I have read some where how you're supposed to do this, but I don't remember. I used to think it didn't really matter much, but then I read an article that explains how just disposing of them in the regular trash can lead to them getting into our ground water, and that can lead to all kinds of nasty things. Even if we ourselves don't drink unfiltered ground water, we do give it to our livestock to drink, and we then eat the meat from many of those animals. We also use that water to grow crops we then eat. So in many ways the unwanted meds we dispose of can come back and make us sick in more ways than we can even count. Therefore I am convinced that we shouldn't just throw these pills in the regular trash. But how are we supposed to get rid of them? I think there is a place in my town to take unwanted meds, but I can't get there due to lack of transportation. I need something I can do at home. I read a few things but forgot. Anyone know?
I went to the FDA for answers, because for years we just flushed them down the toilet.
Hey Thor, how are you doing? I don't necessarily agree with this 'safe' disposal of meds because our drinking water comes from the Mississippi, but this is what the FDA says below. Hope this helps... Mary
Is your medicine cabinet filled with expired drugs or medications you no longer use? How should you dispose of them?
Most drugs can be thrown in the household trash, but consumers should take certain precautions before tossing them out, according to the Food and Drug Administration (FDA). A few drugs should be flushed down the toilet. And a growing number of community-based "take-back" programs offer another safe disposal alternative.
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Guidelines for Drug Disposal
FDA worked with the White House Office of National Drug Control Policy (ONDCP) to develop the first consumer guidance for proper disposal of prescription drugs. Issued by ONDCP in February 2007 and updated in October 2009, the federal guidelines are summarized here:
Follow any specific disposal instructions on the drug label or patient information that accompanies the medication. Do not flush prescription drugs down the toilet unless this information specifically instructs you to do so.
Take advantage of community drug take-back programs that allow the public to bring unused drugs to a central location for proper disposal. Call your city or county government's household trash and recycling service (see blue pages in phone book) to see if a take-back program is available in your community. The Drug Enforcement Administration, working with state and local law enforcement agencies, is sponsoring National Prescription Drug Take Back Days6 throughout the United States.
If no instructions are given on the drug label and no take-back program is available in your area, throw the drugs in the household trash, but first:
Take them out of their original containers and mix them with an undesirable substance, such as used coffee grounds or kitty litter. The medication will be less appealing to children and pets, and unrecognizable to people who may intentionally go through your trash.
Put them in a sealable bag, empty can, or other container to prevent the medication from leaking or breaking out of a garbage bag.
FDA's Deputy Director of the Office of Compliance Ilisa Bernstein, Pharm.D., J.D., offers some additional tips:
Before throwing out a medicine container, scratch out all identifying information on the prescription label to make it unreadable. This will help protect your identity and the privacy of your personal health information.
Do not give medications to friends. Doctors prescribe drugs based on a person's specific symptoms and medical history. A drug that works for you could be dangerous for someone else.
When in doubt about proper disposal, talk to your pharmacist.
Bernstein says the same disposal methods for prescription drugs could apply to over-the-counter drugs as well.
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Why the Precautions?
Disposal instructions on the label are part of FDA's "risk mitigation" strategy, says Capt. Jim Hunter, R.Ph., M.P.H., senior program manager on FDA's Controlled Substance Staff. When a drug contains instructions to flush it down the toilet, he says, it's because FDA, working with the manufacturer, has determined this method to be the most appropriate route of disposal that presents the least risk to safety.
Drugs such as powerful narcotic pain relievers and other controlled substances carry instructions for flushing to reduce the danger of unintentional use or overdose and illegal abuse.
For example, the fentanyl patch, an adhesive patch that delivers a potent pain medicine through the skin, comes with instructions to flush used or leftover patches. Too much fentanyl can cause severe breathing problems and lead to death in babies, children, pets, and even adults, especially those who have not been prescribed the drug. "Even after a patch is used, a lot of the drug remains in the patch," says Hunter, "so you wouldn't want to throw something in the trash that contains a powerful and potentially dangerous narcotic that could harm others."
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Despite the safety reasons for flushing drugs, some people are questioning the practice because of concerns about trace levels of drug residues found in surface water, such as rivers and lakes, and in some community drinking water supplies. However, the main way drug residues enter water systems is by people taking medications and then naturally passing them through their bodies, says Raanan Bloom, Ph.D., an environmental assessment expert in FDA's Center for Drug Evaluation and Research. "Most drugs are not completely absorbed or metabolized by the body, and enter the environment after passing through waste water treatment plants."
A company that wants FDA to approve its drug must submit an application package to the agency. FDA requires, as part of the application package, an assessment of how the drug's use would affect the environment. Some drug applications are excluded from the assessment requirement, says Bloom, based on previous agency actions.
"For those drugs for which environmental assessments have been required, there has been no indication of environmental effects due to flushing," says Bloom. In addition, according to the Environmental Protection Agency, scientists to date have found no evidence of adverse human health effects from pharmaceutical residues in the environment.
Nonetheless, FDA does not want to add drug residues into water systems unnecessarily, says Hunter. The agency reviewed its drug labels to identify products with disposal directions recommending flushing or disposal down the sink. This continuously revised listing can be found at FDA's Web page on Disposal of Unused Medicines7.
Another environmental concern lies with inhalers used by people who have asthma or other breathing problems, such as chronic obstructive pulmonary disease. Traditionally, many inhalers have contained chlorofluorocarbons (CFC's), a propellant that damages the protective ozone layer. The CFC inhalers are being phased out and replaced with more environmentally friendly inhalers.
Depending on the type of product and where you live, inhalers and aerosol products may be thrown into household trash or recyclables, or may be considered hazardous waste and require special handling. Read the handling instructions on the label, as some inhalers should not be punctured or thrown into a fire or incinerator. To ensure safe disposal, contact your local trash and recycling facility.
This article appears on FDA's Consumer Updates page8, which features the latest on all FDA-regulated products.
Updated April 14, 2011
Depending upon where you live, many pharmacies have a disposal service. Around here in Wisconsin we have collection centers around town and drives at various locations to deposit pills.
We have legislation that forbids landfills and it has been found that down the toilet is contaminating water supplies. The fire dept drives and the pharmacies say these are burned to dispose of them in special burners. Obviously you should not burn meds as the fumes and smoke could harm someone.
Toilet is safest as they are not retrievable.
Hey Thor, hope that you are feeling better. Do NOT put the meds in the toilet, please. They are finding that the groundwater supplies are being contaminated with hormones, and medications all over the US. It is a terrible problem. There are plenty of pharmacies and fire stations that will take your old scripts from you NO CHARGE. I'm sure in your area with a call or two, you can find something close. Best of luck to you!!
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