HOW TO KEEP DRUGS IN REFRIGERATOR PHARMACY

In connection with the frequent violations of storage of medicines that require a certain temperature in pharmacies, we briefly explain the following points:
1) All medicines requiring protection from exposure to elevated temperature are divided into two groups:
- Medicines requiring storage in a cold or cool place (store at a temperature of 8 ° C to 15 ° C);
- Medicines requiring storage in the refrigerator (stored at a temperature of 2 ° C to 8 ° C).
 
2) In pharmacies where there are two or more refrigerators, it is necessary to select one refrigerator with a temperature of 8 ° C to 15 ° C and a second refrigerator with a temperature of 2 ° C to 8 ° C. And with this in mind, decompose all the medicines in refrigerators.
3) In a refrigerator with a temperature of 2 ° C to 8 ° C, the temperature is measured twice a day. If medical devices (IMN) are stored in a refrigerator with a storage temperature of 8 ° C to 15 ° C — these are some mercury thermometers and pediatric urinals, then the temperature is also measured twice a day.
 Thus, it is recommended to measure the temperature in all refrigerators in a pharmacy 2 times a day.
4) In a refrigerator with a temperature of 2 ° C to 8 ° C, immunobiological medicines are stored separately from other medicines. Moreover, internal immunobiological drugs are stored separately from the outside. Thus, for immunobiological medicines, it is necessary to allocate two shelves in the refrigerator (the "external immunobiological" shelf and the "internal immunobiological" shelf).
5) Refrigerators in a pharmacy must have inventory numbers. If there are no numbers, we stick a sticker “№1” and “№2” on the refrigerator. These numbers are indicated in the temperature maps. For example: “Refrigerator No. 1, storage area” or “Refrigerator No. 2, trading floor”.
 
6) In a refrigerator with a storage temperature of 2 ° C to 8 ° C there should be 3 thermometers (on the upper, middle and lower shelves). In a refrigerator with a storage temperature of 8 ° C to 15 ° C, a single thermometer is sufficient.
 
7) As in the whole pharmacy - in the refrigerator, internal medicinal products are stored separately from external
8) If dietary supplements or cosmetics should be stored “in a cool place”, then store them in a refrigerator with a storage temperature of 8 ° C to 15 ° C on a separate shelf or in a container with a label “Biologically active additives, cosmetics”. Medical devices are also stored on a separate shelf or in a container labeled "Medical Products."
 
9) Also pay attention to several names of medicines, which have a specific temperature regime:
a) "Mikogel" - temperature storage from 10 ° C to 20 ° C. So, if the pharmacy temperature exceeds twenty degrees, you put it in a refrigerator with a temperature range from 8 ° C to 15 ° C. Consequently, the temperature in the refrigerator is reduced. Instead of the mode from 8 ° C to 15 ° C, you should set the mode in the refrigerator from 10 ° C to 15 ° C. Pay special attention to Mikogel because it is included in the list of essential medicines (however, it can be replaced with Belarusian miconazole).
 
b) "Acetylcysteine ​​solution for inhalation" - temperature storage from 0 ° C to 5 ° C. You put it in a refrigerator with a temperature range from 2 ° C to 8 ° C, and therefore the temperature in the refrigerator is reduced. Instead of the mode from 2 ° C to 8 ° C, you should set the mode in the refrigerator from 2 ° C to 5 ° C.
 
c) Also pay attention to the "Cefazolin vials" of Borisov production. Its temperature storage is not higher than 20 ° C. So, if the pharmacy temperature exceeds twenty degrees, you put it in a refrigerator with a temperature range from 8 ° C to 15 ° C.