Accounting and storage of medicines and products in medical institutions. Organizational issues of creating a system for ensuring the quality of storage and transportation of medicines in a medical institution

In addition to the specific indication of temperature, the following terms with temperature limits can also be used:

The distance from the storage place to the heating devices must be more than 1m.

Relative humidity

An indicator characterizing the degree of saturation of air with water vapor and is measured in%.

High humidity contributes to the occurrence of microbiological spoilage, corrosion of metal surfaces.

Relative humidity in the storage room medicines should not exceed 60% + 5% depending on the relevant climate zone, unless special conditions are specified in the regulatory documentation.

The “Store in a dry place” parameters correspond to humidity not higher than 50% and room temperature from +15 to +25 0 С

Checking temperature and humidity is carried out daily, at least once a day. Instrument readings are recorded in a special log (map) by a responsible person. Registration records should demonstrate the temperature and humidity regimes established for the premises, and, if they do not comply, corrective actions. An exemplary sample log is presented in Appendix 1.

Air exchange

Mode indicator characterizing the intensity and frequency of air exchange in the environment surrounding the goods. In the process of air exchange, a uniform temperature and humidity regime is created, and gaseous substances emitted by stored goods, containers, equipment, etc. are removed. Air currents can be natural (drafts) and artificial, caused by the operation of supply and exhaust ventilation, air conditioners and other equipment

Gas composition

Mode indicator characterizing the composition of air in the environment - oxygen, carbon dioxide, which can have Negative influence on the quality of medicines in case of violation of the storage regime.

illumination

Storage mode indicator characterizing the intensity of artificial and natural light in the storage room. The influence of light energy can manifest itself in the action of direct sun rays, scattered light in the visible region of the light spectrum and radiation in the ultraviolet region.

When creating storage conditions for a single medicinal product, it is necessary to be guided by the requirements specified in the pharmacopoeial monograph or regulatory documentation for this medicinal product, established by the manufacturer or developer based on the results of a stability study in accordance with the General Pharmacopoeia Monograph "Shelf Life of Medicinal Products"

1.3. General requirements to the device and operation

Storage space

For creating optimal mode storage it is necessary that the storage room meets the license requirements and conditions:

1. Storage of medicines should be carried out in the premises intended for this purpose.

2. The device, composition, operation and equipment of premises for the storage of medicines must ensure proper storage conditions for various groups of medicines. For manufacturers of medicines, for organizations wholesale of medicines, the size of the area is also taken into account.

3. The complex of premises should include:

Premises (zone) of acceptance, designed for unpacking and acceptance of goods with a preliminary inspection

Room (area) for sampling medicines in accordance with the requirements of the General Pharmacopoeia Monograph "Sampling"

Premises (area) for quarantine storage of medicines

Room for medicines requiring special storage conditions

A room (area) for storing rejected, returned, recalled and medicinal products with expired validity. These medicinal products and their places of storage must be clearly marked.

4. The storage room must be isolated from other premises of the unit. In the absence of an isolated room, a storage area is allocated in the common room.

5. The inner surfaces of walls and ceilings must be smooth, allowing the possibility of wet cleaning.

6. The floor of the room must have a dust-free coating that is resistant to the effects of mechanization and wet cleaning using disinfectants, such as ceramic tiles. The use of wooden unpainted surfaces is not allowed. Materials for interior decoration must meet the requirements of the relevant regulatory documents.

7. Premises for the storage of medicines must be maintained at a certain temperature and humidity to ensure their storage in accordance with the requirements of medicine manufacturers indicated on the primary and secondary (consumer) packaging.

Employees of pharmacy organizations often have questions regarding the display of medicines and other pharmacy products on display cases. Many of these questions relate to the rules for storing dietary supplements in a pharmacy. “Explain whether it is possible to put dietary supplements along with medicines on the same shelf?” - such a laconic letter from a pharmacist from Bryansk was found in the editorial mail of Katren-Style. It would seem, well, what could be super complicated in ordering shop windows. However, the problem is that this topic is not properly regulated.

