how do you travel with 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 Abroad with Medicine

Many international travelers carry medicines with them to treat acute or chronic health problems. However, each country has its own laws related to medicines. Medicines that are commonly prescribed or available over the counter in the United States might be unlicensed or considered controlled substances in other countries. While rules vary by country, there can be serious consequences if you violate the laws at your destination. The consequences may include:

• Authorities taking away your medicine
• Penalties, including jail or prison time

Before Travel

Check with your destination’s  embassy and embassies of countries that you have layovers in to make sure your medicines are permitted.

• Many countries allow a 30-day supply of certain medicines, but also require the traveler to carry a prescription or a medical certificate from their health care provider.
• If your medicine is not allowed at your destination, talk with your health care provider about alternatives and have them write a letter describing your condition and the treatment plan.
• You may also want to check the  International Narcotics Control Board  website that provides general information about narcotics and controlled substances, for countries that have information available, for travelers.

Check CDC’s destination pages for travel health information . Check CDC’s webpage for your destination to see what vaccines or medicines you may need and what diseases or health risks are a concern at your destination.

Make an appointment with your healthcare provider or a travel health specialist  that takes place at least one month before you leave. They can help you get destination-specific vaccines, medicines, and information. Discussing your health concerns, itinerary, and planned activities with your provider allows them to give more specific advice and recommendations.

• If you plan to be gone for more than 30 days, talk to your health care provider about how you can get enough medicine for your trip. Some insurance companies will only pay for a 30-day supply at a time.
• If you are a traveling to a different time zone, ask your health care provider about any changes to taking your medicine. Medicines should be taken according to the time since your last dose, not the local time of day.
• Find out how to safely store your medicine while traveling and check whether it needs refrigeration. Keep in mind that extreme temperatures can reduce the effectiveness of many medicines.

Prepare a  travel health kit   with items you may need, especially those items that may be difficult to find at your destination. Include your prescription and over-the-counter medicines in your travel health kit and take enough to last your entire trip, plus extra in case of travel delays. Pack medications in a carry on in case your luggage is lost or delayed.

• Keep medicines in their original, labeled containers. Ensure that they are clearly labeled with your full name, health care provider’s name, generic and brand name, and exact dosage.
• Bring copies of all written prescriptions, including the generic names for medicines. Leave a copy of your prescriptions at home with a friend or relative in case you lose your copy or need an emergency refill.
• Ask your prescribing health care provider for a note if you use controlled substances, or injectable medicines, such as EpiPens and insulin.

Buying Medicine Abroad

Counterfeit drugs  are common in some countries, so only use medicine you bring from home and make sure to pack enough for the duration of your trip, plus extra in case of travel delays. If you must buy drugs during your trip in an emergency, see CDC’s Counterfeit Drugs page.

More Information

• CDC Yellow Book: Avoiding Poorly Regulated Medicines
• Travel Smartly with Prescription Medications (US Department of State)
• Traveling with Prescription Medications (US Food and Drug Administration)

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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. 

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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.” 

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How to Travel With Medications

Stay Healthy and Save Money

If you plan to travel to a foreign country, it is important that you provide for your medication needs before leaving. An illness in the middle of your trip can ruin your vacation and cost you money to get needed medications.

Depending on the circumstances, buying medications in foreign countries can be expensive. Moreover, in some countries, you may be at risk of getting a counterfeit drug.

By thinking ahead and packing smart, you can stay healthy and enjoy your time. This article will help you understand what you need to know about traveling with over-the-counter and prescription medications.

Organize a Health Kit

The Centers for Disease Control and Prevention (CDC) recommends that travelers assemble a health kit containing current prescription medications and over-the-counter (OTC) drugs that can be used to treat minor problems. What you include in your travel health kit depends upon your destination and length of travel.

You also should anticipate some disruption in travel plans and take extra medication so you do not run out. For example, you do not want to be stuck in an airport for an extra day without your diabetes medication or pain medication used to treat arthritis.

Which OTC Medications Should I Pack?

Since it is not practical to pack your entire medicine cabinet, your travel destination and your itinerary may help you decide which over-the-counter medications to buy for your kit.

For example, you are less likely to have diarrhea from drinking water in Canada than in Mexico. And, if you are planning a walking trip in London, you are less likely to need an anti-motion sickness medication.

The following are some basic medications to consider:

• Anti-diarrhea medication: Foodborne illness is very common and may cause diarrhea in up to 30% of travelers. This is especially common in parts of Central and South America, Africa, and Asia. Pack Imodium (loperamide) or Pepto-Bismol (bismuth subsalicylate).
• Antihistamine: To treat an allergic reaction, pack an antihistamine that will not make you drowsy, such as Claritin (loratadine).
• Anti-motion sickness medication: For a bumpy plane or boat ride, pack some Dramamine (dimenhydrinate).
• Medicine for pain or fever: Pack your preferred painkiller, such as acetaminophen or ibuprofen.
• Mild laxative or stool softener: Changes in your eating routine and access to different foods can cause constipation . Pack a laxative containing bisacodyl such as Dulcolax or a stool softener such as Colace (docusate).
• Antifungal ointment or cream: Fungal infections of the skin, such as ringworm and athlete’s foot are common, especially in warm climates. Pack a tube of Tinactin (tolnaftate) or Lotrimin (clotrimazole).
• Antibacterial ointments or creams: To help prevent a skin infection from a minor cut or scrape, pack a tube of Neosporin Ointment (polymyxin B, bacitracin, and neomycin).

How Do I Manage My Prescription Medications on a Trip?

Before you leave for your trip, see your healthcare provider to get an ample supply of all your prescription medications. Also, talk to your practitioner about your change in schedule and ask when to take medications if you are moving through different time zones.

If you are traveling to a country with malaria , talk with your healthcare provider about getting a prescription for a medication to prevent malaria, such as Lariam (Mefloquine), Malarone (atovaquone, proguanil), or doxycycline (the CDC has a guide to each of the available medications, some of which are recommended for certain areas).

If your destination is a country that puts you at high risk of diarrhea or other bacterial infections, ask your practitioner about the possibility of getting a prescription for an antibiotic, such as Cipro (ciprofloxacin).

Talk to your pharmacist about drug-food interactions. Since your diet may change during your trip, your pharmacist can advise you about foods that could affect your medications.

Pack your travel health kit, including your prescription medications, in your carry-on luggage. Make copies of your prescriptions and pack them with your medications. You should also leave a copy of your prescriptions at home with a friend or family member.

Make a list of your medications, including the generic names and brand names, and what conditions the medications treat. That will make it easier to find a replacement if you run out of or lose your medications .

Will I Have Problems Crossing Borders With My Medications?

If you use a controlled substance, such as a sedative, tranquilizer or narcotic pain medication, make sure you obtain a letter from your healthcare provider, on the practitioner’s stationery, stating why you need the drug.

Without such a letter, these medications may not be allowed into another country or allowed back into the U.S. when you return.

Likewise, you should have a letter from your healthcare provider if you take any medication by injection and you have to carry needles and syringes.

Make sure that all medications are labeled properly. The safest way to carry your medications is in the original bottles, which will also speed the process if your carry-on bags are inspected (this applies to vitamins and supplements as well).

However, if you do not have enough space for the bottles in your carry-on, you can transfer them to small plastic bags. When you have your prescription filled, the pharmacy will give you a print-out that usually has a tear-off section on the top that has the same information as the label on your medication container. You can enclose this tear-off sheet in the plastic bag.

But note that the Transportation Security Administration—TSA— clarifies that although they do not require travelers to have medications in their original pharmacy-provided containers, "states have individual laws regarding the labeling of prescription medication with which passengers need to comply."

You'll also want to make sure that the name on your prescriptions , pill bottles (or tear-off sheet if you're packing your medications in a bag or pill sorter), and ID or passport all match.

