Disposal Methods of Expired and Unused Medications among the General Public in Al-Bayda City

• Taher I. Mahmod Shailabi

  Department of Pharmacology and Toxicology, Faculty of Pharmacy, Omar Almukhtar Univer-sity Al-Bayda, Libya

  Author

• Zuhir S. Mussa Akrim

  Department of Pharmacology and Toxicology, Faculty of Pharmacy, Omar Almukhtar Univer-sity Al-Bayda, Libya

  Author

Medication disposal is a hot topic in pharmacy today, and it is rapidly gaining the attention of more and more professionals and consumers alike. Improper disposal of expired or unused medications has been reported to create serious consequences on healthcare and the environment. This study was performed to determine how residents of Al-Bayda, in the north-eastern region of Libya, dispose of their unused and expired medications and discuss the possible impact of improper medication disposal on humans, animals, and the environment. Data was collected over six months within Al-Bayda city as people were approached randomly and invited to participate by filling out a questionnaire to examine their expired medicine disposal habits. With responses from 925 participants, the survey found that 77.3 % disposed of medicines with household waste, 6.9 % flushed medicines down the sink or toilet, 4 % gave them to relatives or friends, 2.8 % returned medicines to the pharmacy, and 9 % do not know. Campaigns run by health care professionals, mainly pharmacists as they have a potential role to raise public awareness regarding appropriate ways to dispose of unused medicines, will promote appropriate disposal practices.

Abrons, J., Vadala, T., Miller, S., & Cerulli, J. (2010). Encouraging safe medication disposal through student pharmacist intervention. Journal of the American Pharmacists Association, 50(2), 169–173.

Abruquah, A. A., Drewry, J. A., & Ampratwum, F. T. (2014). What happens to unused, expired and unwanted medications? A survey of a community-based medication disposal practices. International Journal of Development and Sustainability, 3(12), 2175–2185.

Bashatah, A., & Wajid, S. (2020). Knowledge and Disposal Practice of Leftover and Expired Medicine: A Cross-Sectional Study from Nursing and Pharmacy Students’ Perspectives. International Journal of Environmental Research and Public Health, 17(6), 2068.

Bound, J. P., & Voulvoulis, N. (2005). Household disposal of pharmaceuticals as a pathway for aquatic contamination in the United Kingdom. Environmental Health Perspectives, 113(12), 1705–1711.

CDC. Antibiotic Resistance Threats in the United States, 2019. Atlanta, GA: U.S. Department of Health and Human Ser-vices, CDC; 2019.

Coma, A., Modamio, P., Lastra, C. F., Bouvy, M. L., & Mariño, E. L. (2008). Returned medicines in community pharmacies of Barcelona, Spain. Pharmacy World & Science, 30(3), 272–277.

Diaz, L. F. (2003). Pharmaceuticals in the Environment: Sources, Fate, Effects and Risks.

Ekedahl, A. B. E. (2006). Reasons why medicines are returned to Swedish pharmacies unused. Pharmacy World and Science, 28(6), 352–358.

Fair, R. J., & Tor, Y. (2014). Antibiotics and bacterial resistance in the 21st century. Perspectives in Medicinal Chemistry, 6, PMC-S14459.

Jassim, A.-M. (2010). In-home drug storage and self-medication with antimicrobial drugs in Basrah, Iraq. Oman Medical Journal, 25(2), 79.

Kusturica, Milica P, Sabo, A., Tomic, Z., Horvat, O., & Šolak, Z. (2012). Storage and disposal of unused medications: knowledge, behavior, and attitudes among Serbian people. International Journal of Clinical Pharmacy, 34(4), 604–610.

Kusturica, Milica Paut, Tomas, A., & Sabo, A. (2016). Disposal of unused drugs: Knowledge and behavior among people around the world. Reviews of Environmental Contamination and Toxicology Volume 240, 71–104.

Lauer, M. F., Kettell, B. D., & Davis, M. H. (2010). Environments and health: leftover drugs in the water supply: don’t flush those pills! AJN The American Journal of Nursing, 110(8), 46–49.

Law, A. V, Sakharkar, P., Zargarzadeh, A., Tai, B. W. B., Hess, K., Hata, M., Mireles, R., Ha, C., & Park, T. J. (2015). Taking stock of medication wastage: Unused medications in US households. Research in Social and Administrative Pharmacy, 11(4), 571–578.

Nipa, N. Y., Ahmed, S., Shahariar, M. D., Rahman, M., & Haider, B. (2017). Improper management of pharmaceutical waste in South and South-East Asian regions. J Environ Stud, 3(1), 7.

Pieters, R. G. M. (1991). Changing garbage disposal patterns of consumers: Motivation, ability, and performance. Journal of Public Policy & Marketing, 10(2), 59–76.

Seehusen, D. A., & Edwards, J. (2006). Patient practices and beliefs concerning disposal of medications. The Journal of the American Board of Family Medicine, 19(6), 542–547.

Thach, A. V, Brown, C. M., & Pope, N. (2013). Consumer perceptions about a community pharmacy-based medication take back program. Journal of Environmental Management, 127, 23–27.

Vellinga, A., Cormican, S., Driscoll, J., Furey, M., O’Sullivan, M., & Cormican, M. (2014). Public practice regarding disposal of unused medicines in Ireland. Science of the Total Environment, 478, 98–102.

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