After March 2, 2014, the Industry Standard “Rules for the dispensing (sale) of medicines in pharmacies became invalid. Basic Provisions (Order of the Ministry of Health of the Russian Federation No. 80 dated 03/04/2003) ”, which contained very vague, but at least some regulation of display placement - on this topic, if not a vacuum, then a very rarefied space has formed in the legislation. As a result, pharmacy workers do not have clear rules from the regulator on how to lay it out correctly, and inspectors, on the contrary, have the opportunity to pardon or punish at their discretion. And yet we will try to highlight this topic.

Showcase is also storage

Any product accepted by a pharmacy can have only two states - it is either stored or released. And the presence of a package on a pharmacy showcase - whether it is an over-the-counter drug or dietary supplement - is one of the storage options, during which consumers are informed about this product, its availability in a pharmacy, price, dosage, dosage form etc. Perhaps that is why the regulators do not consider it necessary or urgent to separately regulate the display case issue - after all, the topic of storage is regulated in the relevant regulatory legal act.

It means Order of the Ministry of Health and Social Development of the Russian Federation of August 23, 2010 No. 706n "On Approval of the Rules for the Storage of Medicines". As for "Instructions for the organization of storage in pharmacies of various groups of medicines and products medical purpose"(Order of the Ministry of Health of the Russian Federation of November 13, 1996 No. 377), then most of its articles are no longer valid. Only its regulations apply to medical devices and medical technology, dressings and auxiliary material, plastic and rubber products.

In Order No. 706n, even the words “showcase” and “layout” are absent. But, probably, there is not a single pharmacy or pharmacy point, in which part of the medicinal products would not be stored in the pre-showcase and showcase part of the pharmacy hall. In this way, Rules for the storage of medicines Order No. 706n naturally applies to the pharmacy hall.

What follows from Order No. 706n

Pay attention to the name of the order - it really concerns almost exclusively medicines. Clause 8 of section III of the order determines that they are placed in storage rooms - we have already mentioned above that these are also pre-showcase and showcase parts of pharmacy halls - taking into account:

• pharmacological groups;
• physical and chemical properties;
• method of application (internal, external);
• aggregate state of pharmaceutical substances (liquid, bulk, gaseous);

and also in accordance with the requirements of the regulatory and technical documentation indicated on the packaging of the medicinal product.

There are no separate instructions on how to store in a pharmacy - including on a display case - dietary supplements, medical devices, personal care products, mineral water, cosmetics, etc. regarding medicinal products, order No. 706n does not contain. They are not in « hygiene requirements to the organization of production and circulation of biologically active food supplements "(SanPiN 2.3.2. 1290-03). Therefore, from a formal point of view, some interpret this in such a way that dietary supplements can be placed with drugs “of the same direction” on the same display shelf.

However, this conclusion seems doubtful. Firstly, dietary supplements, in fact, cannot be “of the same direction” with drugs, because they are not drugs (the impact on the same body systems does not mean anything yet).

Secondly, “orientation” does not mean belonging to one pharmacological group, which, by the way, cannot contain both drugs and non-drugs, that is, dietary supplements. And since in Order No. 706n and in the above paragraph we are talking about streamlining the storage of exactly medicines and precisely by pharmacological groups, it is obvious that in none of the places of storage - including in the window - medicines can not be placed together with dietary supplements .

In order not to be misled

There is also another side of the topic. We should not forget about Article 10 of the Law "On the Protection of Consumer Rights" (dated 07.02.1992 No. 2300-1), which requires that buyers be provided with the necessary and reliable information about goods, which ensures their right choice.

Imagine, a consumer approaches a showcase where not only medicines of the same pharmacological group are placed, but also dietary supplements “of the same direction”. The phrase "It is not a medicine", of course, according to clause 4.4 of SanPiN 2.3.2. 1290-03, is present on the packaging of dietary supplements, but, as a rule, it is printed in small print, and is not striking from afar.

Therefore, looking at a shop window, it is easy to miss such a phrase, to miss it. In addition, when laying out, it may be on the side of the package that is not accessible to the eye. As a result, the buyer may automatically assume that this product, as well as the drugs located around it, is a medicine, although, we emphasize, this can hardly be called a deliberate misleading by the pharmacy. However, the consumer may decide to purchase this particular name, believing it to be medicinal. And only at home, looking at the packaging or instructions, will find that it is not.

