Carbon Monoxide After the Storm: The Symptoms Mistaken for the Flu

By the Jase Medical Team

The storm has passed, but the power is still out.

It’s raining, so the generator gets moved a little closer to the house—maybe under the porch or near an open garage. You’re making do, charging phones, keeping the refrigerator cold, trying to get through another day without power.

By day three, everyone feels terrible.

You’ve got a headache. Your spouse is nauseated. Someone feels weak and achy. Maybe the dog isn’t acting like itself either.

In February, it’s easy to think: The flu finally got us.

In July: Probably the heat. Maybe a stomach bug.

But there’s one question that should make you consider something entirely different:

Does everyone in the house feel sick at the same time—and do you start feeling better when you leave?

If the answer is yes, get everyone outside into fresh air and call 911. Carbon monoxide could be the reason.

Why Carbon Monoxide Can Look Like the Flu

Carbon monoxide (CO) is a colorless, odorless gas produced when fuels don’t burn completely. Generators, charcoal grills, vehicles, and other fuel-burning equipment can all produce it.

After storms and power outages, the risk increases because people start improvising.

A generator gets moved closer to the house because it’s raining. A grill gets pulled into a garage. A vehicle is left running in an enclosed or partially enclosed space.

The problem is that early carbon monoxide poisoning doesn’t necessarily look like poisoning.

It can cause headache, dizziness, weakness, nausea, vomiting, chest discomfort, and confusion.

Those symptoms overlap with plenty of ordinary illnesses.

That’s why the symptom list isn’t necessarily the most useful thing to remember.

The pattern is.

The Question That Can Break the Case Open

Imagine you’ve had a headache all morning.

You drive somewhere to pick up supplies and realize that after being away from the house for a while, you feel noticeably better.

You come home.

The headache returns.

Then you realize your spouse has a headache too. Someone else feels nauseated. The dog is unusually sluggish.

A virus can certainly spread through a household. But several people becoming sick at roughly the same time—and improving when they’re away from the same environment—is an important clue that the environment itself may be the problem.

Carbon monoxide exposure can affect multiple people sharing the same space.

So after a storm or during a power outage, remember this question:

Who else feels sick, and do we feel better when we leave?

If that pattern is present, don’t stay inside trying to determine whether it’s the flu, heat exhaustion, food poisoning, or carbon monoxide.

Get out.

A Normal Pulse Oximeter Doesn’t Rule Out Carbon Monoxide

This is an especially important misconception if you keep a fingertip pulse oximeter at home.

You feel terrible, put it on your finger, and see: 98%.

That can feel reassuring.

With suspected carbon monoxide poisoning, it shouldn’t.

A standard two-wavelength pulse oximeter cannot reliably distinguish normal oxygen-carrying hemoglobin from hemoglobin carrying carbon monoxide. As a result, the number displayed on a typical home pulse oximeter can appear normal even when significant carbon monoxide exposure has occurred.

A normal pulse ox reading does not rule out carbon monoxide poisoning.

If the circumstances and symptoms make you suspect CO, don’t use a reassuring-looking oxygen saturation number as a reason to stay inside.

What Should You Do If You Suspect Carbon Monoxide?

The immediate action is straightforward:

Get everyone out of the building and into fresh air. Then call 911.

Don’t remain inside looking for the source. Don’t wait to see whether the headache improves. Don’t rely on opening a window or door and staying in the home.

Emergency medical professionals can evaluate the exposure and provide oxygen and other treatment as appropriate.

If someone is confused, collapses, loses consciousness, has significant difficulty breathing, or is otherwise severely ill, treat it as an emergency.

And don’t forget everyone sharing the environment—including pets. If multiple members of the household seem unexpectedly sick at once, that’s part of the clue.

Generators Need Distance From the House

Generators are one of the most important carbon monoxide risks following storms.

They should be operated outdoors and away from the home, not inside a house, garage, basement, shed, carport, porch, or other enclosed or partially enclosed area.

Moving one “just under the porch” to keep it out of the rain can unintentionally move carbon monoxide closer to doors, windows, and vents where exhaust can enter the home.

The same principle applies to other fuel-burning equipment.

A charcoal grill doesn’t become safe to use indoors because the power is out. A vehicle shouldn’t be left running inside a garage to generate power or charge devices.

If it burns fuel, think about where the exhaust is going.