If you have a liquid medication, TSA doesn't require it to be less than 3.4 ounces (the rule that applies to most other liquids), but you do need to tell the TSA agent that you have medically necessary liquids in your bag when you start the screening process at the airport.

Even with all of that planning, it's important to also have a clear understanding of the laws and regulations in your destination country. In some cases, you might find that a particular destination's rules simply aren't compatible with a medication that you take , and you may want to consider a different destination instead.

You can discuss the specifics with your healthcare provider, your pharmacist, and the U.S. embassy in the country you're considering visiting . The embassy will be able to tell you whether a medication you take is banned in the country or only allowed in limited quantities.

Where Can I Get More Information Before I Leave on My Trip?

Centers for Disease Control and Prevention: The CDC maintains an excellent Travelers’ Health website that includes a wide range of information about travel issues related to health. One section of the site has an interactive map that provides access to health information for each country. And their traveling abroad with medicine page is a must-read if you're planning a trip outside the U.S. and will need to bring medication with you.

Transportation Security Administration (TSA): The TSA provides online information for travelers with disabilities and medical conditions, and it explains the current requirements for how to go through airport security with medications.

U.S. Department of State: The State Department maintains a travel website that provides a profile about the current status of every country in the world. These profiles include information about health-related issues and often highlight issues with prescription medications.

Transportation Security Administration : TSA has a helpful page about disabilities and medical conditions . It includes a tool that allows you to select from among a range of common disabilities and medical conditions to see exactly what you need to know about the screening process and any steps you might want to take in advance to make it as smooth as possible.

Traveling with medications is common, but does require some advance planning. It's generally advisable to pack medications in your carry-on luggage, and to have copies of your prescriptions with you. Liquid medications can be brought onboard aircraft even in quantities greater than the limits that apply to other liquids, but you'll need to notify the TSA screening agent of your liquid medication. For controlled substances, you'll need a letter from your medical practitioner, explaining why you need the medication. And there are some countries where certain medications simply aren't allowed, even though they're prescribed in other countries.

A Word From Verywell

Staying healthy on your trip can save you a lot of money. Out-of-pocket medical expenses in a foreign country can be enormous. Make sure to purchase travel insurance before you leave and pack your medications !

Centers for Disease Control and Prevention. Travelers' Health .

Centers for Disease Control and Prevention. Choosing a Drug to Prevent Malaria .

Transportation Security Administration. Can You Pack Your Meds in a Pill Case and More Questions Answered .

Centers for Disease Control and Prevention. Traveling Abroad with Medicine .

Mohn, Tanya. New York Times. How to Make Sure You Travel with Medication Legally .

Transportation Security Administration. Disabilities and Medical Conditions ; and TSA Cares: Traveling with Medication ; and Can you pack your meds in a pill case and more questions answered .

By Michael Bihari, MD Michael Bihari, MD, is a board-certified pediatrician, health educator, and medical writer, and president emeritus of the Community Health Center of Cape Cod.

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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.

What to Pack in Your Travel First-Aid Kit

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.

How to Get Over Your Fear of Flying

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

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 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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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.

Stay Up To Date

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UponArriving

TSA Medication Rules for Flying on Planes [2024]

Traveling through airport security can already be a pretty nerve-racking experience.

But when you are also worried about getting your necessary medical items through security and onto a plane for a flight, it can be even more anxiety inducing. Luckily, there are some pretty lenient TSA rules and guidelines when it comes to flying with your medication.

In this article, I will tell you everything you need to know about TSA medication rules and flying on a plane with medication . I’ll go over the rules for things like prescription medications, pills and liquid medication and other situations like over the counter (OTC) drugs. 

Table of Contents

What are the TSA rules for flying with medication on a plane?

TSA will generally allow you to travel with your medication but there are some restrictions that you need to be aware of, especially if bringing medical liquids. Below, I will go through some of the most common restrictions that might apply to you and tell you how you can go about them when flying with medication. 

Tip: Use the free app WalletFlo to help you travel the world for free by finding the best travel credit cards and promotions!

Does TSA have a limit on the amount of medication I can bring on a plane?

TSA does not have a limit on the amount of medication that you can bring on a plane whenever the medication is in solid form, such as pills . So if you have a need to travel with multiple bottles of pills then you should not be limited to a certain amounts of pills or bottles. 

If you have an outrageous amount of medication on you then you might be subject to additional screening. However, in many cases as long as they can x-ray your medication they will not require you to undergo additional screening.

If you do not want your medication exposed to the x-ray machine then just let the TSA agent knows this and they will allow you to go through a different type of screening (note that this could take more time and require you to open up all of your bottles).

Note: Medical Nitroglycerin medicines are allowed.

Related: Can TSA Ask About Your Medical Condition?

What are the TSA rules for traveling with liquid medication on a plane?

If you are not aware, TSA has a rule that forbids you from bringing in liquids than can’t fit in 3.4 ounce containers. Also, these containers must fit into a quart size bag (typically a clear Ziploc bag).

This is known as the “TSA 3-1-1 rule” and you will be required to remove the bag from your carry-on unless you have TSA Pre-Check (which I highly recommend). 

TSA does not enforce the liquids rule for medically required liquids (and gels and aerosols) . They also don’t require you to put your medically necessary liquids into a liquids bag.

However, they do have some limitations on liquid medication.

They require you to only bring “reasonable quantities” and state that the liquids rule exemption only allows certain items to be carried on the aircraft when the item is declared and it is:

• Required during your flight and/or at your travel destination;
• Not available at the airport in the sterile area (after the screening checkpoint) and/or;
• Not available at your travel destination.

Reasonable quantities for your trip

When you are bringing your liquid medications through security the TSA 3-1-1 rule does not apply. Instead, TSA will allow you to bring in “reasonable quantities for you trip.” This is a subjective definition so there is going to be room for agent discretion. 

Therefore, try not to go too far with your liquid medications if you think that you might be bringing in an unreasonable amount. It is a very good idea to have a clear stated purpose for why you need that quantity of liquid medication. And it might even be a better idea if you have a signed doctor’s note explaining why you need that much medication.

It could probably help your cause if you can explain your dosage requirements in relation to the quantity of medication you are bringing. For example, if you require 10g of medication per day and you are bringing 100g with you on a ten day trip, that makes total sense.

But if you require 10g of the medication per day and you are bringing 3,000g with you for a weekend trip that could be a different story….

At some point TSA added more clarity to this rule when they stated that the medication would need to not be available at the airport in the sterile area (after the screening checkpoint) and/or not available at your travel destination.

I don’t really like this rule because essentially a TSA agent could force you to throw out a large bottle of NyQuil just because it would be available at an outrageous price within the airport. Also, sometimes it’s difficult to know whether or not something will be available at your destination so it is just smart thinking to bring it with you. Nevertheless, those are the rules.

Notify the agents 

TSA also states that you should notify the TSA agent about your liquid medication before you go through security screening.

Personally, I have flown with liquid medication many times before and have never notified TSA about it nor have they given me any push back (there’s a prescription on the medication bottle).

Even though that is how I have done it in the past, I would recommend disclosing your medication just to make things easier. This is especially the case if you’re traveling with accessories associated with your liquid medication such as freezer packs, IV bags, pumps, and syringes.

If TSA does notice your liquids or you tell them about them, the medically required liquids will be subjected to additional screening that could include being asked to open the container. They might pour the substance into another container, test out a small sample of the medication, or swab it for explosives .

So just be prepared to pop the top if you are asked to. 

Note: You will not have to put your liquid medications into a Ziploc bag.

Related: Can You Bring CBD on a Plane? (TSA Rules)

How to pack medication for a flight in a carry-on or checked bag

TSA will allow you to bring your medication onto a plane via carry-on or checked baggage.