Thus, the joint display of medicines and dietary supplements on the same display shelf creates the risk of unconscious misinformation of the consumer, violation of his rights, defined by Article 10 of the Law "On Protection of Consumer Rights". And so it should also be avoided.

The conclusions are as follows. Medicines and any dietary supplements are not recommended to be laid out on the same display shelf. For the storage of dietary supplements in a pharmacy, it is better to provide separate display spaces, which should be accompanied by the inscription "Biologically active food supplements." On the ordering of various dietary supplements within the framework of such a showcase SanPiN 2.3.2. 1290–03 reports nothing. It only contains an indication that dietary supplements should be stored taking into account their physical and chemical properties, under the conditions specified by the manufacturer, observing the regimes of temperature, humidity and illumination.

The order of storage of medicines and medical devices is regulated by the Order of the Ministry of Health of the Russian Federation of November 13, 1996 No. 377.

Compliance with the approved Instructions allows you to ensure the preservation High Quality medicines and create safe working conditions for pharmacists when working with them.

Particular attention is paid to the storage, issuance, accounting and release of poisonous and drugs.

Proper storage of medicines is based on the correct and rational organization of storage, strict accounting of its movement, regular control drug expiration dates.

It is also important to support optimum temperature and air humidity, observe the protection of certain preparations from light.

Violation of the rules for storing medicines can lead not only to a decrease in the effectiveness of their action, but also to harm health.

excessive long-term storage drugs (even if the rules are observed) is unacceptable, since the pharmacological activity of drugs changes.

An important condition for storage is the systematization of drugs by groups, types and dosage forms.

This allows you to avoid possible errors due to the similarity of drug names, simplify the search for drugs and control their expiration date.

Narcotic drugs (List A) should be stored in safes or iron cabinets with secure locks. A printed list of poisonous drugs is kept in a cabinet with the indication of the highest single daily doses.

Rooms and safes with narcotic and especially poisonous drugs must have an alarm system, there must be metal bars on the windows.

The stock of poisonous and narcotic medicines should not exceed the general standard of commodity stocks established for this pharmacy.

Drugs from list B are stored in lockers with a list of drugs and higher single and daily doses.

Instructions for organizing the storage of medicines and medical products apply to all pharmacies and pharmacy warehouses.

The equipment of storage rooms should ensure the safety of medicines. These rooms are provided with fire-fighting equipment, they maintain the necessary temperature and humidity. Checking the parameters of humidity and temperature is carried out 1 time per day. Thermometers and hygrometers are fixed on internal walls away from heaters at a distance of 3 m from doors and 1.5 m from the floor.

To register the parameters of temperature and relative humidity, an accounting card is created in each department.

An important role is played by the cleanliness of the air in the premises for storing medicines; for this, they must be equipped with forced-air ventilation or, in extreme cases, vents, transoms, and lattice doors.

Heating of the room should be carried out by central heating devices, the use of gas appliances with an open flame or electrical appliances with an open coil is excluded.

If pharmacies are located in climatic zones with sharp fluctuations in temperature and humidity, they are equipped with air conditioners. There should be a sufficient number of cabinets, racks, pallets, etc. in the drug storage rooms. Racks should be at a distance of 0.5-0.7 m from the outer walls, at least 0.25 m from the floor and 0.5 m from the ceiling. The distance between the racks should be at least 0.75 m, the aisles should be well lit. The cleanliness of the premises of pharmacies and warehouses is ensured by wet cleaning at least once a day using approved detergents.

Medicines are placed according to toxicological groups.

Poisonous, narcotic drugs - list A. This is a group of highly toxic drugs.

Their storage and use require special care. Poisonous and addictive drugs are kept in a safe. Particularly toxic agents are stored in the inner compartment of the safe, which is locked with a lock.

List B - potent drugs.

List B medications ready-made funds, containing them, are stored in separate cabinets, locked with a lock, with the inscription "B".

Storage of drugs depends on the method of their use (internal, external), these funds are stored separately.

