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Quantification of an ongoing community-based medication take-back program.

Laura A Perry, Bradley W Shinn, John Stanovich

    Journal of the American Pharmacists Association : Japha
    |May 13, 2014
    PubMed
    Summary
    This summary is machine-generated.

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    Medication take-back programs effectively remove unused drugs from communities. Mail-service prescriptions contribute significantly to medication waste due to larger dispensed quantities.

    Area of Science:

    • Environmental Health
    • Pharmaceutical Sciences
    • Public Health

    Background:

    • Unused medications pose environmental and public health risks.
    • Current medication disposal practices are often inadequate.
    • Quantifying medication waste is crucial for developing effective disposal strategies.

    Purpose of the Study:

    • To establish a medication take-back program for assessing disposal habits.
    • To quantify the amount of medication waste within a community.
    • To identify common reasons for medication disposal.

    Main Methods:

    • Conducted seven community medication take-back events in collaboration with local authorities.
    • Quantified returned medications by drug name, dose, quantity, type, source, and estimated cost.

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  • Administered participant surveys to gather demographic data, disposal history, and reasons for disposal.

    • Main Results:

    • Collected 786,882 medication units valued at over $1.1 million.
    • Expired (50%) and discontinued (40%) medications were primary disposal reasons.
    • Mail-service prescriptions averaged 95 units ($205), significantly more than community pharmacy prescriptions (35 units, $68).
    • Antihypertensives, gastrointestinal agents, and analgesics were the most frequently returned drug classes.

    Conclusions:

    • Collaborative medication take-back events are effective in removing unused medications.
    • Mail-service pharmacies' larger prescription quantities may substantially increase medication waste.
    • Further research is needed to confirm the association between mail-service dispensing and medication surplus.