Obviously, you will not have access to your checked baggage when you are flying in the plane so if you are in doubt about whether or not you might need access to your medication, then I highly recommend that you pack it in your carry-on. 

Plus, remember if your checked bag containing your meds gets lost your medication is also lost.

If you bring your medication as a carry-on you should not be required to show or declare that you are bringing medication, unless you are bringing liquid medication or certain other types of medical instruments like syringes.

(Some travelers inform the TSA agents about all medications they are bringing but that does not always seem to be required in my experience.)

When packing pills or medication I would try to keep them organized in a clear plastic bag just to make things easy at all times.

Try to pack that bag in an easily accessible area within your carry-on so that you can quickly retrieve it if you need to declare or allow inspection for any of your medications.

Also, it’s a good idea for your medications to be labeled to facilitate the security process. (Labeling your meds is not required but it is recommended by TSA.)

When packed in a carry-on and going through a security checkpoint your medication can undergo a visual or X-ray screening (you can choose).

Does TSA require pills to be in a prescription bottle ?

Believe it or not TSA does not require your pills to be in a prescription bottle or to show them a copy of your prescription. The catch is that states have different laws regarding how you can legally travel with prescription items.

Some states might require you to carry your pills and a bottle with a prescription and therefore it is always a good idea to keep your pills in a bottle with a prescription label if possible or at least keep the prescription with you if you are using a pill container/organizer. 

Also, many countries have very strict rules on prescription medication so be sure to keep up with the latest laws before departing the country. Some might require you to submit a letter from a physician and some countries such as those in the Middle East have very strict laws regarding bringing in certain types of medications.

It is not very difficult to find stories about US tourists getting locked up abroad in prison for bringing medications through the airport.   Read more about traveling internationally with medication here.

One interesting thing about prescriptions is that if you forget your ID you can actually use your prescription labels to help verify your identity.

Tip: Ask your pharmacist for extra containers with your name and the medication information on them if you want to carry smaller amounts of drugs with you.

What are the TSA rules for flying on a plane with injectable medication?

You are allowed to travel with injectable medication on a plane. You may also bring unused syringes  when they are accompanied by injectable medication. You must declare these items to security officers at the checkpoint for inspection. TSA also recommends, but does not require, that your medications be labeled so it’s a good idea to go with their recommendation. 

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What if I need to keep my medication refrigerated when flying? 

If you need to keep your medication refrigerated you can use “ice packs, freezer packs, gel packs, and other accessories” to keep your medication cool. You will need to present these at the screening checkpoint in a frozen or partially-frozen state.

It would be a good idea to do a “test run” to see how long your packs can stay refrigerated, especially if you are going to be dealing with a long layover or flight. Some airplanes may have refrigeration but I would not count on that.

Does TSA allow over the counter medication on a plane?

TSA will allow you to bring over the counter medication on a plane, which means you’ll be fine to bring along things like: Tylenol, Advil, Aleve, ibuprofen, etc. Just remember that the rules pertaining to liquids will apply to OTC drugs unless they are medically necessary.

I always advise people to put their medication in a clear plastic bag just to make things easier when making your way through airport security.

Related: Does TSA Check For Arrest Warrants?

What about flying with other items?

If you have questions about bringing other types of items through TSA airport security screening (like food or alcohol), make sure to check out the articles below: 

• Bringing food through an airport 
• Bringing alcohol through an airport
• Bringing gun cases through an airport 

Yes, prescription medication is allowed on planes.

No, your medication does not have to be in the original bottle. However, it’s usually a good idea to have a prescription on hand just in case you’re questioned about the medication.

It’s best to be upfront about bringing medication through TSA, especially because TSA is pretty flexible about what medications you can bring through and all medication must be screened. If you are trying to sneak illegal drugs through TSA security you could be referred to law enforcement.

Yes, you can bring your pill organizer on a plane with your pills inside.

TSA does not require you to show your prescription so it could be possible to bring someone else’s prescription meds with you on a plane. However, it’s a good idea to make sure you are complying with state laws regarding prescription drugs when traveling. In some cases, it may be illegal to possess controlled substances prescribed to someone else.

Yes, cough syrup will be considered a liquid so you should “declare” it when going through TSA, especially if it is above 3.4 ounces.

Yes, you can bring testosterone gel on a plane. While you may not need your prescription it never hurts to bring it along.

TSA states used syringes are allowed when transported in Sharps disposal container or other similar hard-surface container. Unused syringes are allowed when accompanied by injectable medication. You must declare these items to security officers at the checkpoint for inspection.

As you can probably tell, TSA rules regarding medication are actually pretty lenient. They allow you to bring an unlimited amount of pills and solid drugs and they don’t even require you to show or disclose that you are bringing those drugs through the airport and onto the plane. 

They also will allow you to go above the liquids rule if you are willing to allow them to inspect your drugs if necessary. And they don’t even require you to show your prescription for drugs. Therefore if you are planning to travel through the airport with your medication you may not have as difficult a time as you may have imagined. 

Daniel Gillaspia is the Founder of UponArriving.com and the credit card app, WalletFlo . He is a former attorney turned travel expert covering destinations along with TSA, airline, and hotel policies. Since 2014, his content has been featured in publications such as National Geographic, Smithsonian Magazine, and CNBC. Read my bio .

16 comments

Does the TSA have an official form where a person could list all his/her medication and have it signed by a doctor to insure the traveler is not harassed or blamed for bringing in drugs that are not prescribed?

I’m travelling to Dublin by aeroplane and I take over the counter co codomal painkillers for my back am I allowed these in my luggage

I’m trying to find out if I can put my medication and a seven day pill container and not take the original prescription bottles with me. We will be leaving from Dayton Ohio, stopping in Charlotte North Carolina, and ending up in Texas. I don’t want to do the wrong thing and end up not being able to take any of my medication with me! We are leaving in two days so I’d appreciate a quick answer. Thank you so much.

Chances are you will be fine without the pill bottles. But it is always a good idea to have your prescription on you just in case.

Did you get through the airports okay without the prescription bottles? I am going from Missouri to Maine soon and can’t seem to find any definite information on whether or not I need to carry the original prescription bottles or not.

I take 11 prescriptions daily, so I put my pills in a 8-day travel medication wallet that has small ziplocks for each day. I also get the pharmacy to print out my prescription list for me. I have been doing this for several years and have never been asked about my medication or to show prescriptions. I travel with a cpap and am only asked to unzip the case so they can see the cpap. This past summer, they did take and test my 8-oz bottle of hand sanitizer and gave it back. There was no problem though. I also take a frozen bottle of water without a problem. It may melt slightly, so I drink that and replace the cap.

I’m a nurse traveling to the USA to visit my sister and was wanting to take over Botox with me to inject as mmmmm as her birthday gift. Is this allowed

I will soon travel to Thailand With injectable medications. They need to stay colds too, I will obtain an insulin travel pack and bring it through in my carry on luggage and inform the TSA officers about it ahead of time. I can also do a pre TSA check in? SO they know I am coming with the meds? I will have doctors note, prescription too. The meds need to be kept cold too.

I will be traveling to Ireland next year and have both prescription and over the counter vitamins. Do I need to make a list of these items to present. I wanted to divide them by day since I will be gone for 2 weeks, but if I need to bring the bottles I can.

Hi there, for the vitamins you probably don’t need the bottles but having a list or the labels could help w/a difficult TSA agent.

For the prescription meds, I would also try to bring the prescription. But you should be fine to bring your pills in a pill organizer if that’s what you have.

Hi I have to take can Fexofenadine , and have to wash with Hydromel Cream lotion this only comes in a plastic pump bottle will they let me go through with these.

