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Traveling with Medications

I will be flying in and out of Milan MXP in under 4 weeks. I have 9 prescriptions filled in 90 day mail-order prescription bottles. When I travel, I use pill sacks (small clear plastic bags) to parce out my meds based both daily and time of day to make it easy to take all of these meds. They are heart medications & diabetes medications including two injectable pens. No opioids or controlled substances.

Can I do this traveling to Italy? I have always done this in my travels to the UK, France, Germany, Austria, the Netherlands & Belgium. I am traveling with a carry-on bag only for an 11 day trip. I don’t want to waste space on big bottles. Please advise. Thank you!

Posted by
18276 posts

I carry meds with me similarly to what you do, and have a copy of the prescriptions and pack it in the checked suitcase, and I can also access a digital copy on my physicians’ Group app, but I don’t carry them separately in the silly orange plastic containers from the pharmacy. In Italy they don’t even use those containers as the pharmacies, when they dispense Rx meds, they simply give you the original box from the drug company in the size prescribed. I worked in hospitals a lifetime and I still don’t understand why in America pharmacists and pharmacy techs have to waste that time to count and transfer the 30 pills from the original container to the plastic containers. It must be an alchemist’s practice from the Middle Ages.

Posted by
1942 posts

You make me laugh, Roberto! Great sense of humor, always!! And always solid info..

I believe that in the US, wholesale prescription medications arrive at pharmacies in large bottles of 1000 or 5000 pills....not in those cardboard boxes used in Europe. Bt ti does make so much extra work for the pharmacist counting out all those 30- 60- and 90-day supplies and transferring them into the usual orange- or grey-colored plastic bottles, not to mention all that extra plastic!

In any case, I just put all of my pills into one bottle large enough to hold a supply for the length of my trip....I don't evnn bother with any physician's note...but I'm not suggesting anyone else do as I do....

Posted by
10687 posts

I always carry my meds in small daily bags and have ever been asked about them.

The one time I was asked to show a copy of my prescription was for a med traveling in a medication cooler at London Heathrow. I pulled up the Rx on my phone and that was that.

Posted by
18276 posts

I have audited our hospital pharmacy departments often. I don’t think I’ve seen bulk containers of 5,000 pills too often, except for maybe aspirins. The largest are generally 1,000, alao for frequently prescribed generic drugs, like cholesterol or hypertension. For controlled substances of schedule II and III they come in much smaller containers. Yes, buying in bulk containers may save money over purchasing 30 dose boxes, like it’s typical in Europe, but what is the cost of having a pharmacy staff counting pils and filling a prescription bottle one pill at the time and printing individual labels? A pharmacy tech in NorCal makes at least $40/hr, a pharmacist almost 3 times that. Their time is money and greatly exceeds the savings of purchasing a 1,000 pill container and having to dispense one at the time to another container. Then pharmacies must do the daily cycle count, which means that every open container must have the pills counted one by one and reconciled to the prescriptions filled that day. Then there are the quarterly counts, and the biennial full inventory counts required by federal DEA regulations. When I audited our pharmacies it took me days just to check the inventories are correct. It’s truly bean counting that would take much less time if there were no opened containers where you have to inventory individual pills and instead could count only full unopened boxes. It’s an insane practice, time consuming and therefore costly given the regulatory inventory count requirements.

Posted by
19605 posts

My prescriptions come in a mixture of individual manufacters bottles of thirty or those generic orange bottles.

I think it has to do with the way the prescription is delivered. For some, they come in the individual bottles. For others, massive bottles of thousands of pills.

I find the more expensive name brand drugs come in the manufacturers containers and the long time generics in the massive bottles.

I transfer both to small ziploc bags.

Customs agents have seen all the medications before. Have a copy of the prescriptions especially for the pens.

But don't worry about it.

Posted by
27697 posts

To make a fully informed decision you should also be aware of not just what people on an internet forum do, but the law as well:

The primary Italian government source governing the entry of medical preparations into the country is the Ministero della Salute (Italian Ministry of Health), along with regulations enforced by the Agenzia Italiana del Farmaco (AIFA).
The explicit rules and requirements outline what you need to bring depending on the classification of your medication:
Standard Prescription Medications According to the Italian Ministry of Health, foreign travelers are legally permitted to bring personal medications into Italy for the entire duration of their stay. You must fulfill the following criteria:
- Carry a valid doctor’s prescription that clearly states the patient’s
name, specific therapy, and precise dosage.
- Keep all medications inside their original pharmacy-labeled
packaging.
It is highly recommended to have a signed letter from your GP explaining why you need the treatment (ideally translated into Italian) to avoid delays at customs.

