Patient Practices and Beliefs Concerning Disposal of Medications

Seehusen, Dean A.; Edwards, John D.

doi:10.3122/jabfm.19.6.542

Cited by 209 publications

(214 citation statements)

References 9 publications

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“…In a study, 80.3% patients never received advice on medication disposal from a health care provider. 22 This reflects gaps in communication services provided by pharmacies. Community pharmacies should offer periodic education for their customers regarding safe medication disposal practices through mailers, bag inserts, newsletters and face-to-face communication.…”

Section: Pharmacists' Opinion About the Best Way To Minimize Pharmacementioning

confidence: 99%

Minimizing pharmaceutical waste: The role of the pharmacist

Aditya¹,

Rattan²

2014

J. Young Pharm.

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Leftover and expired drugs, an indirect measure of wasted healthcare resources, reflect lost opportunities to achieve therapeutic outcomes (either due to incorrect choice or noncompliance) and a burden for the environment. In addition, medication waste is costly to national health systems because The questionnaire assessed disposal of leftover and expired drugs by pharmacists and their knowledge of drug disposal by the distributors. The awareness of the correct method of drug disposal, ways to minimize the pharmaceutical waste and extent of dissemination of information about drug disposal to patients was also evaluated. Results: The response rate was 56%. Although majority of the pharmacies have a system to dispose expired and leftover drugs, the knowledge about disposal was found to be incomplete. Most of the leftover drugs belonging to different dosage forms were returned to the distributor. One-third pharmacists did not know the correct method to dispose drugs. Majority of them did not advise patients about disposal of unused drugs. Only 58% believed that improper drug disposal is intimately connected to environmental pollution. Conclusion: Pharmacists have new roles and responsibilities to function as collaborative members of healthcare team by disseminating information about correct ways to dispose unused drugs.

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Section: Pharmacists' Opinion About the Best Way To Minimize Pharmacementioning

confidence: 99%

Minimizing pharmaceutical waste: The role of the pharmacist

Aditya¹,

Rattan²

2014

J. Young Pharm.

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“…Additional studies investigated various strategies for efficient removal and transformation of pharmaceuticals using advanced treatment employing processes of chemical [32,[40][41][42][43], biological [44][45][46][47] and physical nature [48,49]. Since not all pharmaceuticals present in sewage are the result of intentional intake, metabolism and excretion, some researchers have investigated the composition of wastewaters from the pharmaceutical industry [50], and healthcare facilities [51], as well as the importance of disposal of unwanted or leftover pharmaceuticals into sanitary sewers [1,2,[52][53][54][55][56].…”

Section: Introductionmentioning

confidence: 99%

Pharmaceuticals in the Built and Natural Water Environment of the United States

Deo

Halden

2013

Water

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Abstract:The known occurrence of pharmaceuticals in the built and natural water environment, including in drinking water supplies, continues to raise concerns over inadvertent exposures and associated potential health risks in humans and aquatic organisms. At the same time, the number and concentrations of new and existing pharmaceuticals in the water environment are destined to increase further in the future as a result of increased consumption of pharmaceuticals by a growing and aging population and ongoing measures to decrease per-capita water consumption. This review examines the occurrence and movement of pharmaceuticals in the built and natural water environment, with special emphasis on contamination of the drinking water supply, and opportunities for sustainable pollution control. We surveyed peer-reviewed publications dealing with quantitative measurements of pharmaceuticals in U.S. drinking water, surface water, groundwater, raw and treated wastewater as well as municipal biosolids. Pharmaceuticals have been observed to reenter the built water environment contained in raw drinking water, and they remain detectable in finished drinking water at concentrations in the ng/L to μg/L range.

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“…4 Many studies state that people generally disposed of medication inappropriately by flushing them down the toilet/sink or discarding them in the garbage, these practices have hazardous consequences to the environment resulting in polluting the water, causing harm to aquatic life and detrimental effects on the soil for agriculture. [5][6][7] It is established fact that most municipal wastewater treatments systems cannot remove drugs from the wastewater. 8 Particularly for Pakistan there are very few water treatment facilities, only 30% of sewerage water is treated.…”

Section: Introductionmentioning

confidence: 99%

Medication Disposal; Household Practices in Karachi, Pakistan. Need for a Medication Take-Back Program

Husain¹,

Farooq²,

Khan³

et al. 2017

TPMJ

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ABSTRACT… Introduction: Due to irresponsible and unsafe methods of drug disposal employed by consumers pharmaceutical waste enters the ecosystem, ultimately having a detrimental effect on both human health and environment. Objectives: The purpose of the study is to measure attitude and practice of local community in Karachi, Pakistan regarding safe disposal of unwanted medicines and assess willingness of participants to take part in a medicationtake-back program. Study Design: A two-phase observational study was conducted using convenience sampling. Period: January to February, 2016. Methodology: In Phase I (n = 200) students enrolled in various health sciences institutions in the study were asked to take part in the survey. In Phase II(n = 300) household consumers were contacted by telephone and social media. Results: Participants (response rate 84.4%) were given a questionnaire to explore their attitudes towards medicine disposal. More than half of the consumers surveyed reported storing unused/expired medications in their homes, and majority threw away unwanted medicine in the garbage. The most common reason was unawareness of expiry date (32.7%). Only 12.32% reported returning medication to a pharmacy for disposal. Majority of the consumers had never received advice about medication disposal by a health care provider but were aware of the possible negative consequences and were willing to participate in national pharmacy take-back programs if implemented by the government. Conclusions: Our findings suggest that effective communication and established protocols will promote appropriate disposal practices. Public services in Pakistan, and especially pharmacies, must play a more proactive role in this regard.

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Patient Practices and Beliefs Concerning Disposal of Medications

Cited by 209 publications

References 9 publications

Minimizing pharmaceutical waste: The role of the pharmacist

Minimizing pharmaceutical waste: The role of the pharmacist

Pharmaceuticals in the Built and Natural Water Environment of the United States

Medication Disposal; Household Practices in Karachi, Pakistan. Need for a Medication Take-Back Program

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