Understanding Potential Side Effects
When starting a new medication, side effects like nausea, vomiting, and headaches are common as your body adjusts.
Mild to moderate side effects — Often subside within days or weeks. Stay hydrated and follow your prescribed dosage.
Severe or persistent side effects — Stop taking the medication and contact your healthcare provider immediately. For severe symptoms (trouble breathing, chest pain, signs of dehydration), call 911 or go to the nearest emergency room.
Reporting Side Effects and Seeking Medical Advice
Contact Your Provider — Message your doctor through the secure Refills portal. Click '@Doctor' to ensure correct routing. They can assess symptoms, adjust dosage, or recommend alternatives.
Urgent Medical Needs — Call 911 or go to the nearest ER for medical emergencies. Refills cannot provide emergency care.
Medication Handling and Storage
Temperature Sensitivity — GLP-1 medications require refrigeration. They ship in insulated packaging with ice packs.
If medication arrives warm — Most medications remain stable up to 56 days at temperatures up to 86°F and can tolerate higher temperatures briefly during transit. As long as it hasn't been exposed to direct sunlight or extreme heat for prolonged periods, contact us with any concerns about your medication's condition upon arrival.
Damaged Shipments — If your medication arrives damaged (e.g., shattered vial, leaked contents), do not use it. Contact us immediately with photos so we can arrange a replacement.
Understanding Medication Dates and Stability
Manufacturer's Expiration Date — The initial date from the original drug manufacturer.
Beyond-Use Date (BUD) — For compounded medications, pharmacies conduct stability testing to determine an extended period during which the medication may be used. A letter explaining the BUD is typically included with your medication.
We do not ship expired medication. Our partner pharmacies assign a Beyond-Use Date to compounded medications.
Medication Status
Compounded Medications — Some GLP-1 options (e.g., compounded Semaglutide or Tirzepatide) are prepared by our licensed U.S. partner pharmacies. Compounded drug products are not approved or evaluated for safety, effectiveness, or quality by the FDA. Rx required. Availability of compounded medications is subject to current regulatory status and may vary. Our providers will confirm which options are available to you during your consultation.
FAQs
→ Can I get anti-nausea medication like Zofran through Refills?
Not at this time. If experiencing severe nausea, contact your primary care provider or seek urgent medical attention.
→ What if my medication arrives with a shattered vial?
Do not use it. Contact us immediately with photos so we can arrange a replacement.
→ My medication seems to have an expired date, what should I do?
Refer to the Beyond-Use Date section above. If you still have concerns, message your provider through the portal.