One of the Best Preparedness Tools Is Already on the Wall

There is a simple layer of protection that doesn’t require recognizing symptoms at all:

working carbon monoxide alarms.

Install CO alarms on every level of your home and outside sleeping areas, and make sure they’re functioning properly.

If an alarm sounds, move everyone outside and follow emergency guidance. Don’t assume it’s malfunctioning because nobody feels sick yet.

A CO alarm can identify the problem before your body has to.

Sometimes Preparedness Is Knowing Which Question to Ask

After a hurricane, tornado, winter storm, or extended power outage, there are plenty of things competing for your attention.

Is the refrigerator staying cold? Do you have enough fuel? When will the electricity come back? Is everyone hydrated? Can you get to the pharmacy?

Carbon monoxide doesn’t necessarily announce itself as a dramatic emergency. Sometimes it looks like a family that simply feels lousy on day three.

That’s why appropriate medical preparation isn’t just a shelf full of supplies.

Sometimes it’s knowing enough to notice when the story doesn’t fit.

At Jase Medical, we’re a family team of medical doctors, PAs, and pharmacists focused on that grey space—the moments when normal healthcare access and normal routines are disrupted, and knowing what to do next matters.

We’re not a replacement for primary care or emergency medicine.

We’d simply rather you recognize this pattern on day one:

If everyone in the house feels sick at the same time and starts feeling better when they leave, get out into fresh air and call 911.

Don’t let a normal pulse oximeter reading talk you out of it.

The Jase Medical Team is a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation: clinically grounded readiness that complements, rather than replaces, the healthcare professionals you already trust.

This article was prepared by the Jase Medical content team for informational purposes only and does not constitute medical advice. Prescription requirements, emergency dispensing rules, insurance coverage, and controlled-substance regulations vary by medication, jurisdiction, and individual circumstances. Consult a licensed healthcare provider or pharmacist regarding your specific medications.

Why Patients Run Out of Meds: Ordinary Disruptions

By the Jase Medical Team

Most people who unexpectedly lose access to a prescription didn’t lose it in a hurricane.

A bottle gets left in a hotel room. A suitcase doesn’t make the flight. Medication disappears during a move. A prescription is stolen from a car. A house fire destroys everything in the medicine cabinet. Someone accidentally knocks a bottle into water and the medication can no longer be used.

These are ordinary disruptions, and there’s an important difference between them and a declared disaster: the healthcare system may have more emergency mechanisms available during the hurricane than it does on an ordinary Tuesday.

When there’s no disaster declaration or emergency order, replacing medication often comes down to your insurance plan’s own lost, stolen, or damaged medication policy. Those policies can be surprisingly limited.

That’s why the most useful preparation isn’t necessarily having more medication. It’s knowing who to call, what your plan allows, and having the information you’ll need when you make that call.

Does Insurance Replace Lost Medication?

Sometimes, but don’t assume that it will automatically.

Health plans and pharmacy benefit programs can have specific limits on how often they’ll authorize an early refill or replacement because medication was lost, stolen, or damaged. Depending on your coverage, there may be restrictions on how frequently an override is available or additional steps required before the replacement can be processed.

That means one of the simplest medication-preparedness questions you can ask today is:

“What is my plan’s policy if my medication is lost, stolen, or damaged?”

Call the member-services number on your insurance card or ask your pharmacist how your plan typically handles a lost-medication override. You don’t need to wait until something is missing to understand the process.

If your medication actually is lost or damaged, contact your pharmacy and insurance plan promptly. They can tell you what your specific coverage allows and whether your prescriber needs to become involved.

A Replacement May Not Mean Another Full Month

There’s another detail that can surprise people: replacing a lost prescription doesn’t necessarily mean receiving an entirely new month’s supply.

Depending on the medication, prescription, insurer, and circumstances, the replacement process may account for how much of the original supply should still have remained.

For example, if you’re halfway through a prescription when the remaining medication is lost, the replacement may be handled differently than if an unopened prescription disappears the day you pick it up.

The important point isn’t to calculate the replacement yourself. It’s not to assume that “replacement” automatically means starting the prescription cycle over.

Your pharmacist and insurance plan can explain how the remaining quantity will be handled in your particular situation.

If Your Medication Was Stolen, Document It

Losing medication and having medication stolen may trigger different requirements.