Medicines are stored in accordance with the state of aggregation: liquid ones are separated from loose, gaseous, etc.

It is necessary to store separately in groups products made of plastic, rubber, dressings, medical equipment products.

At least once a month it is necessary to control external changes medicines, the state of the container. If the container is damaged, its contents must be transferred to another container.

On the territory of a pharmacy or a warehouse, if necessary, measures are taken to combat insects and rodents.

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"On approval of the Rules for the storage of medicines"

Published on October 13, 2010 Effective October 24, 2010 Registered with the Ministry of Justice of the Russian Federation on October 4, 2010 Registration No. 18608

Rules for the storage of medicines

I. General provisions

1. These Rules establish requirements for premises for the storage of medicines for medical use(hereinafter - medicinal products), regulate the storage conditions of these medicinal products and apply to


• drug manufacturers,
• organization of wholesale trade in medicines,
• pharmacy organizations,
• medical and other organizations carrying out activities in the circulation of medicines,
• individual entrepreneurs who are licensed to pharmaceutical activity or a license to medical activity(hereinafter, respectively - organizations, individual entrepreneurs).

II. General requirements for the arrangement and operation of storage facilities for medicines

2. The device, composition, size of areas (for wholesale trade organizations of medicinal products), operation and equipment of premises for the storage of medicinal products should ensure their safety.
3. In the premises for the storage of medicines, certain temperature and air humidity, allowing to ensure the storage of medicines in accordance with the requirements of medicine manufacturers indicated on the primary and secondary (consumer) packaging.
4. Premises for the storage of medicines must be equipped air conditioners and other equipment to ensure the storage of medicines in accordance with the requirements of medicine manufacturers indicated on the primary and secondary (consumer) packaging, or it is recommended to equip the premises with vents, transoms, and second lattice doors.
5. Premises for the storage of medicines must be provided racks, cabinets, pallets.
6. Finishing of premises for storage of medicines ( internal surfaces walls, ceilings) should be smooth and allow the possibility of wet cleaning.

III. General requirements for premises for the storage of medicinal products and the organization of their storage

7. Premises for storing medicines should be equipped with devices for registration of air parameters(thermometers, hygrometers (electronic hygrometers) or psychrometers). The measuring parts of these devices must be placed at a distance of at least 3 m from doors, windows and heating devices. Devices and (or) parts of devices from which visual readings are taken should be located in a place accessible to personnel at a height of 1.5-1.7 m from the floor.
The readings of these instruments must be recorded daily in a special magazine (map) registration on paper or in electronic form with archiving (for electronic hygrometers), which is maintained by a responsible person. The log (card) of registration is stored for one year, not counting the current one. Control devices must be certified, calibrated and verified in the prescribed manner.
8. Medicinal products are placed in the storage rooms in accordance with the requirements of the regulatory documentation indicated on the packaging of the medicinal product, taking into account:


• physico-chemical properties of medicines;
• pharmacological groups (for pharmacy and medical organizations);
• method of application (internal, external);
• aggregate state of pharmaceutical substances (liquid, bulk, gaseous).
When placing medicines, it is allowed to use computer technologies (alphabetically, by codes).
9. Separately, in technically reinforced premises that meet the requirements federal law dated January 8, 1998 N 3-FZ "On Narcotic Drugs and Psychotropic Substances"(Collection of Legislation Russian Federation, 1998, N 2, Art. 219; 2002, No. 30, art. 3033, 2003, N 2, art. 167, No. 27 (part I), art. 2700; 2005, N 19, art. 1752; 2006, N 43, art. 4412; 2007, N 30, Art. 3748, No. 31, art. 4011; 2008, N 52 (part 1), Art. 6233; 2009, N 29, art. 3614; 2010, No. 21, Art. 2525, No. 31, art. 4192) are stored:


