{"id":56495,"date":"2023-01-19T09:30:13","date_gmt":"2023-01-19T14:30:13","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=56495"},"modified":"2025-10-12T12:03:53","modified_gmt":"2025-10-12T16:03:53","slug":"counseling-patients-on-medication-disposal","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/counseling-patients-on-medication-disposal\/","title":{"rendered":"How pharmacies can advise patients on disposing of their Rx"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The responsible and safe disposal of medication has become a widespread concern in the United States and across the globe. Patients are often unaware of the proper way to get rid of expired, unused, or old medicines. They might throw prescription bottles into the trash or flush unused drugs down the toilet. This can be a serious concern, especially if the medications are potentially toxic or controlled substances.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients may have leftover medications for a <\/span><span style=\"font-weight: 400;\">number of reasons<\/span><span style=\"font-weight: 400;\">: They switched to a new drug, the drug expired, or the patient passed away. <\/span><span style=\"font-weight: 400;\">In other cases, patients may be <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/nonadherence-to-medication\/\"><span style=\"font-weight: 400;\">non-adherent to their medications<\/span><\/a><span style=\"font-weight: 400;\">, forgetting to take them or feeling like they no longer need to take them, which could be another issue.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare providers often overlook advising patients on how to dispose of their medications. Through proper counseling and guidance, pharmacists can address patient concerns and questions about proper medication disposal.\u00a0<\/span><\/p>\n<h2 id=\"the-risks-of-improper-drug-disposal\"><span style=\"font-weight: 400;\">The risks of improper drug disposal\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Disposing drugs improperly can have severe consequences on the environment, animals, and humans. Pharmaceuticals and personal care products (PPCPs) are known to leach into the environment, contaminating the water supply and negatively affecting wildlife. Almost <\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s40572-014-0015-y\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">100 different pharmaceuticals<\/span><\/a><span style=\"font-weight: 400;\"> have been found to contaminate rivers, lakes, and wetlands, including antidepressants, antibiotics, and antihypertensives.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other problems can arise if patients aren\u2019t disposing of medications at all. Storing unused or expired medications can carry a risk of accidental poisoning in children, pets, and loved ones. Diversion is also a concern with storing unused medications. Family members or friends may easily access unused medications, which could lead to an overdose, misuse, or abuse. More than <\/span><a href=\"https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/report_2686\/ShortReport-2686.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">50%<\/span><\/a><span style=\"font-weight: 400;\"> of people who use pain relievers say they obtain them from a family member or friend.\u00a0<\/span><\/p>\n<h2 id=\"counseling-patients-on-proper-drug-disposal\"><span style=\"font-weight: 400;\">Counseling patients on proper drug disposal<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Patients of all ages need guidance for handling expired or unused medications. Patients should be aware of a few key points to dispose of medications properly. Pharmacists and healthcare professionals can counsel patients on the following.\u00a0<\/span><\/p>\n<p><iframe loading=\"lazy\" title=\"Pharmacist Crash Course: Advising Patients to Dispose of Meds at Home\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/UlkESUH5owk?feature=oembed&#038;enablejsapi=1&#038;origin=https:\/\/www.singlecare.com\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h3 id=\"take-back-programs\"><span style=\"font-weight: 400;\">Take back programs\u00a0<\/span><\/h3>\n<p><a href=\"https:\/\/www.fda.gov\/drugs\/disposal-unused-medicines-what-you-should-know\/drug-disposal-drug-take-back-locations\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Drug take back programs<\/span><\/a><span style=\"font-weight: 400;\"> are one of the best ways that patients can get rid of old medications. Patients can drop off medications at permanent collection sites or periodic take back events. The U.S. Drug Enforcement Administration (DEA) has authorized certain facilities to dispose of medications from the public safely. These facilities include hospitals, clinics, pharmacies, and law enforcement offices. The DEA also organizes specific events on <\/span><span style=\"font-weight: 400;\">certain days of the year<\/span><span style=\"font-weight: 400;\"> when people can drop off expired or unused medications at designated locations in their communities. At these events, patients can dispose of their medications in a bin or mail them back.