If you believe a prescription was stolen, contact your pharmacy and insurer and ask exactly what documentation they require. A police report may be required before an insurer or pharmacy can move forward with certain replacement requests.

If you’re instructed to file one, keep a copy or the report information somewhere accessible. Having that documentation ready can prevent another round of calls when you’re already trying to replace something you need.

And be precise when you explain what happened. “I lost my medication” and “my medication was stolen” may not be treated as the same situation.

Controlled Substances Follow Tighter Rules

If the medication you’ve lost is a controlled substance, don’t assume the same replacement process applies.

Controlled medications are subject to additional federal and state requirements, and the rules can vary based on the medication’s schedule and circumstances. A pharmacist may not be able to simply replace the medication or process an ordinary early refill.

If you’ve lost a controlled-substance prescription, contact your prescriber promptly as well as your pharmacy. Your prescriber may need to issue a new prescription or determine the appropriate next step.

Don’t try to compensate for missing medication by stretching, skipping, changing, or rearranging doses yourself. Ask the clinician managing the prescription what they want you to do while the situation is being resolved.

This is also worth discussing before you ever lose the medication. If you regularly take a controlled substance, ask your prescriber what process they want you to follow if it is ever lost, stolen, or destroyed.

Why a Declared Disaster Can Be Different

A major disaster doesn’t make medication access easy, but it can activate systems that aren’t necessarily available after an ordinary medication loss.

Depending on the disaster, location, insurance coverage, and emergency declarations in effect, additional mechanisms may become available to help people maintain access to necessary prescriptions. Government programs, insurers, pharmacies, and state authorities may implement temporary policies designed specifically for affected communities.

That’s an important distinction.

A suitcase lost during an ordinary vacation and a medicine cabinet destroyed during a federally declared hurricane may leave you with the same practical problem – your medication is gone – while putting you into very different administrative systems for replacing it.

So don’t assume advice you read about emergency refills during hurricanes automatically applies when medication disappears during an ordinary week. Start with your pharmacist, insurance plan, and prescriber and ask what applies to your specific situation.

Keep One Medication Record You Can Grab Anywhere

Regardless of why medication goes missing, one simple piece of preparation makes almost every conversation easier: keep a current medication list.

For each prescription, record the medication name, dose, prescriber, and pharmacy. If you take several medications, keep the list somewhere you can access without relying entirely on a patient portal or pharmacy app.

That record isn’t a replacement prescription, but it gives the people helping you a much better starting point. If you’re standing at an unfamiliar pharmacy after losing your suitcase, calling an insurance company after a house fire, or trying to reach a prescriber about a controlled medication, you don’t want to reconstruct your medication history from memory.

This is one of the simplest forms of appropriate medical preparation because it costs nothing and doesn’t require accumulating additional medication. You’re preparing the information, not stockpiling the prescription.

Know the Process Before You Need It

At Jase Medical, we’re a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation: understanding where normal healthcare access can break down and making clinically responsible plans before it does.

And sometimes the disruption isn’t dramatic at all. It’s a suitcase that didn’t arrive, a bottle damaged at home, a prescription stolen from a car, or a house fire that never makes the national news.

We’re not a replacement for primary care, your pharmacist, or your insurance plan. In this situation, those relationships are exactly what you need. We would simply rather you understand the process on a normal week than learn it while standing at the pharmacy counter without the medication you depend on.

So if you take regular prescriptions, do two things now: keep a current record of your medications, doses, prescribers, and pharmacy, and find out how your insurance plan handles medication that is lost, stolen, or damaged.

Because medication preparedness isn’t only about hurricanes, evacuations, or widespread emergencies. More often, it’s about being ready for the ordinary disruption you never expected to become a medical problem.

The Jase Medical Team is a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation: clinically grounded readiness that complements, rather than replaces, the healthcare professionals you already trust.

This article was prepared by the Jase Medical content team for informational purposes only and does not constitute medical advice. Prescription requirements, emergency dispensing rules, insurance coverage, and controlled-substance regulations vary by medication, jurisdiction, and individual circumstances. Consult a licensed healthcare provider or pharmacist regarding your specific medications.

The Drug Interactions You Create in an Emergency

By the Jase Medical Team

Most of the time, you don’t have to think very hard about drug interactions. Your doctor has your medication list. Your pharmacy has it too. When a new prescription comes through, software checks it against the medications already on file, and your pharmacist reviews the combination and steps in when something doesn’t look right.