Posted by
27697 posts

This is not advice, just saying what I do and why I do it the way that I do. I suggest everyone find the law for the place they are going and read it. Then read all the comments from other and do what you want to do.

My philosophy is to travel as a guest. A good guest follows the house rules (PERIOD). I just don’t feel comfortable any other way. When the rules are vague, I think about intent and making the job easier for the authorities should there be a question. To do that I use what the norm is where there are written laws in countries in Europe. Italy is a good example. I also remember, that regardless of the law, if the guy at immigration wants to make my life difficult he can. Better I make his life easy and be respectful of a difficult job.

Not that it’s a competition but for my heart and other issues, I take 11 medications these days. One requires a syringe and needles, and alcohol wipes the rest are pills.

When I was still coming from the US, I learned to ask the pharmacist to put a month’s worth of each drug in a small bottle. That took care of how much room is in the luggage issue. The prescription is the label so that problem was solved, but I still carry a real prescription and a report from a visit to the cardiologist as I hope it would make getting replacements easier … and it did. With that the European doctor didn’t feel a need to do a lot of testing and just wrote the script. The three sheets of paper fit easily in my carryon next to the 11 small bottles and 4 syringes. I did the math, the meds in the bottles take up 22 square inches of my 1500 square inch WizzAir under seat bag. That 1.5% of the capacity of my personal item. I make that work.

I tend to be a bit conservative in how I handle my meds because I need them and living here I know that they aren’t always easy to replace. There is one med that I have to get in Germany and one that I have to get in Austria and I presume the odds of that sort of thing will be the same when I am visiting Italy or Romania so I really don’t want any issues resulting in the unnecessary loss of the medicine. It could end a trip before it gets started.

In researching the topic, I found reports of one country in Europe that has a reputation for confiscating meds. Never heard about it on a forum, but it’s bad enough that at least one other country is warning their citizens that if they go to have all their ducks lined up in a row. Then I have read about a few that for some reason stop antihistamines … its not always narcotics they have issues with. I don’t know about the rest of the world, but I realize that I don’t know what I don’t know until it happens.

Bottles vs the European box. In daily use I detest the European blister pack boxes, but thats another subject. But this does bring to light something in many of the country’s laws; "keep in original container". Because over here everything comes in blister packs with the name of the medication on it, I assume that means identifying the drugs is important in the law. Well, you cant copy that with pill bottles because you can change what’s in the bottle, but at least with the bottle I am showing a good faith effort and maybe making someone job easier someday.

Posted by
19605 posts

In researching the topic, I found reports of one country in Europe that has a reputation for confiscating meds.

Can I guess....Moldova?

Posted by
10478 posts

It is best to keep your prescriptions in their original bottles, don't need copy of written prescriptions.
If you have a prescription for a schedule drug like Oxy, then always keep it in the original bottle and have a copy.

In some countries like Georgia, go on line and check the drugs that are illegal to bring in the country. If you take one, still do NOT try to take into the country.

Posted by
571 posts

If you are travelling in Europe and you are taking commonly prescribed medicines this really isn’t something to worry about.

Customs Officials have much more important things to worry about than prescription medicines being carried for personal use by the average tourist. A lot of customs activity at the border is highly targeted especially at arrivals. It is possible (likely?) there will be no customs interest in your flight at all.

Think how many people are travelling with prescribed medicines at any one time?! No one has the time or interest to look into those at the border.

As usual just apply common sense!
It is worth checking that all your medicines are legal to bring into a country. Don’t assume if they aren’t opioids or cannabis related they are OK. There are some odd rules relating to to some drugs, including over the counter.
Don’t bring large quantities ‘just in case’. Bring what you need for the length of the trip and maybe a small amount extra in case of delays but that’s it.
It is best to carry them in the original packaging. If that isn’t possible try and have them marked with the drug details
Bring a copy of your prescription covering every medicine.
You could bring a doctor’s letter but I am not sure what this adds as a doctor will have prescribed them anyway. If you reach the point where a customs official is demanding a doctor’s letter for your medicines you probably have bigger things to worry about!

This applies to travel through Europe, for elsewhere I would be more careful and other guidance applies

Posted by
27697 posts

Frank, no, do some research. For me it’s just less stressful to do things my way and not have to worry if I miss something.

For those that like the little baggies for their meds; again, just what I do: I could be wrong on this, so check me, but my understanding is the laws and rules are about importing and not moving around after crossing in. So, once I go to a country, I use my box pill organizer or the bags would do about the same.

Posted by
4175 posts

Thank you everyone! I can definitely access my prescriptions online so that hopefully will help. I don’t want to bring 9 large original bottles.