Proper disposal of medications
Millions of Americans improperly dispose of prescription and over-the-counter (OTC) medications. Tossing unwanted drugs in the trash or flushing them down the toilet can be potentially harmful, leading to accidental poisoning of children and pets, misuse by unintended recipients and water contamination.As you are likely aware, prescription drug abuse continues to be the nation’s fastest growing drug problem. In fact, every day in the United States, 2,500 youth abuse a prescription pain reliever for the first time. Between 60 and 70 percent cite their home’s medicine cabinet as their source for obtaining the drugs. What’s more, an investigation into the nation’s water supply found that 41 million Americans had trace amounts of drugs in their drinking water. And 80 percent of sampled rivers and streams contained low levels of pharmaceuticals including antibiotics, hormones, contraceptives and steroids.This serious problem isn’t a new one, but as the use of medications in the U.S. continues to rise, so will the harmful effects that come with their improper disposal. Many healthcare facilities are taking measures to educate patients on safe disposal practices. If you aren’t already doing so, or are looking for more ideas, keep reading for some helpful tips you can share with your patients.

How to properly dispose of medications

  • Drug take-back programs: Law enforcement, public health officials and environmental experts agree that drug take-back programs are the safest and most responsible way to dispose of unwanted or expired medications.The Drug Enforcement Administration hosts a National Prescription Drug Take-Back Day in April and October where drugs are accepted for disposal at a host of collection sites. Promote these and other drug-take back events by circulating flyers and posters printed with the days, times and locations. Giveaways, such as medicine bottle openers or medicine spoons, are a long-lasting, tangible reminder of the importance of proper disposal. Imprint them with the message “Protect our families and the environment. Participate in Drug Take-Back Day.”

Many local law enforcement agencies house permanent drug drop boxes where residents can safely dispose of expired and unused medications at any time. The National Association of Drug Diversion Investigators (NADDI) can help you find a drug drop box near you. Let your patients know where they can safely drop their unwanted medications. Have a basket of pill boxes and pill cutters available with the message “Safe Rx Disposal = Safer Communities,” and imprint your local drug drop-box site locations on them.

  • Pharmacies: Some pharmacies, such as RiteAid® and Walgreens®, allow customers to purchase pre-paid mailers that can be used to mail unwanted or unused medications to an incinerator facility where they are destroyed. The envelopes are never opened and there is licensed law enforcement on-site during processing to ensure the safe and responsible disposal of prescription medications.
  • At-home disposal: If no drug take-back programs are available in your area, teach your patients how to safely dispose of medications at home. The Food and Drug Administration (FDA) offers the following guidelines: First, remove the medication from its original packaging and mix with an undesirable substance, such as used coffee grounds or cat litter, to make the drug unrecognizable to those seeking drugs or unappealing to pets or children. Then, seal the mixture in a plastic bag or container and throw in the trash. Be sure to remind patients to protect their personal health information by removing and destroying prescription drug labels before discarding. Print these steps on a reusable tote or grab bag that can be distributed with prescription samples and literature promoting safe and responsible disposal.
  • Follow instructions: A few powerful medications have specific disposal instructions right on the packaging. The FDA recommends certain expired, unwanted or unused medications be flushed down the toilet or sink immediately to prevent accidental ingestion by children or pets. View a complete list of these medications on the FDA’s flushing list.

Remember, keeping medications out of the hands of unintended users, out of reach of our children and pets, and out of our water supply is easy, if we follow safe disposal practices. We hope you’ve picked up a tip or two you can share with your patients.

“External Medicine: Discarded Drugs May Contaminate 40 Million Americans’ Drinking Water.” Scientific American Global RSS. N.p., 16 Sep. 2011. Web. Retrieved 05 Feb. 2014.

“2013 National Drug Threat Assessment Summary.” www.justice.gov. N.p., n.d. Web. Retrieved 8 Feb. 2014.

“Statistics of Prescription Drug Abuse, Overdosing, Emergency Room Visits: Foundation for a Drug-Free World.” Statistics of Prescription Drug Abuse, Overdosing, Emergency Room Visits: Foundation for a Drug-Free World. N.p., n.d. Web. Retrieved 05 Feb. 2014.

“DEA Event.” — Take Back Your Meds. N.p., n.d. Web. Retrieved 08 Feb. 2014.

“Other Medicine Take-Back Disposal Options.” — Take Back Your Meds. N.p., n.d. Web. Retrieved 08 Feb. 2014.

“How to Dispose of Unused Medications.” U.S. Food and Drug Administration. N.p., n.d. Web. Retrieved 08 Feb. 2014.

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