• narcotic and psychotropic drugs;
• potent and poisonous drugs under control in accordance with international legal regulations.
10. Shelving (cabinets) for the storage of medicines in the premises for the storage of medicines should be installed in such a way as to ensure access to medicines, free passage of personnel and, if necessary, loading devices, as well as accessibility of racks, walls, floors for cleaning.
Racks, cabinets, shelves intended for storage of medicines should be numbered.
Stored medicinal products must also be identified by rack card, containing information about the stored medicinal product (name, form of release and dosage, batch number, expiration date, manufacturer of the medicinal product). When using computer technology, identification using codes and electronic devices is allowed.
11. In organizations and individual entrepreneurs, it is necessary to maintain accounting for medicines with a limited expiration date on paper or in electronic form with archiving. Control over the timely sale of medicines with a limited shelf life should be carried out using computer technology, rack cards indicating the name of the medicine, series, expiration date or expiration date registers. The procedure for keeping records of these medicines is established by the head of the organization or individual entrepreneur.
12. When identifying drugs with expired they must be kept separately from other groups of medicines in a specially allocated and designated (quarantine) zone.

IV. Requirements for premises for the storage of flammable and explosive medicines and the organization of their storage

13. Storage rooms flammable and explosive medicines must comply with current regulations.
14. In order to ensure the storage of flammable and explosive medicinal products according to the principle of uniformity in accordance with their physical and chemical, flammable properties and the nature of the packaging, the premises for the storage of drug wholesalers and drug manufacturers (hereinafter referred to as warehouse premises) are divided into separate premises (compartments) with fire resistance limit building structures for at least 1 hour.
15. Necessary for packaging and manufacturing of medicinal products for medical use on one work shift the number of flammable medicines is allowed to be kept in production and other premises. The remaining amount of flammable drugs at the end of the shift is transferred to the next shift or returned to the main storage place.
16. The floors of storage rooms and unloading areas should have hard, even finish. It is forbidden to use boards and iron sheets to level the floors. Floors should provide convenient and safe movement of people, goods and Vehicle, have sufficient strength and withstand loads from stored materials, ensure simplicity and ease of cleaning the warehouse.
17. Warehouses for the storage of flammable and explosive medicines must be equipped fireproof and resistant shelving and pallets, designed for the appropriate load. Racks are installed at a distance of 0.25 m from the floor and walls, the width of the racks should not exceed 1 m and, in the case of storing pharmaceutical substances, have flanges of at least 0.25 m. Longitudinal aisles between the racks should be at least 1.35 m.
18. For the storage of flammable and explosive medicines in pharmacy organizations and individual entrepreneurs, isolated premises, equipped with automatic fire protection and alarm systems (hereinafter referred to as rooms for storing flammable and explosive medicines).
19. In pharmacy organizations and individual entrepreneurs, it is allowed to store pharmaceutical substances that have flammable and combustible properties, in a volume of up to 10 kg outdoors for storing flammable and explosive medicines in built-in fireproof cabinets. Cabinets must be removed from heat-removing surfaces and passages, with doors not less than 0.7 m wide and not less than 1.2 m high. Free access must be organized to them.
It is allowed to store explosive medicinal products for medical use (in secondary (consumer) packaging) for use on one work shift in metal cabinets outdoors for storing flammable and explosive medicines.
20. The number of flammable medicines allowed for storage in storage rooms for flammable and explosive medicines located in buildings for other purposes should not exceed 100 kg bulk.
Premises for the storage of flammable and explosive medicinal products used for the storage of flammable pharmaceutical substances in excess of 100 kg must be located in separate building, and the storage itself should be carried out in a glass or metal container isolated from the premises for storing flammable drugs of other groups.
21. It is forbidden to enter the premises for the storage of flammable and explosive medicines with open sources of fire.

V. Features of the organization of storage of medicines in warehouses

22. Medicines stored in warehouses should be placed on shelving or at peddlers(pallets). It is not allowed to place medicines on the floor without a pallet.
Pallets can be placed on the floor in one row or on racks in several tiers, depending on the height of the rack. It is not allowed to place pallets with medicines in several rows in height without the use of racks.
23. When manual way unloading and loading operations, the height of the stacking of medicines should not exceed 1.5 m.
When using mechanized devices for unloading and loading operations, medicinal products should be stored in several tiers. At the same time, the total height of placing medicines on the racks should not exceed the capabilities of mechanized handling equipment (lifts, trucks, hoists).

