You should seek emergency medical help immediately. ALmost seems like we should have a section devoted to medications. But refrigeration is promoted for this kind of beverage, it won't hurt it to do so. If needed, each single-dose pen can be kept at room temperature, not to exceed 86xb0F (30) for a total of 14 days. Should I buy your medium size container. Think again. When dealt with in this way, the potency of the insulin will be retained. References Related medical questions You should not use Trulicity if you are allergic to dulaglutide, or if you have: by Drugs.com Yes, you can give Trulicity cold but it is more likely to sting. Not sure the priming is necessary, but I do it anyway because the instructions say to do so. (function() {var a="",b=["aid=111213"];for (var c=0;c