Then the storm hits.

Your usual pharmacy is closed. You’re buying cold medicine at a grocery store two towns over. Maybe you’re dealing with an injury, respiratory illness, allergies, or another problem on top of the four or five prescriptions you already take every day. Suddenly, the drug-interaction check stops being software and becomes a person. And that person may be you.

The good news is that you don’t need to memorize a database of drug interactions to prepare for that possibility. For most people, there are two much more practical things to do: learn to spot duplicate ingredients in common over-the-counter medications, and have one conversation with your pharmacist about the prescriptions you already take.

First: Watch for the Same Ingredient in More Than One Product

One of the easiest medication mistakes to make during a stressful week doesn’t look like a drug interaction at all. You have a headache and fever, so you take acetaminophen. Later, your congestion gets worse, so you reach for a multi-symptom cold and flu product. That night, you consider something marketed for nighttime symptoms.

The problem is that more than one of those products may contain acetaminophen.

Acetaminophen appears in many over-the-counter cold and flu products, combination pain relievers, nighttime formulas, and some prescription pain medications. That means it’s possible to take the same active ingredient from multiple products simply because each package has a different name and purpose.

During an emergency, you’re probably not shopping for something labeled simply “acetaminophen.” You’re shopping for “Cold + Flu,” “Severe,” “Nighttime,” or “Pain Relief.” Those names describe what the product is marketed to treat, but they don’t necessarily make it obvious what’s actually inside.

Before combining over-the-counter medications—or taking one alongside a prescription medication—turn the package around and look at the Active Ingredients section. If you see acetaminophen listed in more than one product you’re considering, stop and ask a pharmacist or another qualified healthcare professional before combining them.

The goal isn’t to start calculating or rearranging doses yourself. It’s simply to know what’s actually in what you’re taking.

A Disaster Adds Medications to a List You Already Had

Think about what happens medically during an ordinary bad week after a storm. Someone hurts their back clearing debris and wants a pain reliever. Someone develops a respiratory illness and reaches for cold medicine. Someone gets stung or develops a rash and considers an antihistamine. Someone develops an infection and is prescribed an antibiotic.

None of those situations is particularly unusual. But those new medications aren’t entering an empty medicine cabinet. They’re being added to the blood pressure medication, anticoagulant, diuretic, psychiatric medication, heart medication, diabetes medication, or other prescriptions someone was already taking before the storm arrived.

That’s where the interaction question lives: between what you already take and what the disruption adds.

Under normal circumstances, several layers of the healthcare system help catch those potential problems. Your medical record contains your prescriptions. Your regular pharmacy knows what it has dispensed. Pharmacy software flags potential interactions. A pharmacist can review the combination before handing you the medication.

During a disruption, some of those layers may disappear. You may be using a different pharmacy, buying an over-the-counter medication somewhere that doesn’t have your prescription history, or receiving care from a clinician who has never seen you before.

The Emergency Can Change More Than Your Medication List

There’s another reason medication safety can become more complicated during a disaster: your body and circumstances may be different too.

You may be spending hours working outside in the heat, drinking less because clean water is limited, dealing with vomiting or diarrhea, or eating very differently than usual. At the same time, access to routine lab work, follow-up appointments, and medication monitoring may be interrupted.

A medication combination isn’t used in a vacuum. Your hydration, health conditions, and other medications all matter. That’s why a combination you’ve taken without problems under ordinary circumstances shouldn’t automatically be assumed to be problem-free when new medications and unusual physical stressors are added.

This doesn’t mean you need to understand every possible interaction yourself. It means the person helping you make a medication decision needs to see the whole picture.

Your Medication List Is Part of That Picture

We’ve said this before at Jase, but this is one more reason to keep a current written medication list. For each prescription, include the medication name, dose, prescriber, and pharmacy, and keep that information somewhere you can access even if your phone is dead, the patient portal isn’t loading, or you’re standing in a pharmacy that has never filled a prescription for you before.

That list isn’t only there to help you remember what you take. It gives a pharmacist or clinician the information they need to check what you’re about to add against what’s already there.

Your regular pharmacy computer may have been quietly helping catch these interactions for years. It can’t do that for you from a parking lot.

