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Sterile water contains no preservative, meaning any minor contamination can lead to rapid bacterial growth

For medicines that must be maintained at 2C to 8C: Use a validated cool box or insulated travel case with a temperature monitor to maintain the cold chain Use ice packs or gel packs, but ensure they do not come into direct contact with the pen or vial, as localised freezing can damage the product Monitor the temperature throughout the journey where possible For medicines where the label permits storage at up to 25C or 30C for a defined period, an evaporative cooling wallet may be appropriate but only if the product label explicitly allows storage at those temperatures

Following your providers recommended dose schedule can also help

The tension between these can be seen in news: e.g

How long will I need to keep taking the medication

Potential side effects are rare and usually mild, such as slight discomfort at the IV site