Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 9/3/2025

Storage and Handling of Polysulfated Glycosaminoglycan

General Storage Recommendations

  • Injectable medications like Adequan should be stored according to manufacturer guidelines to maintain efficacy and prevent degradation, with unopened vials stored in a refrigerator at 2-8°C (36-46°F) without freezing or contamination by food 1
  • For most medications, once opened, they should be stored at ambient temperatures (15-30°C or 59-86°F) away from direct sunlight until the manufacturer's expiration date (often 28 days) 2
  • The American College of Physicians recommends checking the temperature of the refrigerator where medications are stored since household refrigerators commonly operate outside the ideal range 2

Storage and Transportation Precautions

  • The Centers for Disease Control and Prevention recommends using cooler packs/insulated bags if transporting Adequan outside in hot or cold/freezing conditions to maintain its stability 2
  • Before injection, it is essential to check that the medication is not expired and appears visually normal, according to the Mayo Clinic Proceedings 1

Storage Conditions to Avoid

  • Freezing Adequan should be avoided as this can alter its molecular structure and potentially reduce efficacy, as stated by the Mayo Clinic Proceedings 2
  • The Centers for Disease Control and Prevention advises against storing in frost-free freezers where temperature might cycle above recommended storage temperatures 3
  • Exposing the medication to direct heat, light, or excessive agitation should be avoided, as recommended by the Mayo Clinic Proceedings 1
  • The American Diabetes Association recommends not using the medication if there are visible changes in appearance (clumping, frosting, precipitation, or change in clarity or color) 4