Unused Medications

Think Twice Before Flushing Meds

By Susan Hindman

Hospitals and long-term care facilities in the United States flush millions of pounds of unused pharmaceuticals down the drain each year, which in turn pumps contaminants into America’s drinking water, according to an ongoing Associated Press investigation. The meds being discarded are expired, spoiled, overprescribed, or unneeded. These actions, AP found, are part of an emerging problem: the presence of minute concentrations of pharmaceuticals in the nation’s drinking water supplies, which may be affecting aquatic species and even human cell growth.

Although large facilities handle the more powerful and toxic drugs, people at home need to be aware of the most environmentally sensitive way to discard their own medications. Dumping them down the sink or toilet is no longer a good idea. In February, the American Pharmacists Association (APhA) issued guidelines—since embraced by the federal government as well—that recommend against doing this. Instead, consumers, doctors, and pharmacies are being urged to dispose of most drugs in the household garbage.

APhA offer these guidelines for disposing of unused medications in the trash:

• Pour liquid medication into a sealable plastic bag. If the medication is a solid (pill, liquid capsule, etc.), crush it or add water to dissolve it.
• Add kitty litter, sawdust, coffee grounds—or any material that mixes with the medication and makes it less appealing for pets and children to eat—to the plastic bag. Seal the bag and put it in the household trash, out of the reach of children and pets.
• Remove and destroy all identifying personal information on the prescription label before recycling the containers or throwing them away.

Another option is to check for approved state and local collection alternatives such as community-based household hazardous waste collection programs. In certain states, you may be able to take your unused medications to your pharmacy or other location for disposal. Consult your pharmacist with any questions.

Earlier this year, APhA joined forces with the U.S. Fish and Wildlife Service and the Pharmaceutical Research and Manufacturers of America to launch the SMARxT Disposal campaign. The campaign seeks to educate consumers about the environmental impact of improperly disposed medications. Click here for more information about the SMARxT Disposal campaign.