Can I bring opened bottles of OTC meds and can they be in my carry on or go into my checked bag?

Yes, and they can go in either one.

Can I bring my anxiety medication in my pocket for the plane ride 2 klonpins or 2 Xanax in my pocket through the tsa security?

If going through the full body scanner, you won’t be able to because it will trigger the alarm. Best to keep them in your bag.

can I fly with perscribed gummies?

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Travel Tips

How to Make Sure You Travel with Medication Legally

Traveling with medication — even prescription drugs — isn’t as simple as packing it. Here’s how to stay on the right side of the law, anywhere you go.

By Tanya Mohn

Travelers often pack medications when they go abroad, but some popular prescription and over-the-counter ones Americans use for things like pain relief, better sleep, allergies and even the common cold are illegal in some countries.

The United Arab Emirates and Japan, for example, are among the most restrictive nations, but many ban or restrict importing narcotics, sedatives, amphetamines and other common over-the-counter medications.

Most travelers won’t run into problems for carrying small amounts for personal use, said Katherine L. Harmon, who oversees health analysis for iJET International , a travel risk management company. But noncompliance can result in confiscation,(which could, in turn, have severe medical consequences), deportation, jail time, and even the death penalty. “Does it happen a lot? No. Could it? Yes,” Ms. Harmon said. “Consumers need to understand this and how it might adversely impact them before they book that awesome trip to an exotic location.”

She shared a few tips to keep you on the right side of the law, whatever you take and wherever you roam.

Laws vary by country and there is no central, up-to date repository, so Ms. Harmon suggests consulting your physician, travel medical insurance company, or local pharmacist four to six weeks before traveling. “When you inquire about your shots, ask about medications. Odds are they may not know off the top of their head, but they have the resources to find out.”

She also suggests checking with the embassy of your destination country. The State Department website lists foreign embassies in the United States, and their contact information. It also lists insurance providers that offer overseas health coverage. Comparison websites Insure My Trip and SquareMouth can help assess those insurance plans, if they’re necessary.

Label and Pack Your Medication Properly

Carry all of your medication — even vitamins and supplements — in their original, clearly marked containers or packaging in a clear plastic bag in carry on luggage. Make sure the name on the prescription, the medicine container and your passport (or one for the recepient of the medication) all match. If you lost the product information insert, ask the pharmacist to print a new one for you.

Also, check the Transportation Security Administration’s website for up-to-date rules and regulations on packing and carrying your medication when you depart. The standard rules for liquid carry-ons don’t apply to medications in liquid or gel form, but you need to inform the T.S.A. when you pass through security so they don’t confiscate it .

Obtain and Carry Necessary Documentation

Keep copies of your original prescriptions, if you can . Better yet, obtain a letter on official letterhead from your physician that lists the medicines you need and why they were prescribed. Ideally, you would get this translated to the language of your destination country, so it’s easy to read.

For some medication and specialized equipment used to administer them, some countries require documents to be submitted to government officials well in advance of your arrival. Ms. Harmon, for example, was questioned at the Singapore airport once for entering with an EpiPen, but she had prior authorization allowing its transport.

Know the Names and Amounts of Active Ingredients

The documentation you carry should also indicate the generic and chemical names of the active ingredients, which determines permissibility, not brand names.

For example, the active ingredient in Benadryl, diphenhydramine, is banned in Zambia in over-the counter products. In Japan, it is allowed only if the amount in a tablet or injection is limited. However, a typical 25 milligram tablet of Tylenol PM in the United States exceeds the 10 milligram maximum amount in a tablet you can bring into Japan. Some countries restrict the overall total amount of an active ingredient an individual traveler can legally import, which may impact longer stays.

Reduce or Substitute Medication

In countries where a medication is allowed, but its amount is capped, reducing your dosage or switching to another available medication is the best way to stay compliant. Allow enough time beforehand to ensure the smaller dose or new medicine works effectively, and consider making the switch before your trip to give yourself time to adjust.

Some medications can be used for several diagnoses. Hormones used for birth control may also be used to treat excessive menstrual bleeding, Ms. Harmon said. “Doctors need to get creative sometimes. Substitutions can allow authorities to accept the drug as a medical need rather than going against the country’s religious or moral code.”

Reassess Your Travel Plans

Parents with a child doing well on Adderall for attention deficit hyperactivity disorder who prefer not to make adjustments on the fly, or a student with bipolar disorder may want to consider vacation or study abroad locations where the medications they rely on for mental health are not banned or restricted.

“Viewpoints on treatment and diagnoses can vary widely,” Ms. Harmon said. “Western Europe and North America understand that brain chemistry is often at the root of these problems. But some countries, like Russia, do not consider mental health challenges as medical problems and often treat them criminally.”

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

Your Ultimate Guide To Traveling & Prescription Medications

• July 24, 2023
• Lauren Stuttaford

Traveling with prescription drugs internationally requires some extra planning and consideration. So, whether you’re exploring a foreign country or going on a business trip, it’s essential to know how to travel with prescription medication to ensure a smooth journey and uninterrupted health management.

In this guide, we’ll cover everything you need to know about traveling with prescription medicine, from international regulations to obtaining prescriptions abroad and more.

Can you travel internationally with prescription drugs?

Can you travel with prescription medicine? Yes, you can generally travel with prescription meds. However, it’s important to be aware of the specific regulations and restrictions of your destination country. Different countries have different rules about what medications are allowed, and what documentation you need to have with you.

For example, some countries require travelers to carry a doctor’s note, a translated prescription, or even a specific import permit for certain medications. It’s important to do your research and understand the specific rules of your destination country before traveling with prescription drugs internationally.

How to check local regulations for traveling with prescription medications?

Traveling with prescription medication can be a daunting task, especially if you’re not sure what the local regulations are in your destination country. To avoid any potential problems, it’s important to do your research and understand the specific rules of the country you’re visiting.

If you need information about traveling with prescription drugs internationally, here are a few tips on how to check local regulations for traveling with prescription drugs internationally:

• Contact the embassy or consulate of your destination country. This is the best way to get up-to-date information on the country’s medication importation policies. They will be able to tell you what medications are allowed, what documentation you need to have with you, and any other important information you need to know.
• Consult with a travel health specialist. A travel health specialist can help you understand the local regulations for your destination country and make sure you have everything you need to travel safely.
• Check the website of the Centers for Disease Control and Prevention (CDC). The CDC website has a wealth of information on traveling with prescription medications, including a list of countries with specific regulations.
• Do a Google search. A simple Google search can often turn up helpful information on the local regulations for traveling with prescription medications.

Once you’ve done your research, you’ll be well on your way to traveling with prescription medications safely and legally.

How to travel with prescription drugs internationally: flying with prescribed medication

Traveling with prescription drugs internationally can be a daunting task, but it doesn’t have to be. By following a few simple guidelines, you can ensure that you have everything you need during your journey and avoid any potential problems with the TSA.

Tips for flying with prescription medications:

• The best way to travel with prescription medication is to keep your medications in their original packaging, labeled with your name, prescription details, and dosage instructions.
• Pack your medications in your carry-on bag. This will help prevent loss or delays.
• Bring extra medications. Pack more than enough medication to cover your trip in case of unexpected delays or extensions.
• Store medications properly. Ensure medications are stored at the appropriate temperature, especially if some require refrigeration.
• Check the rules for liquids and gels, as some countries have restrictions on the amount of these items you can bring into the country.
• Contact the embassy or consulate of your destination country for up-to-date information on the country’s medication importation policies.