Ask Your Pharmacist One Question Before the Storm

The best time to discover an important medication interaction isn’t while you’re sick, evacuated, or trying to find an open pharmacy. The next time you have an appropriate opportunity to speak with your pharmacist, bring your current medication list and ask:

“If I end up needing an antibiotic or a pain reliever during an emergency, are there any of my regular medications that I need to be especially careful about combining with them?”

Then write down what they tell you somewhere you can find it during an emergency.

You don’t need to become your own pharmacist or memorize every possible combination. You simply want to know where the potential trouble spots are in your medication list so that, if normal systems aren’t available, you know when you need to stop and get professional guidance rather than guessing.

Appropriate Medical Preparation Includes What You Already Take

Emergency medical preparation often focuses on what you might need to add: wound supplies, contingency medications, pain relievers, cold medicine, or other essentials. But preparedness also means understanding how those things fit alongside the medications already keeping you healthy.

At Jase Medical, we’re a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation—clinically grounded readiness for the moments when normal healthcare access becomes harder to reach. We’re not a replacement for primary care or your pharmacist. In fact, this is exactly why we want them in the conversation before you need the backup plan.

So before the next storm or disruption, read the active ingredients before combining medications, and ask your pharmacist which common additions could cause problems with the prescriptions you already take.

Because during an emergency, the safest medicine cabinet isn’t necessarily the one with the most medication in it. It’s the one where somebody has already checked how the pieces fit together.

The Jase Medical Team is a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation: clinically grounded readiness that complements, rather than replaces, the healthcare professionals you already trust.

This article was prepared by the Jase Medical content team for informational purposes only and does not constitute medical advice. Prescription requirements, emergency dispensing rules, insurance coverage, and controlled-substance regulations vary by medication, jurisdiction, and individual circumstances. Consult a licensed healthcare provider or pharmacist regarding your specific medications.

Stings in a Disaster: The Antibiotic You Don’t Need and the Epinephrine You Do

Animals in a Disaster Series: Part 2 of 2
By the Jase Medical Team

The sting happens quickly.

Maybe you’re clearing branches after a storm. Maybe you’re walking through a flooded yard. Maybe you’ve returned home after an evacuation and disturbed insects that have moved into places they normally wouldn’t be.

By the next day, the sting looks worse.

The area is red. Hot. Swollen. Tender.

And the natural question is:

Is this infected?

Usually, it isn’t.

That’s one of the important differences between the bites we covered in Part 1 and insect stings.

Most stings look worse on day two than they did on day one—and that’s often the reaction doing exactly what it’s supposed to do.

A Sting Can Get Bigger Before It Gets Better

A typical insect sting can cause pain, redness, itching, and swelling around the site.

Sometimes that reaction stays small.

Other times, the swelling becomes surprisingly large. A sting on the hand might leave much of the hand swollen. A sting on the forearm might produce redness and swelling extending well beyond the tiny spot where the insect actually stung you.

These large local reactions can look dramatic.

They often increase over the first 24 to 48 hours before gradually improving over the following several days.

That timeline matters.

If you wake up the morning after a sting and the area looks considerably puffier than it did the night before, worsening appearance alone doesn’t automatically mean the sting has become infected.

Your immune system is reacting to venom introduced by the sting, and that inflammatory response can produce many of the same things people associate with infection: redness, warmth, swelling, and tenderness.

It’s one reason reaching for an antibiotic based solely on appearance can send you in the wrong direction.

Fire Ant Stings Look Especially Suspicious

After flooding, fire ants deserve special attention.

Fire ants can survive flood conditions by joining together into floating rafts, which means people working, walking, or cleaning up around floodwater can encounter them in unexpected places.

And their stings can produce something that looks particularly concerning:

small, white pustules.

If you’ve been taught that pus means infection, it’s understandable to look at those bumps and think something has gone wrong.

But the characteristic pustules that develop after fire ant stings are generally sterile. They’re part of the body’s reaction to the sting—not proof that bacteria have infected the skin.

So don’t pop or lance them.

Breaking the skin creates an opening for bacteria and can turn a sterile reaction into the infection you were trying to avoid.

Keep the area clean and let the pustules heal.

So When Should a Sting Concern You?

Most insect stings are uncomfortable rather than dangerous.

Redness and swelling around the sting—even significant swelling—can be part of a normal local reaction.

The situation changes when the reaction is no longer staying local.

