Patients must bring Cooler Bag when collecting Refrigerated Medication!

posted Mar 7, 2017, 8:03 PM by Izam Ezri Mohd Zakaria   [ updated Mar 7, 2017, 8:05 PM ]
08th March 2017 (Circular No. SP PPUM: 93/2017):
 
Effective immediately, it is now mandatory for patients / caregivers to bring their own cooler bag already filled with ice packs upon collecting their supply of refrigerated (cold chain) medications!

In the interest of patient safety and for assuring effective therapy, all UMMC Pharmacy and PharmUMMC dispensaries have been instructed to withhold supply of cold chain medications if patients / caregivers do not have a cooler bag with them.

This is because refrigerated medications are highly temperature sensitive and must be kept at a temperature range of 2 to 8 °Celsius (about 36 to 46 °Fahrenheit).

Should the transportation cold chain be broken (for example, medication is unrefrigerated from the point of collection at pharmacy until it reaches patient's home), a medication may be deactivated or worse, become toxic.

Below is a list of refrigerated medications commonly supplied by UMMC Pharmacy and PharmUMMC that patients need to take note of:

 BIOLOGIC AGENTS
  • Abciximab injection (REPRO)
  • Adalimumab 40mg injection (HUMIRA)
  • Bevacizumab 0.1mg/2.5ml (AVASTIN)
  • Denosumab 60mg injection (PROLIA)
  • Denosumab 120mg injection (XGEVA)
  • Etanercept 50mg inj (ENBREL)
  • Golimumab 50mg injection (SIMPONI)
  • Palivizumab 100mg injection (SYNAGIS)
  • Ranibizumab 0.3mg injection (ACCENTRIX)

 BLOOD STIMULATING AGENTS
  • Epoetin Alpha 2000 units Syringe (EPREX)
  • Epoetin Alpha 4000 units Syringe (EPREX)
  • Epoetin Beta 2000 units Syringe (RECOMON)
  • Epoetin Beta 5000 units Syringe (RECOMON)
  • Epoetin Beta 100mcg syr (MIRCERA)
  • Epoetin Beta 50mcg syr (MIRCERA)
  • Filgrastin 300mcg/0.5ml Syringe (NEUPOGEN)
  • Filgrastin 300mcg/1ml Vial (NEUPOGEN)
  • Pegfilgrastim 6mg/0.6ml injection (PEGLASTA)

 HORMONES & RELATED AGENTS
  • Calcitonin 100 unit/ml injection (MIACALCIC)
  • Calcitonin 200/unit dose nasal spray (MIACALCIC)
  • Follitropin Beta 300units cartridge (PUREGON)
  • Follitropin Beta 600units cartridge (PUREGON)
  • Ganirelix 0.25mg Inj (ORGALUTRAN)
  • Genotropin 5.3mg injection (GO QUICK)
  • Human Chorionic Gonadotrophin 5000 injection (PREGNYL)
  • Leuprolide acetate 3.75mg injection (LUCRIN)
  • Leuprolide acetate 11.25mg injection (LUCRIN)
  • Liragutide 0.6mg injection (VICTOZA)
  • Octreotide 20mg LAR injection (SANDOSTATIN)
  • Somatropin 8mg injection (SAIZEN)
  • Somatropin 10mg injection (NORDITROPIN)
  • Teriparatide750mcg/3ml injection (FORTEO)
  • Tetracosactide 250mcg injection (SYNACTEN)
  • Thyrogen injection
 INSULINS
  • Insulin Aspart 300units/3mL Pen (NOVORAPID)
  • Insulin Detemir 300unit/3ml Pen (LEVEMIR)
  • Insulin Glargine 300units/3mL Cartridge/Pen (LANCTUS)
  • Insulin Lispro 300unit/3ml Pen (HUMALOG)
  • Insulin Lispro / Insulin Protamine 50/50 (HUMALOG MIX)
  • Insulin Novomix 300units/3ml (NOVOMIX)

 VACCINES
  • Vaccine Haemophilus Influenza Type B (HIBERIX)
  • Vaccine Hepatitis B Immunoglobulin (HEPABIG)
  • Vaccine HPV quadrivalent (GARDASIL)
  • Vaccine Influenza H1N1 (FLUQUADRI)
  • Vaccine Meningococcal A+C (NIMERIX)
  • Vaccine Pneumococcal (> 2 years old) (PNEUMO 23)
  • Vaccine Pneumococcal (<2 yrs & > 65 yrs) (PREVENAR 13)
  • Vaccine Rabies (VERORAB)
  • Vaccine Rotavirus (ROTARIX)
 CHEMOTHERAPY & IMMUNOTHERAPY AGENTS
  • BCG Immunobladder 40mg injection
  • Interferon Alfa-2B 18 million unit injection (INTRON A)
  • Interferon Beta 1a 44mcg (12 million unit) (REBIF)
  • Melphalan 2mg tablet (ALKERAN)
  • Peginterferon alfa-2a 135mcg syr (PEGASYS)
  • Peginterferon alfa-2a 180mcg syr (PEGASYS)
  • Vinorelbine 20mg caps (NAVELBINE)
  • Vinorelbine 30mg caps (NAVELBINE)
  OTHERS
  • Beclometasone 100mcg Formoterol 6mcg/puff (FOSTER)
  • Botulinum A Toxin 500units injection (DYSPORT)
  • Iron sucrose complex injection (VENOFER)
  • Olopatadine 1mg/ml eye drop (PATADAY)
  • Sodium hyaluronate 25mg/2.5ml injection (GO-ON)
  • Verteporfin 15mg (VISUDYNE)
 

Should patients be unable to obtain any form of cold storage container outside of UMMC, they may purchase a cooler bag from PharmUMMC or PharmSelatan.

Further information on keeping Refrigerated Medications below.