\u00a0<\/span><\/p>\n<h3 id=\"mix-and-discard-medicine-in-the-trash\"><span style=\"font-weight: 400;\">Mix and discard medicine in the trash\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If patients are unable to drop off their unused medications at a collection site, there are ways to discard medicines in the trash safely. First, patients should read the labels on the prescription bottles for any specific instructions on disposing of the medication. If no specific instructions are available, advise patients to mix their medications with an unpleasant, concealing substance such as dirt, coffee grounds, or cat litter. Instruct patients not to crush or break tablets or capsules.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After mixing the medication with something undesirable, the patient can safely dispose of the mixture. It\u2019s also a good idea to remind patients to remove or block out any personal or identifying information on the prescription container before throwing it away or recycling it.\u00a0<\/span><\/p>\n<h3 id=\"flush-only-certain-drugs\"><span style=\"font-weight: 400;\">Flush only certain drugs\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some patients may have a tendency to flush all of their unused medications. However, only certain drugs and medicines should be flushed down the toilet to prevent potential negative impacts on the environment. For some medications, the risk of harm to human health outweighs the potential environmental effects. Opioids, in particular, carry a <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/prescription-drug-abuse\/\"><span style=\"font-weight: 400;\">high risk of abuse<\/span><\/a><span style=\"font-weight: 400;\"> and can even be fatal after a sizable dose. The FDA has released a <\/span><a href=\"https:\/\/www.fda.gov\/drugs\/disposal-unused-medicines-what-you-should-know\/drug-disposal-fdas-flush-list-certain-medicines\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">flush list<\/span><\/a><span style=\"font-weight: 400;\"> that includes the following medications:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Buprenorphine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fentanyl<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hydromorphone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hydrocodone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meperidine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Methadone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Morphine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oxycodone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oxymorphone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tapentadol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diazepam<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Methylphenidate<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Medications should only be flushed if a take back program is not available in the patient\u2019s local area. Flushing medications is not usually the first choice.\u00a0<\/span><\/p>\n<h3 id=\"contact-a-local-pharmacy-or-recycling-facility\"><span style=\"font-weight: 400;\">Contact a local pharmacy or recycling facility<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Patients can contact you or their local pharmacy, for any questions they have about disposing of medications. Some pharmacies may have a medication drop box to dispose of unused or expired medications. Patients can also contact their local waste management or recycling facility to see if they will accept medications or household hazardous substances.\u00a0<\/span><\/p>\n<h3 id=\"educate-patients-on-proper-medication-use\"><span style=\"font-weight: 400;\">Educate patients on proper medication use<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Properly disposing of medications can often start with counseling patients on <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/pharmacy-medication-management\/\"><span style=\"font-weight: 400;\">how to take their medications correctly<\/span><\/a><span style=\"font-weight: 400;\">. Patients should be counseled to take their medications at the prescribed dosage and duration as directed by their healthcare provider. They should avoid stopping their medication without speaking to a healthcare provider first, even if they no longer feel symptoms. For example, some patients might not finish a course of antibiotics because they start to feel better, leading to leftover medication or an increased risk of antibiotic resistance. Encourage patients to reach out if they experience unpleasant <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/explain-side-effects\/\"><span style=\"font-weight: 400;\">adverse effects<\/span><\/a><span style=\"font-weight: 400;\"> that could lead to the discontinuation of the drug.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The responsible and safe disposal of medication has become a widespread concern in the United States and across the globe. Patients are often unaware of the proper way to get rid of expired, unused, or old medicines. They might throw prescription bottles into the trash or flush unused drugs down the toilet. This can be [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":56339,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9340],"tags":[788,743],"coauthors":[8669],"class_list":["post-56495","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-the-checkout","tag-drug-safety","tag-pharmacies","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How pharmacies can advise patients on disposing of their Rx<\/title>\n<meta name=\"description\" content=\"Counseling patients on medication disposal includes education on the risk of improper disposal and information about take back programs. 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