Acthar is a prescription medicine to be used as a short-term, add-on therapy in the event of symptoms suddenly worsening (flare) for rheumatoid arthritis, including juvenile rheumatoid arthritis. Some cases may require maintenance therapy.

Tips for Traveling With Acthar

  1. Plan for delays. If you’ll be traveling, make sure you take enough medication with you in case of travel delays.
  2. Keep Acthar refrigerated. Acthar should be kept refrigerated (36ºF–46ºF, or 2ºC–8ºC) between uses. Acthar is a gel when refrigerated, but changes to liquid form at room temperature. Remember to only inject Acthar once it has reached room temperature; this will help make the injection more comfortable for you. Warm Acthar by rolling the vial between the palms of your hands for a few minutes. Learn more about preparing and injecting Acthar.
  3. Consider getting a cooler. Medical coolers are available for purchase. These items come in different sizes and price ranges. Also, it may help to keep an extra ice pack handy in case one gets lost or damaged.
  4. For road trips. When traveling by car, keep Acthar with you in the car. Avoid storing it in areas of the car where it may get heated. Don’t place Acthar in the glove compartment, trunk, or the front or rear dashboard. Also, don’t leave it in the car unattended on a hot day.
  5. For air travel. If you are traveling by air, always pack your medical supplies and Acthar in your carry-on luggage. This way these items are with you at all times, even in the event your luggage gets lost or damaged.

Additional tips when traveling by air:

  • Call your airline in advance. Ask if arrangements can be made to keep your medicine in a refrigerator during your flight
  • Contact the Transportation Security Administration (TSA). Call the TSA at least 72 hours before your flight. If you have a medical condition, they can help you coordinate the security screening process in advance. Their toll-free helpline is 1-855-787-2227, or you can visit the TSA online.

Here are some general recommendations they offer:

  • Bring a doctor’s note and keep it with your medications. The note should:
    1. Explain what you need to do for your RA, such as using a syringe to take injections of Acthar
    2. List Acthar, syringes, and any other medications or supplies you need to manage your condition
  • Consider taking half your supplies on board in your carry-on bag and putting the other half in your checked luggage. Be sure to have a doctor’s note for both sets of medication and syringes since they will be screened separately
  • Make sure you have more than enough Acthar and syringes in case your return trip gets delayed
  • Bring prescriptions for your medication and syringes with you as well, in case you get stuck somewhere for a prolonged period

Download the Acthar Patient Brochure


DO NOT take Acthar until you have talked to your doctor if you have any of the following conditions:

  • A skin condition called scleroderma
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