How to Store Prolia: Fridge, Then 30 Days Below 77°F
[Storage · Prolia]

How to store Prolia (denosumab)

Quoted from the US label · Unopened vs in use · Travel · Sources · Reviewed

Short answer: Keep Prolia in the fridge at 36-46°F (2-8°C) in its carton, away from light, and never frozen. Once out of the fridge it must stay at or below 77°F (25°C) and be used within 30 days, or be thrown away. Do not shake it. Prolia is given by a healthcare provider, so home storage only applies if you pick it up from a pharmacy. Source: Prolia label, section 16.

What does the Prolia label say?

Section 16: “Store Prolia refrigerated at 2°C to 8°C (36°F to 46°F) in the original carton to protect from light. Do not freeze.” Once removed from the refrigerator, Prolia “must not be exposed to temperatures above 25°C (77°F) and must be used within 30 days. Discard Prolia if not used within the 30 days.” It also says protect from direct light and heat, and avoid vigorous shaking.

Prolia US prescribing information, sections 2.4 and 16, and Medication Guide.
QuestionLabel answer
TemperatureRefrigerator, 36-46°F (2-8°C), in the original carton
FreezerDo not freeze
Out of the fridgeNo higher than 77°F (25°C); use within 30 days or discard
ShakingAvoid vigorous shaking
Before the injectionMay stand in the carton to reach room temperature, usually 15 to 30 minutes; do not warm any other way (2.4)

What if I pick up Prolia from a pharmacy?

Section 2.3 says Prolia should be given by a healthcare provider, 60 mg under the skin once every 6 months. The Medication Guide has a section for patients who pick it up from a pharmacy: keep it in the refrigerator in the carton, do not freeze it, and once it is out of the refrigerator keep it at room temperature, up to 77°F (25°C), and use it within 30 days. It adds that warm temperatures will affect how Prolia works.

See the Prolia dosing schedule, Prolia side effects, missed a Prolia dose and Prolia vs Evenity.

How do you travel with it?

If you carry Prolia from the pharmacy to the clinic, the label limit is 77°F (25°C) and 30 days once it is out of the fridge. An insulated bag helps in warm weather; keep it from touching an ice pack, since it must not freeze.

  • TSA allows medically necessary liquids over 3.4 oz in carry-on bags; declare them at the checkpoint for inspection.
  • Unused syringes and pen needles are allowed when they travel with the injectable medicine.
  • Ice packs and gel packs that keep medicine cool may go through frozen, partly frozen or melted.
  • Keep medicine in your carry-on, not checked luggage, where you cannot control the temperature. Do not let it touch an ice pack directly, since most labels say do not freeze.

More in the travel guide.

Quoted from the current US label on DailyMed, not personalized advice. Labels change; the leaflet in your own carton, your pharmacist and your prescriber are the final word on how to store it.

Frequently asked questions

Does Prolia need to be refrigerated?+
Yes, until it is used. Once out of the fridge it can stay at up to 77°F (25°C) for up to 30 days.
How long can Prolia be out of the fridge?+
Up to 30 days, at no more than 77°F (25°C). The label says discard it if it is not used within the 30 days.
Can Prolia be warmed up quickly?+
No. Section 2.4 says let it stand in its carton to reach room temperature, usually 15 to 30 minutes, and not to warm it any other way.