Left My Birth Control In A Hot Car

In this article, we answer a reader's question regarding what to do after leaving birth control medication in a hot car.

Question

Hi, I am on the Yasmin contraceptive pill. I have stored my pill in my car for the last two days in a makeup bag. Temperatures outside have reached 30 degrees Celsius. This is the start of a new pack as I had just finished the white sugar tablets. I have taken the pill as normal for the last two days (the first two days of light yellow tablets) and haven't noticed any physical changes to the pill. I have also been sexually active during this time and am now concerned the effectiveness of the pill may have been compromised. What should I do?

Asked by Concerned Girl On Jun 06, 2022

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Jun 06, 2022
Last updated Apr 20, 2024

Key points

  • Most birth control pill products are recommended to be stored at temperatures between 59 and 86 degrees Fahrenheit.
  • Leaving birth control pills in a car, especially during warm months, will likely expose it to temperatures outside the recommended range.
  • Most studies show that the integrity of the physical tablets/pills is more likely to be affected by hot temperatures than the drug in birth control pills (i.e. the hormones).
  • While it is unlikely that birth control pills will lose potency by spending a short amount of time in a hot car, for peace of mind, it may be prudent to start a new pack of pills that have been stored appropriately.

Thanks for reaching out to us!

Storing a prescription medication (such as Yasmin) outside of the manufacturer's recommended storage conditions can be problematic, but if you left it in a hot car for only a short amount of time, it's unlikely it wasn't affected in any significant way.

Nevertheless, let's talk about, what can happen if a prescription medication is stored outside the recommended conditions.

it is certainly possible that I drug could:

  • Become less stable (i.e. the actual drug or dosage form could degrade)
  • Become less potent, leading to therapeutic failure

With birth control pills, we are especially concerned about a potential loss in therapeutic effect.

How Should Yasmin Be Stored?

First, how should Yasmin be stored?

Per the manufacturer, Yasmin must be stored as follows:

  • Store at 25°C (77°F); excursions permitted to 15-30°C (59-86°F) [see USP Controlled Room Temperature].  

Unless a birth control product is supposed to be stored in the refrigerator (e.g. Nuvaring), these storage conditions are generally consistent for all birth control products.

Left In A Hot Car

From your question, you say the medication was left in a car at 30 degrees Celsius (86 degrees Fahrenheit).

That is right at the end of the "excursion" range given by the manufacturer (an excursion is defined as removal from the set storage conditions for no longer than 24 hours).

The problem with your situation is that the medication was left in a car.

More likely than not, the temperature in the car was much higher than the temperature outside, putting the medication well outside the storage range.

Due to this, it is hard to know the exact state of your medication and give you a good recommendation on exactly what you should do in this situation.

On the whole, it is unlikely they are affected in a significant way. The problem is, we just don't know for sure.

It is important to note though, that when it comes to non-refrigerated solid oral dosage forms such as tablets or capsules, storage conditions are set with more concern for the integrity of the actual product (e.g. capsules melting) rather than a loss of stability to the actual drug.

In fact, many studies on stability have shown that most products that experience temperature excursions for a short period of time will be minimally affected and will still provide a therapeutic benefit.

This is especially true of medications that are not refrigerated.

If your medication was affected by the temperature, we may expect a loss in potency and for you to experience certain side effects such as spotting and bleeding as a result.

The fact that you are not is a good sign. 

Final Words

There is some ambiguity in the situation and we just don't know the state of your birth control.

It, more likely than not, is not affected to the point where it will have a noticeable loss of therapeutic effect.

For peace of mind, however, you may want to use a backup birth control method, take emergency contraception or talk to your doctor about starting a new pack of birth control pills.

Your doctor may also give you a recommendation on your best course of action.

References

  • Yasmin Prescribing Information, AccessFDA
  • Impact of temperature exposure on stability of drugs in a real-world out-of-hospital setting, PubMed
  • Temperature excursion management: A novel approach of quality system in pharmaceutical industry, PubMed

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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