It doesn't seem fair folks don't have cheap drugs available to them for purchase and that they are burdened with spending most of their life worrying about a thing that could affect their survival like this. The local temperature from the medicine producing country is one and the other country may be another, as well as the avian temperature is the other. Most drugs need to become stored at exact temperatures, so one in the things pharmacists learn within pharmaceutical quality training could be the necessary steps to hold the facilities clean and in compliance with regulations. #topamax