

“Self-Portrait,” a documentary made using surveillance footage collected by the Canadian filmmaker Joële Walinga, is one of five international films to stream now , writes Devika Girish.

Vjosa Isai is a reporter and researcher for The New York Times in Toronto.

How are we doing? We’re eager to have your thoughts about this newsletter and events in Canada in general. Please send them to [email protected] .

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Vjosa Isai is a reporter and researcher for The Times based in Toronto, where she covers news from across Canada. More about Vjosa Isai

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