VI. Features of storage of certain groups of medicines, depending on the physical and physico-chemical properties, the impact on them of various environmental factors

Storage of medicines requiring protection from light

24. Medicines that require protection from the action of light are stored in rooms or specially equipped places that provide protection from natural and artificial lighting.
25. Pharmaceutical substances that require protection from light should be stored in containers made of light-shielding materials(orange glass glass containers, metal containers, packaging made of aluminum foil or plastic materials painted black, brown or orange), in a dark room or cabinets.
For the storage of pharmaceutical substances that are especially sensitive to light (silver nitrate, prozerin), glass containers are pasted over with black opaque paper.
26. Medicinal products for medical use requiring protection from light, packed in primary and secondary (consumer) packaging, should be stored in cabinets or on racks, provided that measures are taken to prevent hit for these drugs direct sunlight or otherwise bright directional light(use of reflective film, blinds, visors, etc.).

Storage of medicinal products requiring protection from moisture

27. Pharmaceutical substances requiring protection against exposure to moisture should be stored in a cool place at temperatures up to + 15 deg. FROM(hereinafter - a cool place), in a tightly closed container made of materials impervious to water vapor (glass, metal, aluminum foil, thick-walled plastic containers) or in the manufacturer's primary and secondary (consumer) packaging.
28. Pharmaceutical substances with pronounced hygroscopic properties should be stored in glass container with hermetic closure, filled with paraffin on top.
29. In order to avoid damage and loss of quality, storage of medicinal products should be organized in accordance with the requirements indicated in the form of warning labels on the secondary (consumer) packaging of the medicinal product.

Storage of medicinal products requiring protection from volatilization and drying out

30. Pharmaceutical substances that require protection from volatilization and drying:


• actually volatile drugs;
• medicinal products containing a volatile solvent


1. alcohol tinctures,
2. liquid alcohol concentrates,
3. thick extracts;


• solutions and mixtures of volatile substances


1. essential oils,
2. ammonia solutions,
3. formaldehyde solutions,
4. solutions of hydrogen chloride over 13%,
5. solutions of carbolic acid,
6. ethyl alcohol of various concentrations, etc.;


• medicinal plant materials containing essential oils;
• medicines containing crystallization water - crystalline hydrates;
• drugs that decompose to form volatile products


1. iodoform,
2. hydrogen peroxide,
3. sodium bicarbonate;


• medicinal products with a defined lower moisture content limit


1. magnesium sulfate,
2. sodium paraaminosalicylate,
3. sodium sulfate,
should be stored in cool place, in impervious materials for volatile substances (glass, metal, aluminum foil) or in the manufacturer's primary and secondary (consumer) packaging. The use of polymer containers, packaging and capping is allowed in accordance with the requirements state pharmacopoeia and regulatory documentation.
31. Pharmaceutical substances - crystalline hydrates should be stored in hermetically sealed glass, metal and thick-walled plastic containers or in the manufacturer's primary and secondary (consumer) packaging under conditions that comply with the requirements of regulatory documentation for these medicinal products.

Storage of medicines requiring protection from exposure to elevated temperatures

32. Storage of medicinal products requiring protection from exposure elevated temperature (thermolabile medicinal products), organizations and individual entrepreneurs must carry out in accordance with the temperature regime indicated on the primary and secondary (consumer) packaging of the medicinal product in accordance with the requirements of regulatory documentation.

Storage of medicines requiring protection from exposure to low temperatures

33. Storage of medicinal products requiring protection from exposure low temperature (drugs whose physical and chemical state changes after freezing and is not restored upon subsequent warming to room temperature (40% formaldehyde solution, insulin solutions) organizations and individual entrepreneurs must carry out in accordance with the temperature regime indicated on the primary and secondary (consumer) packaging of the medicinal product in accordance with the requirements of regulatory documentation.
34. Freezing drugs insulin not allowed.