There are a few signs we want you to remember:

Trouble breathing.

Swelling of the face, tongue, or throat.

Faintness, collapse, or feeling like you may pass out.

Symptoms affecting two different parts of the body at the same time.

That last one can be especially useful because anaphylaxis doesn’t always look like the version people expect.

For example, hives plus vomiting after a sting involve two different body systems. So do skin symptoms plus difficulty breathing.

If you’re having signs of a severe allergic reaction after a sting, call 911 immediately.

If you have been prescribed epinephrine for allergic emergencies, follow the emergency plan your clinician has given you. Epinephrine is the first-line treatment for anaphylaxis; antihistamines are not a substitute for it.

Don’t Wait for a Rash to Decide It’s Serious

Another misconception is that a severe allergic reaction has to come with obvious hives.

It doesn’t.

Trouble breathing, throat or facial swelling, faintness, collapse, or other signs of a systemic reaction after a sting warrant emergency attention even if your skin looks normal.

That’s why we don’t want you trying to decide whether a reaction “looks allergic enough.”

Look at what is happening throughout the body.

Local swelling around the sting is one thing. Symptoms involving breathing, circulation, or multiple body systems are another.

The Antibiotic Reflex Can Point You in the Wrong Direction

After a disaster, medical resources may be limited.

That makes it even more important to distinguish between something that looks infected and something that actually needs evaluation for infection.

A swollen, hot arm the day after a sting can be an inflammatory reaction.

Fire ant pustules can be sterile.

Neither automatically calls for an antibiotic.

And the other side of that distinction matters just as much: if someone is developing anaphylaxis, focusing on whether the sting might be infected misses the much more urgent problem.

That’s why appropriate medical preparation isn’t simply having more medication available.

It’s understanding which problem you’re actually dealing with.

Three Things to Remember After a Sting

You don’t need to memorize every insect or every possible reaction.

Remember these three things:

1. A normal sting reaction may look worse on day two.
Redness, warmth, swelling, itching, and tenderness can increase over the first 24 to 48 hours before gradually settling.

2. Fire ant pustules are supposed to look like that.
They’re typically sterile. Keep them clean and don’t pop or lance them.

3. Know the emergency signs.
Trouble breathing, swelling of the face or throat, faintness or collapse, or symptoms affecting two different parts of the body at once mean it’s time to call 911.

At Jase Medical, we’re a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation: helping people understand the medical decisions that become harder when normal systems are disrupted.

We’re not a replacement for primary care or emergency medicine.

We’re interested in the grey space—the days after the storm when the clinic may be two hours away and knowing whether you’re looking at an expected reaction or an emergency suddenly matters a lot more.

Because after an insect sting, the reaction that looks infected often isn’t—and the reaction you can’t afford to miss isn’t an infection at all.

The Jase Medical Team is a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation: clinically grounded readiness that complements, rather than replaces, the healthcare professionals you already trust.

This article was prepared by the Jase Medical content team for informational purposes only and does not constitute medical advice. Prescription requirements, emergency dispensing rules, insurance coverage, and controlled-substance regulations vary by medication, jurisdiction, and individual circumstances. Consult a licensed healthcare provider or pharmacist regarding your specific medications.

Psychiatric Medications Need a Different Emergency Plan

Part 2 of a two-part series on medication readiness during a disruption

By the Jase Medical Team

In Part 1 of this series, we asked a question most people have never considered: If you suddenly couldn’t access your regular medications, which ones would be most important not to interrupt?

The takeaway was simple: your prescriptions aren’t interchangeable. Rather than trying to rank them yourself during an emergency, ask your healthcare team ahead of time which medications should receive the most urgent attention and add that information to your written medication list.

But there’s one category that doesn’t fit neatly into that ranking: psychiatric medications.

With certain psychiatric medications, losing access isn’t the only consideration. How treatment is resumed after an interruption can matter too. Others carry specific concerns if they’re stopped abruptly or if the conditions around you—such as illness, heat, or dehydration—change.

That means simply knowing where a psychiatric medication falls on your priority list may not be enough.

You need to know the plan for an interruption—and what happens afterward.

The Gap in Most Emergency Plans

Disaster planning tends to separate physical health and mental health into two different conversations.