Familiarize yourself with TSA regulations for traveling with prescription medications:

When it comes to traveling with prescriptions TSA allows you to bring prescription medications in your carry-on bag or your checked luggage. However, there are some specific requirements that you must follow:

• Medications must be in their original containers, labeled with your name and prescription details.
• Liquid medications must be in containers that are 3.4 ounces or less and placed in a single, clear, quart-sized zip-top bag.
• If you have more than 3.4 ounces of a liquid medication, you can bring it with you if you have a doctor’s note or prescription.
• Controlled substances must be declared to the TSA at the security checkpoint.

Check out our comprehensive guide on Flying with Prescribed Drugs: How-to Pack, Tips & More! [Ultimate Travel Guide] . This guide covers essential tips on organizing your medications, packing them securely, and carrying the necessary documentation.

What should you do when you need to fill a prescription abroad?

When it comes to international travel with prescription meds, the thought of running out of medication while abroad can be stressful. If you find yourself in this situation, there are a few things you can do.

Can you fill prescriptions abroad?

In most cases, you can fill prescriptions abroad. However, there are some important factors to consider, like medication importation policies of your destination country and the availability of your medication in that country.

How to fill prescriptions abroad:

Here are some tips on how to fill prescriptions abroad:

• Do your research. Before you travel, it’s a good idea to do some research on the medication importation policies of your destination country. This will help you understand what medications are allowed and what documentation you need to have with you.
• Contact your doctor. If you’re not sure whether you can fill your prescription abroad, contact your doctor. They may be able to prescribe the medication you need or recommend a local healthcare provider who can help you.
• Bring a copy of your prescription. It’s always a good idea to bring a copy of your prescription with you when you travel. This will make it easier to fill your prescription if you need to.
• Be prepared to pay out of pocket. Even if your insurance company covers the cost of filling a prescription abroad, you may still have to pay a copayment or deductible. It’s important to be prepared to pay out of pocket for your medication if necessary.

Running out of medication while abroad can be stressful. Check out our guide on

Filling Prescriptions Abroad: When Travelling Internationally for step-by-step instructions on obtaining prescription medications in a foreign country.

How to get prescriptions abroad:

If you need a new prescription while traveling, it’s essential to know the options available to you. Here are some tips to help you prepare before your trip when traveling with prescriptions internationally, and even how you can get prescriptions when traveling.

The importance of being prepared:

Preparing before your trip, like arranging prescriptions for medications, is crucial because regulations vary from country to country. When it comes to traveling with prescription drugs internationally, you’ll want to make sure you have the required documentation and understand local laws. This guarantees a smooth journey and ensures you can maintain your medication management. If you don’t prepare you could face unexpected hurdles and potential health risks, so research and plan for a safe and enjoyable travel experience.

Taking prescription drugs abroad – preparing before your trip:

• Talk to your doctor. Before you travel, talk to your doctor about your medication needs. They can help you understand the medication importation policies of your destination country and recommend a course of action if you need to get a new prescription while you’re abroad.
• Get a copy of your prescription. Make sure you have a copy of your prescription with you when you travel. This will make it easier to fill your prescription if you need to.
• Research the medication importation policies of your destination country. Different countries have different rules about what medications are allowed and what documentation you need to have with you. Do some research before you go to make sure you know what to expect.

How to get prescriptions when traveling:

When it comes to international travel prescriptions, there are a few different ways to get prescriptions when you’re traveling abroad:

• Contact your doctor or a local healthcare provider. Your doctor or a local healthcare provider may be able to prescribe the medication you need.
• Visit a local pharmacy. Many pharmacies in foreign countries can fill prescriptions from doctors in other countries. However, it’s important to check with the pharmacy before you go to make sure they can fill your prescription.
• Use a travel health clinic or medical tourism company. Travel health clinics and medical tourism companies can help you get prescriptions while you’re abroad. They often have a network of doctors and pharmacies that they work with, so they can help you find the best option for your needs.

Head to our blog post: Prescriptions While Traveling: Your Guide to Getting Medication Abroad , for the ultimate guide on getting prescriptions while abroad. It explains various ways to obtain necessary prescriptions in different countries and more useful tips for international travel and prescription medication.

What to do if you lose your medication while abroad

• Take a deep breath and stay calm. It’s okay to be upset, but it’s important to stay calm so you can think clearly.
• Retrace your steps. Go back to the last place you remember having your medication and thoroughly search the area.
• If you’re traveling, report the loss to the local police. You can also ask them for a written report for documentation.
• Contact your doctor and pharmacy. Let them know that you’ve lost your medication and see if they can help you get a replacement.
• If it’s a critical medication, contact your doctor immediately. They can advise you on the next steps, which may include getting an emergency prescription or switching to a different medication.
• Consider using a pill organizer or keeping your medications in a secure location. This can help prevent future losses.

What to consider when traveling with prescription drugs

• Check the local regulations: Research the specific country’s laws and regulations regarding prescription medications to ensure compliance.
• Carry a doctor’s note: Obtain a letter from your healthcare provider stating your medical condition, prescribed drugs, and their purpose for customs clearance.
• Make sure you have sufficient supply: Carry an adequate amount of medication for the entire trip, including extra for unexpected delays.
• Don’t throw away original packaging: Keep medications in their original labeled containers to avoid confusion and prove legitimacy.
• Translation services if needed: If traveling to a country with a different language, have a translated copy of your prescription and medical documents.
• Always declare at customs: Disclose your prescription drugs to customs officials, if required, to prevent any issues at the border.
• Secure storage: Keep medications in a safe and cool place to maintain their efficacy throughout the journey.

Dealing with travelers’ diarrhea & getting prescription meds abroad

While traveling, a common health concern many people experience is travelers’ diarrhea. Changes in diet, water quality, and exposure to new bacteria can lead to this uncomfortable condition. Make sure you’re prepared and know what to do by reading our blog post on Traveler’s Diarrhea: Getting Prescribed Medicine Abroad .

Remember, seeking medical help can make a significant difference in quickly overcoming this temporary health issue and getting back to enjoying your travel adventures.

How Air Doctor can help you

Air Doctor is a valuable resource for travelers. The easy-to-use app instantly and seamlessly connects travelers to a global network of over 20,000 multi-lingual doctors and specialists so they can access trusted, quality medical care anywhere, anytime.

If you ever find yourself in need of medical assistance during your journey, you can use Air Doctor (with or without insurance) to find a doctor that meets your preferences (like language, gender, specialty, and more), and choose from clinic, at-home (hotel), and video consultations.

The Air Doctor solution accommodates multiple languages – with 24/7 multi-lingual support, doctors proficient in multiple languages, and an app which supports various major languages – in addition to video consultations in up to 21 languages.

Plus, we’re able to provide valid, local prescriptions through our cross-border telemedicine services.

The service makes it easier to manage any health-related concerns while traveling.

Download the app before your next trip.

Safe travels!

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• EXPLORE Random Article

How to Travel with Medications

Last Updated: December 29, 2021 References

This article was medically reviewed by Luba Lee, FNP-BC, MS and by wikiHow staff writer, Christopher M. Osborne, PhD . Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006. There are 7 references cited in this article, which can be found at the bottom of the page. This article has been viewed 13,487 times.

We’ve all hurriedly packed for a trip and forgotten something “important” like a favorite pair of shoes or a book to read on the plane. Few things are more truly important than bringing required or helpful medications along when traveling, though. It is therefore essential that you take the time to prepare and pack properly when you travel with medications. Your planning and packing will vary depending upon where you are going, how you are getting there, and how long you will stay. Whatever your travel plans, don’t leave your medication plans for the last minute.

Traveling by Air

• The TSA does not require that pills be in their original packaging or otherwise labeled, but this is your best option and least likely to cause screening delays. State laws regarding the labeling and transportation of prescription medications may require you to keep them in the original, labeled containers as well.
• Please note: this article draws from the policies and procedures of the U.S. TSA. Many other nations have the same or similar flight regulations for medications, but check with the relevant authority in your nation of travel.
• In addition, be aware that the TSA is governed by federal law, and therefore does not take local laws into account when it comes to substances like medicinal marijuana (meaning if marijuana is legal in your state, it is still viewed as an illegal substance to the TSA). The TSA will not search specifically for marijuana, but if it triggers an alarm during screening, a law enforcement officer will handle the matter.

