Skip to content

Flying with medication: liquid rules by country (2026)

Last updated Updated today· Reviewed against current airport security guidance

Short answer

Prescription liquids, essential OTC medicines, insulin, EpiPens, inhalers and eye drops are exempt from the standard 100ml cabin liquid limit worldwide when declared at security — but the paperwork, quantity limits and screening steps differ by country. This is the practical, 2026 breakdown for travellers taking medication through security.

General guidance

Rule basis: General airport security guidance — rules can vary between airports and change over time. Confirm with your departure airport before you fly.

What to do: Pack to 100ml per container in a single 1-litre clear bag unless you've confirmed a larger allowance at both your departure airports.

Liquid Limits is a travel planning tool, not an official aviation source. Always confirm with the airport before you travel.

Quick answer

Medically necessary liquids are exempt from the 100ml cabin rule in every major jurisdiction — US (TSA), UK (DfT), EU (EC 185/2010), Canada (CATSA) and Australia. You do not need to fit them in the 1-litre clear bag. Take "a reasonable quantity for the trip", declare them at the start of screening, and expect them to be inspected separately.

Bring the medication in its original labelled packaging and, for prescription liquids over 100ml, carry a copy of the prescription or a doctor's letter. It's rarely mandatory but resolves 90% of disputes at the checkpoint.

Country-by-country liquid medication rules

Country / regionOver 100ml allowed?Paperwork expectedScreening notes
United States (TSA)Yes — reasonable quantityNot required, but recommendedDeclare at start. Bottles may be opened for vapour or strip testing.
United Kingdom (DfT)Yes — essential medicinePrescription or doctor's letter for >100ml liquid medsShow to security officer. Some airports require a supporting letter for controlled drugs.
European UnionYes — essential medicinePrescription or medical certificate recommendedEC 185/2010 exempts medicines needed during the trip. Enforcement varies by country.
Canada (CATSA)Yes — reasonable quantityNot required for OTC; prescription helpfulPresent separately at pre-board screening.
AustraliaYes — quantity for the flight + a bit extraDoctor's letter for injectables and controlled substancesDomestic and international rules match. Powdered meds >350g face extra screening on US-bound flights.
UAE / DubaiYes, but stricter on controlled substancesPrescription mandatory for many common medicines (e.g. codeine, tramadol)Check the UAE Ministry of Health controlled-drug list before travelling.
SingaporeYes — declare on arrivalPrescription required for controlled substancesSome common Western OTC ingredients (e.g. pseudoephedrine) are restricted.
JapanYes — Yakkan Shoumei for >1 month supplyYakkan Shoumei import certificate for larger quantities and some ingredientsStimulant-containing meds (some ADHD meds, Adderall) are banned outright.

What counts as "medically necessary liquid"

  • Prescription liquids (cough syrups, liquid antibiotics, methadone)
  • Insulin, injectable medication and pre-filled syringes
  • Inhalers, nebuliser solution and asthma medication
  • EpiPens and other emergency auto-injectors
  • Eye drops, ear drops and contact lens solution
  • Liquid nutrition prescribed by a doctor (e.g. for feeding tubes)
  • Cooling gel packs used to keep medication at required temperature
  • Baby formula, breast milk and baby food (see our dedicated guide)

The exact steps at the checkpoint

  • Take medication out of your bag before it reaches the X-ray belt.
  • Tell the officer at the start of screening: "I have medication over 100ml."
  • Put medicines in a separate tray. Do NOT put them in your 1-litre clear bag — the exemption means they don't count toward it.
  • Expect additional inspection: visual check, vapour test, or (rarely) opening the bottle. You can refuse opening; you'll receive additional pat-down screening instead.
  • If you carry a cooling gel pack, it can travel frozen or partially frozen — declare it too.

Controlled and restricted medicines

Some medicines legal at home are controlled or banned in your destination country. The most common surprises: Adderall and other amphetamine-based ADHD medication are banned in Japan; codeine, tramadol and diazepam are controlled in the UAE and Singapore; some cold and flu medicines containing pseudoephedrine are restricted in Japan and Mexico. Check the destination country's official controlled substances list before you fly and carry a doctor's letter naming the medication, dose and reason.

Cabin vs checked bag: where to pack medication

Always carry essential medication in your cabin bag. Checked luggage can be delayed, lost or exposed to freezing temperatures in the hold. If you're carrying a large supply, split it: enough for the trip plus a few days in the cabin, spare supply in checked. Keep prescriptions in your cabin bag with the medication itself.

Powdered medication and injectables

On US-bound international flights, powders over 350ml (about 12oz) must be removed from your bag for separate screening and may need to be tested. Prescription powdered medicines are exempt but declaring them speeds things up. Injectables travel fine — carry the labelled packaging or a doctor's note explaining why you need needles in the cabin.

Traveller checklist

  • Original labelled packaging for every liquid medicine
  • Copy of prescription or doctor's letter (paper or PDF on your phone)
  • For controlled substances: a letter naming the drug, dose and prescribing doctor
  • Small cool bag or gel pack if the medication needs to stay cool
  • A photo of each medication label as a backup if packaging is damaged
  • For international trips: check destination-country restrictions at least 2 weeks before flying

FAQs

Can I take prescription liquid over 100ml in my cabin bag?

Yes. Prescription and essential OTC liquid medicines are exempt from the 100ml rule at every major airport worldwide. Take a reasonable quantity for the trip, declare it at the start of security, and expect separate inspection. A prescription copy or doctor's letter is recommended for anything over 100ml.

Do I need a doctor's letter to fly with medication?

Not usually, but it resolves disputes fast. TSA, CATSA and most EU airports don't require it. The UK, UAE, Singapore, Japan and Australia may ask for one — particularly for injectables, controlled substances or larger quantities. Carry a printed copy or a PDF on your phone.

Can I take insulin and syringes through airport security?

Yes, in every major jurisdiction. Declare them at screening, carry the original labelled packaging, and keep them in your cabin bag (never checked). Cooling gel packs to keep insulin at temperature are also permitted.

Are inhalers allowed in hand luggage?

Yes. Inhalers and nebuliser solution are considered essential medicines and are exempt from the 100ml rule. You don't need to remove them from your bag unless the officer asks.

What medications are banned in other countries?

Common surprises: Adderall and amphetamine-based ADHD meds are banned in Japan; codeine, tramadol and diazepam are controlled in the UAE and Singapore; pseudoephedrine cold medicines are restricted in Japan and Mexico. Always check the destination country's controlled substances list before flying.

Do liquid medicines count toward the 1-litre clear bag limit?

No. Medically necessary liquids are outside the 100ml + 1-litre bag rule. Present them separately at screening. Adding them to your clear bag is a common mistake that can cause other liquids to be removed instead.

Sources & references

Primary references behind this guide. We link directly to authorities so you can verify anything we say.

Check your trip

Related guides