Everything you should know about traveling with medications

While travel offers incredible opportunities, it can also come with its fair share of hassles.

Along with ongoing COVID-19 testing and travel restrictions, packing becomes a major task—especially when it comes to ensuring you have the necessary medications for your trip. The last thing you want is to run out of prescription meds (particularly if you're stuck somewhere due to a positive COVID test) or fall ill without access to over-the-counter remedies.

That’s why it’s important to know the essential details before traveling with medications. To help you prepare, TPG spoke with Dr. Julian Klapowitz of Travel Medicine Consultations, who shared everything you need to know about managing medications while on the go.

Should I pack my medications in my carry-on bag?

The quick answer is yes; this way, you won’t risk losing vital medications in checked bags. The U.S. Centers for Disease Control and Prevention specifically advises keeping your prescription medications on hand.

"Even if I provide someone with three months' worth of malaria medication, I still recommend they pack it in their carry-on," Klapowitz stated. "This prevents it from getting lost. Additionally, the airplane's luggage compartment can get quite cold, which means any liquid medication—like insulin—could potentially freeze."

What is the maximum amount of medication I can bring?

As a general rule, carrying up to 30 days’ worth of medication is typically acceptable worldwide. For amounts exceeding this, you will need a note from your doctor, and it’s advisable to have the original prescription with you, according to Klapowitz. Just be prepared for longer security checks if you have larger quantities of pills or liquid medications that don't comply with standard TSA regulations.

When traveling internationally, the amount of medication you can bring largely depends on the rules of your destination country.

What if I’m traveling for an extended period?

The same advice from earlier applies here as well.

"If you’re traveling for longer than 30 days, try to carry enough medication for the entire duration of your trip," advised Klapowitz. "However, for larger quantities, you’ll need a doctor’s note and the original prescriptions to justify bringing that amount."

How can I obtain medication while abroad?

If you find yourself without enough medication for your entire trip or need something while abroad, there are ways to obtain it. Interestingly, the U.S. has stricter rules on certain medications compared to other countries where over-the-counter access to antibiotics, blood pressure medications, and a variety of other pills is common.

However, in some regions, counterfeit medications can be a significant issue.

"In places like Western Europe, you can usually walk into a pharmacy or doctor’s office and trust that the medications are safe," Klapowitz explained. "But in areas with less reliable healthcare, it’s best to contact the nearest U.S. embassy or consulate, as they can connect you with trustworthy doctors and pharmacies."

Are there countries with strict medication regulations?

Yes, certain destinations impose strict medication restrictions. For instance, Japan prohibits specific allergy and sinus medications, and some types of inhalers are banned. Additionally, travelers to the United Arab Emirates have been jailed due to the country’s rigorous narcotics laws.

"Before heading overseas, always check with the embassy of your destination country to confirm that your medications are permitted," advised Klapowitz. "If a medication is banned, discuss potential alternatives with your doctor. Alternatively, if you must travel with it, ensure that all medication is in its original packaging."

"It’s also important to carry a doctor’s note that explains your condition and the need for the specific restricted medication, as well as the original prescription," Klapowitz added. "While this doesn’t guarantee you’ll be allowed to bring it in, it does improve your chances."

Which medications are commonly restricted?

Narcotics are among the most frequently banned substances. "For medications like codeine, Percocet, Vicodin, or methadone, I often suggest considering whether it’s possible to travel without them," said Klapowitz.

"The same applies to certain regulated psychotropic medications, such as Adderall and Ambien. However, it's crucial to research the specific rules for your destination,"

How can I travel with a restricted medication?

Unfortunately, sometimes the simple answer is that you cannot bring restricted medications with you while traveling.

However, each country has its own set of rules—some may allow a 30-day supply, for example—so it’s vital to check with the embassy to understand what is permitted.

Once again, if you intend to travel with a restricted medication, make sure you have all necessary documentation and that the medication is properly labeled," advised Klapowitz.

What if my medication is in liquid form?

For domestic travel, liquids are permitted as long as they comply with the TSA’s 3.4-ounce limit and fit into a quart-sized bag.

While the TSA allows you to bring more than 3.4 ounces of liquid medication, you must declare it to the officers at security for inspection.

"The same general rules apply internationally, as long as the substance is not prohibited," Klapowitz explained. "Just remember to carry the original prescription and a doctor's note, and allow extra time for security checks."

Can I bring syringes with me?

Typically, sharp objects like needles and syringes aren’t allowed on planes. However, certain medications require the use of syringes or needles.

"If you have diabetes, for instance, you should have the same documentation as you would for any restricted medication," advised Klapowitz. "Unused syringes and needles are permitted if they are accompanied by the medication, prescription, and a doctor's note."

Are there any essential medications I should always pack when traveling?

"I recommend carrying Tylenol, Motrin, or Advil for pain and fever, and Imodium for mild diarrhea," said Klapowitz.

"You should also think about packing an antacid if you're unsure how your stomach will handle the local cuisine. And for those prone to motion sickness, don't forget to bring Dramamine."

Along with the standard medications, Klapowitz also recommended packing any over-the-counter medications you frequently use.