• Liquid medications of 3.4 oz (1000 ml) or less should be treated like other liquids in your carry-on luggage — with all liquid containers placed inside one clear, sealed, quart-sized zip-close bag. Remove the clear bag from your carry-on for screening. [3] X Trustworthy Source U.S. Transportation Security Administration U.S. government agency responsible for ensuring safety by setting and enforcing travel protocols Go to source
• Again, the TSA recommends but does not require original containers, but this is the way to go, especially with larger amounts of medication.

• Consider bringing a printed list of all your medications and doses (especially prescription medications). You may also want to bring along a copy of your actual prescription(s), and any information sheet that came with the medication.
• If you have an uncommon prescription medication, or an unusually large amount of one, you may want to bring a signed letter from the prescribing doctor that explains the medication and your need for it. [5] X Research source

• Generally speaking, you can incrementally adjust the time you take a medication, perhaps beginning on the flight itself. If you take a pill at 8 pm every day but are heading from New York to Los Angeles (where it would be 5 pm) for an extended stay, you may be able to take the pill one hour later each day for three days to remain on the 8 pm schedule.

Traveling Internationally

• Almost all of the time, you will have no problem transporting and using your medications internationally, especially if you keep them in the original packaging and have documentation for your prescriptions. Having additional documentation at the ready can help you in the uncommon instance when there is a problem.
• If your medication includes a controlled substance in your home country and/or an injectable medication, you should bring a signed letter from the prescribing physician (on his or her letterhead) that describes the medication and its usage in your case. [8] X Research source

• In practice, however, some nations have stricter requirements; Japan and the UAE, for instance, are known for being quite stringent. You may be required to provide extensive documentation, and even then may not be permitted to bring certain medications into the country. The more documentation you have, the better your odds.

• The INCB does maintain an extensive list of general medication information and medication entry standards by nation at http://www.incb.org/incb/en/publications/Guidelines.html . It is probably best to use this as a starting point, then try to gather the most up-to-date information directly from your destination country.

• Keep in mind the possible restrictions on how much medication you can bring into a country. Do your homework first.
• Keep your medication in your carry-on luggage when flying internationally, just as you should when flying domestically. Keep it in your possession and accessible as much as you can.

Traveling with Safety and Convenience in Mind

• As mentioned in the sections of this article dealing with flying and/or traveling internationally, taking medications (especially prescriptions) out of their original packaging can add layers of hassle to the process. If possible, obtain multiple original packages of the medication(s) and place them in different locations (for instance, your carry-on and in your checked luggage). If not possible, place the secondary supply in a clearly marked container with identifying documentation handy.
• Don’t put all your important pills in your purse or backpack while out and about, or even in a single place in your hotel. Make sure you have a couple of days’ worth of medications available even if you are a victim of theft.
• You may wish to keep your daily medication (or enough for a few days) on your person while traveling, then put the rest in the hotel safe.

• No matter where you’re headed, make your prescription medications the first priority. Keep them easy to access and hard to lose. If you have medication for allergic reactions (such as epinephrine, as in an Epi-Pen), be extra sure to have a dose handy when you are away from home.
• Keep a printed list of all prescription and other medications you take regularly, with dosages and indications, in your possession when traveling. This way, if you are somehow incapacitated, medical personnel will have this important information more quickly.

• Base your list on the medications you are most likely to use, but consider including travel-size amounts from among the following: anti-diarrheals, antihistamines, decongestants, motion sickness pills, pain relievers, laxatives, cough suppressants/drops, antacids, antifungals, and anti-itch creams.

• Based on your destination, consider bringing, for instance: insect repellent; sunscreen; hand-sanitizer or antibacterial wipes; lubricating eye drops; basic first aid supplies (first aid reference card, bandages, gauze, ace bandage, antiseptic, tweezers, scissors, cotton-tipped applicators); moleskin for blisters; aloe gel; digital thermometer; oral rehydration solution packets; sleep aids; and water purification tablets.

Expert Q&A

You might also like.

• ↑ https://www.tsa.gov/travel/special-procedures
• ↑ https://www.tsa.gov/travel/travel-tips/can-you-pack-your-meds-pill-case-and-more-questions-answered
• ↑ https://www.fda.gov/consumers/consumer-updates/5-tips-traveling-us-medications
• ↑ http://wwwnc.cdc.gov/travel/page/pack-smart#travelhealthkit
• ↑ http://www.miusa.org/resource/tipsheet/medications
• ↑ https://www.iamat.org/blog/what-you-need-to-know-about-travelling-with-medications/
• ↑ https://www.nytimes.com/2018/01/19/travel/how-to-make-sure-you-travel-with-medication-legally.html

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5 Tips for Traveling to the U.S. With Medications

You’re returning from a trip overseas and want to bring back over-the-counter drugs from Europe that aren’t available here. Can you? Your mother-in-law is visiting from Mexico to help with the new baby and runs out of her blood pressure medication. Can she refill her prescription at a U.S. pharmacy? Your foreign exchange student forgot his allergy medication. Can his parents mail it to him from Japan?

Those are just some of the questions people ask the Food and Drug Administration’s Division of Drug Information, says LCDR Lindsay E. Wagner, an FDA pharmacist—although not every question the Division is asked falls under FDA’s regulatory authority.

“As a pharmacist at the FDA, I advise people to remember that we at FDA cannot ensure that medications approved in other countries are safe or effective, or have been manufactured properly,” says Wagner, PharmD.

So what are the rules for flying with or shipping medications? Here are some answers to common queries:

Q: What should travelers and visitors know about bringing medications into the U.S.?

A: When you come to the United States with medications, you fall under the authority of FDA, U.S. Customs and Border Protection (CBP) and the Transportation Security Administration (TSA) agents operating the nation’s airports. There are varying restrictions, and different agencies may have other requirements or jurisdiction over a product. So check with each agency before you plan to travel with medications into the country.

In general, you should have with you a valid prescription or doctor’s note—written in English—to bring medication to the U.S. The medication should be in its original container with the doctor’s instructions printed on the bottle. If you don’t have the original container, bring a copy of your prescription or a letter from your doctor explaining your condition and why you need this medication. Travel with no more than you need for your personal use during your stay. A rule of thumb: Bring no more than a 90-day supply of medication.

If you’re staying longer than 90 days, you may have additional medication sent to you by mail or courier. Include documentation showing that the medication is being sent for your own use while visiting the United States. This documentation may include: a copy of your visa and passport, a letter from your doctor, and a copy of your prescription (in English).

Q: What if there’s a generic available overseas but not here?

A: FDA does not permit personal importation of unapproved versions of FDA-approved drugs from foreign countries. FDA cannot assure that foreign-made versions of FDA-approved drugs have been properly manufactured, are safe and effective, and are the same formulation as the FDA-approved versions.

Q: Can a foreign traveler get a prescription filled when visiting the U.S.?

A: If you’re traveling to the United States from another country and need a prescription filled, you should visit a health care provider. Very few pharmacies can fill a foreign prescription, and this is determined on a state-by-state basis.

Q: Can you ship or mail a prescription medication to the U.S.?

A: In most cases, it’s illegal for people to import drugs into the United States for personal use. That’s because drugs available in other countries haven’t been evaluated or approved by FDA for use or sale in the U.S., so we can’t ensure that they’re safe and effective. FDA generally considers such drugs unapproved.