Storage of medicinal products requiring protection from environmental gases

35. Pharmaceutical substances requiring protection against exposure to gases


• substances that react with air oxygen:


1. various compounds of the aliphatic series with unsaturated intercarbon bonds,
2. cyclic with side aliphatic groups with unsaturated intercarbon bonds,
3. phenolic and polyphenolic,
4. morphine and its derivatives with unsubstituted hydroxyl groups;
5. sulfur-containing heterogeneous and heterocyclic compounds,
6. enzymes and organ preparations;


• substances that react with carbon dioxide in the air:


1. salts of alkali metals and weak organic acids(sodium barbital, hexenal),
2. drugs containing polyhydric amines (eufillin), magnesium oxide and peroxide, caustic sodium, caustic potassium,
should be stored in hermetically sealed container from materials impervious to gases, if possible filled to the top.

Storage of odorous and coloring medicines

36. odorous medicines (pharmaceutical substances, both volatile and practically non-volatile, but possessing strong smell) should be stored in a hermetically sealed, odor-tight container.
37. Coloring medicines (pharmaceutical substances that leave a colored mark that is not washed off by ordinary sanitary and hygienic treatment on containers, closures, equipment and inventory:


• brilliant green,
• methylene blue,
• indigo carmine
should be stored in a special cabinet in a tightly closed container.
38. To work with coloring drugs for each item, it is necessary to allocate special scales, mortar, spatula and other necessary equipment.

Storage of disinfectants

39. Disinfectants Medicinal products should be stored in a hermetically sealed container in an isolated room away from plastic, rubber and metal storage facilities and distilled water facilities.

Storage of medicinal products for medical use

40. Storage of medicinal products for medical use is carried out in accordance with the requirements state pharmacopoeia and normative documentation, and also taking into account properties substances included in their composition.
41. When stored in cabinets, on racks or shelves, medicinal products for medical use in secondary (consumer) packaging should be placed label(marking) outside.
42. Organizations and individual entrepreneurs must store medicinal products for medical use in accordance with requirements for their storage indicated on the secondary (consumer) packaging of the specified medicinal product.

Storage of medicinal plant materials

43. Bulk Medicinal plant materials should be stored in dry(no more than 50% humidity), well-ventilated area in a tightly closed container.
44. Bulk medicinal herbal raw materials containing essential oils stored separately in a well-closed container.
45. Bulk medicinal plant materials must be subject to periodic control in accordance with the requirements of the state pharmacopoeia. Grass, roots, rhizomes, seeds, fruits that have lost their normal color, smell and the required amount active substances, as well as those affected by mold, barn pests, reject.
46. ​​Storage of medicinal plant materials containing cardiac glycosides, is carried out in compliance with the requirements of the State Pharmacopoeia, in particular, the requirement for repeated control for biological activity.
47. Bulk medicinal herbal raw materials included in the lists potent and poisonous substances approved by Decree of the Government of the Russian Federation of December 29, 2007 N 964 "On approval of lists of potent and toxic substances for the purposes of Article 234 and other articles of the Criminal Code of the Russian Federation, as well as large amounts of potent substances for the purposes of Article 234 of the Criminal Code of the Russian Federation" (Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2008, N 2, Art. 89; 2010, N 28, Art. 3703), is stored in a separate room or in a separate closet under lock and key.
48. prepackaged Medicinal plant materials are stored on shelves or in cabinets.

Storage of medical leeches

49. Storage medicinal leeches carried out in a bright room without the smell of drugs, for which a constant temperature regime is set.
50. The content of leeches is carried out in the prescribed manner.

Storage of flammable medicines

51. Storage of flammable medicines


• medicines that have flammable properties


1. alcohol and alcohol solutions,
2. alcohol and ether tinctures,
3. alcohol and essential extracts,
4. ether,
5. turpentine,
6. lactic acid,
7. chloroethyl,
8. collodion,
9. cleol,
10. novikov liquid,
11. organic oils