Medication continuity guidance often focuses on chronic prescriptions people may need replaced after an evacuation, such as medications for heart disease, diabetes, thyroid conditions, and other ongoing medical needs. Mental health preparedness, meanwhile, tends to focus on what a disaster can do to someone’s emotional and psychological well-being: stress, anxiety, trauma, crisis support, and recovery.

Both matter. But there’s a patient who can fall directly between those two conversations: the person who was already taking a psychiatric medication before the disruption began.

Their emergency plan needs to account for that medication too.

Why Psychiatric Medications Need Their Own Plan

Psychiatric medications don’t all behave the same way, so this isn’t a medication-by-medication guide. But a few examples show why this category deserves more deliberate planning.

Clozapine is one of the clearest. An interruption isn’t only about missing the medication; how it is restarted can carry its own clinical considerations. Benzodiazepines present another concern: for someone who is physically dependent on one, abruptly stopping can cause serious withdrawal, including seizures or delirium. Lithium illustrates a different kind of problem, because dehydration and changes in fluid balance can increase the risk of toxicity even when someone hasn’t intentionally changed how they’re taking it.

These examples aren’t instructions for what to do with any particular medication. They’re the reason the instructions need to come from your own prescriber before an emergency happens.

The takeaway isn’t to memorize how each psychiatric medication behaves. It’s to understand that “I’ll just restart it when I get more” may not be an appropriate plan.

Ask Before Anything Happens

There is one useful preparedness question to bring to your psychiatrist, primary care provider, or other prescriber:

“If I can’t fill this medication for several days, what do you want me to do?”

You aren’t asking for permission to change your medication on your own or creating a DIY dosing plan. You’re asking your prescriber to tell you, in advance, what you should do if a disruption affects access.

Then write the answer somewhere you’ll actually find it.

Keep it with your current medication list, along with the medication name, dose, prescriber, pharmacy, allergies, and important treatment information. If a spouse, parent, adult child, or other trusted person helps with your healthcare, make sure they know where that information is too.

NAMI’s Portable Treatment Record is one resource designed to help individuals and families keep important mental health treatment information organized and accessible.

Make Sure the Information Can Leave With You

Having the plan written down only helps if you can access it when normal life is disrupted.

Research examining medication loss during disasters found that people who had prepared an emergency bag were 5.7 times more likely to evacuate with their medications than those who hadn’t.

For psychiatric medications, preparedness doesn’t mean accumulating extra prescriptions or trying to work around prescribing rules. Some medications in this category are controlled substances with specific legal and dispensing requirements.

The practical preparation is much simpler: keep the medications you currently have and the treatment information that goes with them organized so they’re ready to leave with you.

Your emergency bag shouldn’t just have a flashlight, charger, water, and insurance documents. Your medication plan needs a place in it too.

If Access Is Already Interrupted

If you’re already unable to access a psychiatric medication, don’t use a generic online guide to decide how to stop, restart, stretch, reduce, or otherwise change it.

Contact your prescriber or pharmacist for guidance specific to your medication and medical history. If your usual provider is unavailable, another healthcare professional may be able to help determine the appropriate next step.

The goal of preparing ahead isn’t to make these clinical decisions yourself. It’s to avoid having to figure out what your prescriber would want you to do while the pharmacy is closed, you’re away from home, or the rest of an emergency is already demanding your attention.

If you or someone you care for is experiencing a mental health crisis or needs immediate support in the United States, call or text 988.

The Emergency Plan Most People Never Write

There is nothing to buy for this part of medical preparedness.

There is simply a conversation to have while your next appointment is still just a normal appointment and your next refill is still just a normal refill.

Part 1 of this series was about knowing which of your medications needs your attention first if access is disrupted. For psychiatric medications, take that preparation one step further: know what your prescriber wants you to do if access is interrupted—and make sure that answer can travel with you.

Because the middle of an emergency is not the time to discover that stopping and restarting a medication may each require their own plan.

The Jase Medical Team is a family team of medical doctors, PAs, and pharmacists focused on appropriate medical preparation: clinically grounded readiness that complements, rather than replaces, primary care and the healthcare professionals you already trust.

This article was prepared by the Jase Medical content team for informational purposes only and does not constitute medical advice. Prescription requirements, emergency dispensing rules, insurance coverage, and controlled-substance regulations vary by medication, jurisdiction, and individual circumstances. Consult a licensed healthcare provider or pharmacist regarding your specific medications.