FDA understands that there are cases in which someone may need treatment with a foreign drug that’s not available in the U.S. and there are no other U.S. medicines available to treat the condition. FDA’s Personal Importation Policy provides instructions for FDA personnel relating to the personal importation of drugs that may be illegal in the United States. FDA considers the following when reviewing such an application:

• The drug is for a serious condition for which there is no effective treatment available in the U.S.
• There is no marketing or promotion of the drug to U.S. residents.
• The drug doesn’t represent an unreasonable health risk.
• You verify in writing that you’re importing the drug for your own personal use.
• You have a letter, written in English, from your doctor saying the drug is a continuation of treatment that began outside the United States or you provide the name and address of a U.S. licensed physician who will supervise your use of the foreign drug. The letter should accompany the package and be addressed to a Customs and Border Protection officer or broker.
• You’re not importing more than a three-month supply of the drug.

If the medicine is sent through the mail, Customs might detain it until an FDA inspector can examine it. This could take as long as a month. To speed things along, make sure the outside package is marked and states that it contains a letter to the CBP officer or broker. The best option is to send the package by a courier service and flag it so the U.S. Customs broker will alert FDA inspectors about the special circumstances for sending the package.

Q: What else should you know about traveling with medications?

A: If you have questions for FDA about traveling with medications, contact the Division of Drug Information at 855-543-DRUG (3784) or email us at [email protected] .

The Drug Enforcement Agency (DEA) has other restrictions on bringing controlled substances into the country. Review those rules § 1301.26 Exemptions from import or export requirements for personal medical use .

Contact TSA if you have questions about carrying prescription medications in your luggage or carry-on when flying. For more information follow TSA’s blog Travel Tips Tuesday .

Review the many webpages dedicated to travel questions provided by the U.S. Customs and Border Protection.

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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)

Can I take my medicine abroad?

You need to check what rules apply to taking your medicine:

• out of the UK
• into the country you're going to

Plan well ahead

If you need prescribed medicine for your health condition, talk to your GP or practice nurse about your travel plans at least 2 months before your departure date. They can tell you if you need to make any special arrangements.

Checking what's allowed

Check the rules for all the countries you're going to, including countries that you're just passing through.

Different countries have different rules and regulations about:

• the types of medicine they allow to be taken into the country
• the maximum quantity you can take in

Some medicines available over the counter in the UK may be controlled in other countries and vice versa.

Some countries such as India, Pakistan and Turkey have a list of medicines they will not allow into the country.

International rules vary – contact the embassy for the country you're visiting. GOV.UK has a full list of foreign embassies in the UK .

Travelling with your medicines

Always carry medicines and medical equipment (needles, syringes and so on) in their original, correctly labelled packages.

Carry your medicine in your hand luggage (although check your airline's regulations before travelling) with a copy of your prescription.

Consider packing some extra medicine in your suitcase or hold luggage in case you lose your hand luggage.

Check that the expiry dates of your medicines will be valid for the duration of your visit abroad.

Some medicines need to be kept at room temperature (below 25C) or stored in the fridge.

If you're travelling to a warm country, get advice from your pharmacist about storing your medicine.

For example, to keep your medicine at the right temperature, you may need to store it using:

• a thermos flask
• an ice pack
• an insulated pouch

Taking health information with you

It's a good idea to travel with a copy of your prescription and a letter from your GP that has:

• details of your medicine, including its generic name (not just the brand name)
• the name of the health condition that you need the medicine for

As well as helping you avoid any problems at customs, this will be useful if you need medical help while you're away.

It may be worth getting the information translated into the language of the country or countries that you're visiting.

Be advised that your GP practice may charge for writing such a letter, as GPs are not obliged to provide the service under the NHS.

Controlled medicines

Some prescribed medicines contain drugs that are controlled under the Misuse of Drugs legislation in the UK. This means that extra legal controls apply to these medicines.

You may need a personal licence to take controlled medicines abroad.

Specific requirements also apply to:

• the information that you must take with you
• how you carry your controlled medicines

Check with the embassy about the rules for the country you're going to before you travel. You can find a list of foreign embassies in the UK on GOV.UK .

You can also visit the GOV.UK website for more information on bringing medicine containing a controlled drug into the UK .

Further information

• Healthcare abroad
• Medicines information
• How pharmacies can help
• Travel Health Pro: countries A to Z
• GOV.UK: foreign embassies in the UK

Page last reviewed: 23 September 2021 Next review due: 23 September 2024

You May Need a Permit to Travel Abroad With Your Meds

O f the many logistical considerations for traveling abroad, what's in your toiletry bag probably doesn't top the list. But it should—especially if you have a chronic health condition and/or require prescription medication—because there may be essential documentation you need before you go.

As The Points Guy reports , many common medications that are prescribed for managing everything from sleep and allergies to anxiety and ADHD are considered controlled substances (or illegal) in other countries and require additional documentation if you plan to cross international borders. In some cases, you even need to apply for a permit in advance.

While you could just hope your luggage isn't inspected by customs officials, you probably shouldn't risk it. At best, they could seize medication you need and can't replace while you're abroad—at worst, you could be fined or even face jail time.

How to travel with prescription medication

At the very least, you should always follow the CDC's basic guidelines for traveling abroad with medicine. Keep all medication in its original packaging with the label that shows the prescription name, dosage, provider's name, and your full name, and bring copies of all written prescriptions. If any of your meds are considered controlled substances, or if you carry injectables such as an Epi-Pen or insulin, you should also have a treatment plan or note from your doctor outlining their use.

Some medication types that may have additional restrictions include narcotics, psychotropics, hormones (including birth control pills), nutritional supplements, and those with specific ingredients (including OTC meds) like codeine, pseudoephedrine, and diphenhydramine

Check destination-specific regulations

Depending on the country you're traveling to or through, a valid prescription may not be enough to avoid legal trouble. In Japan, for example , some medications that are available over the counter in the US or commonly prescribed for pain, allergies, and mental health conditions (including anything containing amphetamines) are illegal. You must obtain a "Yunyu Kakunin-sho," or importation certificate, for these drugs in advance of arrival from the Ministry of Health, Labour, and Welfare of Japan .

There are a handful of other countries that require permits for certain controlled medications:

• South Korea
• United Arab Emirates

This list is not exhaustive, and the restrictions vary across countries. In some cases, there are also limits to the quantity or supply you can travel with, which you'll need to consider if you're planning to be abroad for an extended time. Other countries, like Australia, may not require a separate permit but are strict about having documentation from your prescribing physician.

If you're heading to Europe, you may need a Schengen certificate for medication covered by the Opium Act, which includes some painkillers, sleeping pills, medical cannabis, and stimulants, in addition to any country-specific authorizations.

Before you travel, check the US embassy website for your destination, which will have guidelines for importing medication and direct you to any permits required. You can also look up regulations through the International Narcotics Control Board , though this information may not be the most updated.

Make a plan with your provider

Again, if you face restrictions or supply limitations at your destination—which can make traveling with a chronic condition especially challenging—make a detailed plan with your provider to ensure your medical needs are met. Have copies of all documentation with you and in your carry-on.

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• Bipolar Disorder

Enjoying Travel While Living With a Mental Health Condition

5 strategies for maintaining wellness..

Posted April 9, 2024 | Reviewed by Michelle Quirk

• What Is Bipolar Disorder?
• Find counselling to treat bipolar disorder
• Research has shown that travel can be a trigger for depression and mania in individuals with mood disorders.
• Creating a plan for coping with triggers ahead of time can reduce possibility of challenges.
• Communicating needs related to a mental health condition is just as vital as with any other condition.

Vacation season is upon us, and for many, that means travel. These adventures can bring new and invigorating experiences. Yet, for individuals with mental health conditions such as bipolar disorder , travel can sometimes also be a trigger.