• medicines that have flammable properties


1. sulfur,
2. glycerol,
3. vegetable oils,
4. medicinal herbs)
should be carried out separately from other medicines.
52. Flammable medicines are stored in tightly closed strong glass or metal containers to prevent evaporation fluids from vessels.
53. Bottles, cylinders and other large containers with flammable and flammable medicines should be stored on shelves in one row in height. It is forbidden to store them in several rows in height using different cushioning materials.
It is not allowed to store these medicinal products in heating appliances. The distance from the rack or stack to the heating element must be at least 1 m.
54. Storage of bottles with flammable and highly combustible pharmaceutical substances should be carried out in containers that protect against impacts, or in cylinder-tilters in one row.
55. At the workplaces of industrial premises allocated in pharmacy organizations and individual entrepreneurs, flammable and easily combustible medicinal products may be stored in quantities not exceeding interchangeable need. At the same time, the containers in which they are stored must be tightly closed.
56. It is not allowed to store flammable and easily combustible medicines in fully filled containers. The degree of filling should not exceed 90% volume. Alcohols in large quantities are stored in metal containers, filled no more than 75% of the volume.
57. Joint storage of flammable medicinal products with


• mineral acids (especially sulfuric and nitric acids),
• compressed and liquefied gases,
• flammable substances (vegetable oils, sulfur, dressings),
• alkalis,
• as well as with inorganic salts, giving explosive mixtures with organic substances


1. potassium chlorate,
2. potassium permanganate,
3. potassium chromate, etc.
58. Ether medical and ether for anesthesia store in industrial packaging, in a cool, dark place, away from fire and heating devices.

Storage of explosive medicines

59. Storage explosive drugs (drugs with explosive properties (nitroglycerin); drugs with explosive properties (potassium permanganate, silver nitrate) should be protected from dust contamination.
60. Containers with explosive medicines (barrels, tin drums, bottles, etc.) must be close tight to avoid getting the vapors of these products into the air.
61. Bulk storage potassium permanganate allowed in a special compartment of storage facilities (where it is stored in tin drums), in barbells with ground-in stoppers separately from others organic matter- in pharmacies and individual entrepreneurs.
62. Bulk solution nitro glycerin stored in small well-closed bottles or metal containers in a cool, dark place, taking precautions against fire. Move dishes with nitroglycerin and weigh this drug should be in conditions that exclude spillage and evaporation of nitroglycerin, as well as its contact with the skin.
63. When working with diethyl ether shaking, blows, friction are not allowed.
64. It is prohibited to store explosive medicines with acids and alkalis.

Storage of narcotic and psychotropic medicines

65. Narcotic and psychotropic Medicinal products are stored in organizations in isolated rooms, specially equipped with engineering and technical means protection, and in places of temporary storage, subject to the requirements in accordance with the Rules for the storage of narcotic drugs and psychotropic substances established by Decree of the Government of the Russian Federation of December 31, 2009 N 1148 (Collected Legislation of the Russian Federation, 2010, N 4, Art. 394; N 25, article 3178).

Storage of potent and poisonous medicines, medicines subject to subject-quantitative accounting

66. In accordance with Decree of the Government of the Russian Federation of December 29, 2007 N 964 "On approval of the lists of potent and toxic substances for the purposes of Article 234 and other articles of the Criminal Code of the Russian Federation, as well as large quantities of potent substances for the purposes of Article 234 of the Criminal Code of the Russian Federation" potent and toxic drugs include drugs containing potent and toxic substances included in the lists of potent and toxic substances.
67. Storage of potent and poisonous medicines under control in accordance with international legal norms (hereinafter referred to as potent and toxic medicines under international control) is carried out in premises equipped with engineering and technical security equipment similar to those provided for the storage of narcotic and psychotropic drugs.
68. Potent and poisonous medicines under international control and narcotic and psychotropic medicines may be stored in one technically fortified room.
At the same time, the storage of potent and poisonous medicines should be carried out (depending on the volume of stocks) on different shelves of the safe (metal cabinet) or in different safes (metal cabinets).
69. Storage of potent and poisonous medicines not under international control is carried out in metal cabinets, sealed or sealed at the end of the working day.
70. Medicines subject to subject-quantitative accounting in accordance with the order of the Ministry of Health and Social Development of the Russian Federation of December 14, 2005 N 785 "On the procedure for dispensing medicines" (registered with the Ministry of Justice of the Russian Federation on January 16, 2006 N 7353), with the exception of narcotic, psychotropic, potent and poisonous medicines are stored in metal or wooden cabinets sealed or sealed at the end of the working day.
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