Research on travel in individuals living with mood disorders has found that traveling westward can sometimes be linked to manic / hypomanic mood episodes while traveling eastward has been linked to depression (Inder et al., 2016). The mix of disrupted routines, changes to sleep schedule, and stress can be a perfect storm for challenges.

Still, many with mental health conditions travel each year without a problem. Being proactive can stack the odds in favor of a healthy and enjoyable trip.

Here are five strategies for maintaining your wellness as you travel.

1. Be Prepared With Your Medication and Coping Tools

If you take medication , make plans in advance as to how you will access it. Make sure you have enough to last throughout the trip. I have found Murphy's Law that everything that can go wrong will seems especially common on trips! Pharmacies can run out of certain medications and can be waiting on a backorder. Make sure you have your prescriptions together at least a week before leaving. You might also plan to bring with you certain items to assist with coping should mental health symptoms arise. Headphones, sunglasses, a journal, or a comfortable blanket can be a lifesaver in a pinch.

2. Have a Crisis Plan

Having a crisis plan is kind of like making a plan in case of a fire. I don't expect there to be a fire, but I always want to know where the fire exits are. Have a plan of how you might cope with potential triggers in the case of a crisis. For some, this might mean planning an extra way home if necessary. If you are traveling alone or with people you are less familiar with, be sure to have a medical ID with information on your condition, your needs, and an emergency contact.

3. Adjust Routines and Sleep Slowly

Most travel involves some changes to routine and sleep. If you can adjust these gradually, do it. Preserving downtime and prioritizing sleep is often key to maintaining wellness. This can also apply to sobriety. If alcohol is a trigger for you, make a plan for fun, alcohol-free drinks you can enjoy and how to handle temptations that could come up. Many people choose not to drink for a variety of reasons. Alcohol is not synonymous with having a good time.

4. Be Kind to Yourself and Communicate Your Needs

When we have needs specific to a health condition, it's easy to feel some sense of guilt . Don't let unwarranted guilt keep you from communicating your needs. Needs specific to a mental health condition such as preserving time for sleep or gaining a break in times of overwhelm are just as important as needs related to any other health condition, and nothing to be ashamed of.

5. Have Fun

Living with a mental health condition is not always fun. Still, there is no reason for it to keep us from having fun when we get the chance. Enjoy your trip!

Inder, M. L., Crowe, M. T., & Porter, R. (2016). Effect of transmeridian travel and jetlag on mood disorders: evidence and implications. Australian & New Zealand Journal of Psychiatry , 50 (3), 220–227.

Jennifer Gerlach, LCSW, is a psychotherapist based in Southern Illinois who specializes in psychosis, mood disorders, and young adult mental health.

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What Is Travel Anxiety, and What Can You Do About It?

Experts say ignoring your stress only makes it worse. here’s what you can do.

Jaimie Seaton,

When returning home from a trip to the Bahamas for my 40th birthday, I found myself on a small prop plane, violently bouncing and bumping through a thunderstorm in pitch darkness. My husband and daughter were at the back of the plane and I was in the front with my toddler son. At a certain point, I became so convinced that the plane was going down that I asked the woman across the aisle to take care of my son if I had a panic attack .

We landed safely, but I’ve had travel anxiety, including fear of flying, ever since. I’ve continued to fly, but instead of sitting by the window and marveling at the experience, I sit on the aisle and pretend I’m not in an airplane. I imagine I’m being magically whisked to my destination. Before takeoff, I listen to a book, and during takeoff, I close my eyes, breathe deeply and focus on my destination .

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I’m not alone. Travel anxiety and fear of flying are common, says Lisa Wilson, a licensed independent clinical social worker and associate at the Center for Travel Anxiety in Washington, D.C. About 25 million adults in the U.S. have a fear of flying, and about 40 million Americans are living with an anxiety disorder, according to the Cleveland Clinic. 

Travel anxiety refers to a feeling of worry or fear around traveling. It can happen before you go or while you’re traveling. Some people develop travel anxiety after a specific event; others can’t identify a cause. You may have traveled by car, train or plane for decades without concern and suddenly develop a sense of panic or anxiety , Wilson says. 

When that occurs, she says it’s best to address the anxiety instead of pretending it’s not happening.

Wilson says the symptoms of travel anxiety are distinctive to the person rather than the form of travel. They tend to be the physiological symptoms associated with the fight-or-flight response, “because fundamentally, what we’re talking about in terms of panic or anxiety, we’re talking about the body’s response to a perceived threat,” she says.

These symptoms can include a rapid heart rate, tension in the shoulders or elsewhere in the body, sweating, nausea, a feeling that you can’t breathe, pressure in the head and an irresistible urge to move your limbs. Symptoms can range from mild to severe, and travel anxiety overall can stop you from making plans and traveling altogether.

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Address the anxiety

“If you notice that [you] are making decisions based on [your] anxiety, it’s time to get help,” says Wilson. She adds that you don’t have to wait until your travel anxiety is affecting your plans. If you’re starting to feel discomfort about travel, that’s a good time to reach out for help too.

Jonathan Bricker, a University of Washington psychologist who has studied the fear of flying for more than 20 years, says aviophobia is a hodgepodge of different phobias that converge on an airplane. There are people who are afraid of dying in a plane crash, those who are claustrophobic and those who fear having a panic attack and not being able to escape or get help (agoraphobia). He adds that it’s very common for people to have more than one disorder.

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Bricker, who treats people for aviophobia, advises making a flight plan (see sidebar) so you — not the airports or airlines — are in charge of your travel. He also says to face your fears and recommends looking at YouTube videos of people taking ordinary flights (avoid incident or crash videos). “The goal is to open up, be open to the fact that you’re going to have … these physical reactions … and to let them just come and go,” Bricker says.

Wilson advises being attentive to the experience of anxiety and responding quickly before it gets out of control by utilizing supports such as deep breathing, yoga, meditation, and listening to podcasts and books to return to a state of calm. She advises figuring out what methods work best for you and using them during the trip. 

A recent study on stress found that a majority of people age 45 and older ignore and/or downplay their stress. This can make travel and flight anxiety worse, says Wilson, because they’re layering avoidance on top of the stress. So you need to dissolve the avoidance to remove the stress .

“The key is getting effective help to address the concern and get back out there and get to the places and the people [you] love,” Wilson says.

Making a flight plan

Here are tips from Jonathan Bricker, a psychologist who specializes in air travel anxiety, that can help if you have a fear of flying.

1. Identify why you are traveling.  What makes it matter to you? Is it seeing family or friends you care about? Is it traveling with someone who matters to you? Is it seeing places in the world you are curious about?

2. Do  meaningful activities  while you’re traveling.  Rather than just avoid the experience of airports and planes, explore the airport, read an informative book, listen to a podcast or watch an  interesting movie . Do it because you want to, not to distract yourself from your anxiety about flying.

3. Breathe.  Breathe in one full breath. Hold it for three seconds. Release it all the way. Then hold for three seconds. Repeat this cycle three times.

4. Repeat one word.  Before you leave for the airport, take the scary thought (e.g., “crash”) and repeat the word aloud for 90 seconds. Repeat three times. Notice how the word loses its power and meaning over time. 

5. Don’t drink.  The anxiety will rebound after the  alcohol  wears off.

6. Try talking to an exposure therapist.  Do this at least two months before your flight to gradually confront your fears.

7. Try virtual reality.  Work with a therapist who provides virtual reality therapy for fear of flying.

8. Consider medication.  If you must use medication, use only a fast-acting anxiety drug at a low dose, once, and only under your physician’s prescription. This is not a long-term solution, just a way to get you on the plane and on your way.

Jaimie Seaton has lived in and reported from South Africa, the Netherlands, Singapore and Thailand. She’s written on travel for Skift, The Independent and CNN.

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