Pill disposal

Grampa Don

Yep, that's me
We're not supposed to throw prescription drugs in the trash. My wife's passing left me with a bag full of prescriptions. So, wanting to do the right thing I took them to the CVS pharmacy where they came from. I asked the woman at the counter if she could dispose of them for me. She seemed confused and called the pharmacist over. He said "Oh, we don't have a disposal box here but the CVS at XXXX has one." So, I drove the 5 miles or so to the other CVS and carried my bag of pills in.

They had a box, but there was a sign on it that it was full. So, I asked the clerk if they could take my bag and dump it in the box after it is emptied. "Oh no, we can't do that." So, I said the Hell with it and brought them home and tossed them in the trash.

If the government wants us to dispose of medicines safely, then they should make it illegal for pharmacies to refuse their return. It's the same thing with toxic waste. If I want to toss out anything electrical, I have to drive to the next city and wait in line. If they were serious about this there would be drop boxes at every hardware store.
 

I have tons of pills & out dated insulin that need disposal. Tons, over years, over a decade. Have just left them in drawers, don't know what to do with them.

You are right @Grampa Don "If the government wants us to dispose of medicines safely, then they should make it illegal for pharmacies to refuse their return. It's the same thing with toxic waste. If I want to toss out anything electrical, I have to drive to the next city and wait in line. If they were serious about this there would be drop boxes at every hardware store."
 

I don't have any prescription medication but often do end up with expired aspirin. Admittedly I usually toss them in the toilet.. keep forgetting it gets into the waterways.
I don't know where you live, but, unless you're on septic it all goes to a sewage treatment plant, not the waterways.
 
I don't know where you live, but, unless you're on septic it all goes to a sewage treatment plant, not the waterways.
After treatment in the sewage treatment plants it goes into our waterways, most all does. And many drugs are not very effectively removed in the sewage treatment process. Result is many of these thing end up in our water.

I just toss old drugs into the trash, I think that's better than flushing. Not as good as actual destruction though.
 
After treatment in the sewage treatment plants it goes into our waterways, most all does. And many drugs are not very effectively removed in the sewage treatment process. Result is many of these thing end up in our water.

I just toss old drugs into the trash, I think that's better than flushing. Not as good as actual destruction though.
And the trash goes into the landfill which leaches into the water table, so how does that help?
 
Where and How to Dispose of Unused Medicines > https://www.fda.gov/consumers/consumer-updates/where-and-how-dispose-unused-medicines

Is your medicine cabinet full of expired drugs or medications you no longer use? Your medicine is for you. What’s safe for you might be harmful for someone else. The best way to dispose of your expired, unwanted, or unused medicines is through a drug take back program — or you can do it at home.

Drug Take Back Programs

The U.S. Drug Enforcement Administration (DEA) sponsors National Prescription Drug Take Back Day in communities nationwide. Many communities also have their own drug take back programs. Check with your local law enforcement officials to find a location near you or with the DEA to find a DEA-authorized collector in your community.

You can also check with your pharmacist. Some pharmacies offer on-site medicine drop-off boxes, mail-back programs, and other ways to help you safely dispose your unused medicines.

How to Dispose of Medicines at Home

When a take back option is not easily available, there are two ways to dispose of medicines at home, depending on the drug.

Flushing medicines: Because some medicines could be especially harmful to others, they have specific directions to immediately flush them down the sink or toilet when they are no longer needed, and a take-back option is not readily available.

How will you know? Check the label or the patient information leaflet with your medicine. Or consult the U.S. Food and Drug Administration’s list of medicines recommended for disposal by flushing when a take back option is not readily available. Remember, don’t flush your medicine unless it is on the flush list.

Disposing medicines in household trash: If a take back program is not available, almost all medicines, except those on the FDA flush list (see below), can be thrown into your household trash. These include prescription and over-the-counter (OTC) drugs in pills, liquids, drops, patches, and creams.

Follow these steps:

1 - Remove the drugs from their original containers and mix them with something undesirable, such as used coffee grounds, dirt, or cat litter. This makes the medicine less appealing to children and pets and unrecognizable to someone who might intentionally go through the trash looking for drugs.

2 - Put the mixture in something you can close (a re-sealable zipper storage bag, empty can, or other container) to prevent the drug from leaking or spilling out.

3 - Throw the container in the garbage.

4 - Scratch out all your personal information on the empty medicine packaging to protect your identity and privacy. Throw the packaging away.

If you have a question about your medicine, ask your health care provider or pharmacist.

Disposing Fentanyl Patches

The fentanyl patch is an example of a product that contains a powerful opioid medicine that can be dangerous to people it’s not prescribed for. This adhesive patch delivers a strong pain medicine through the skin.

Even after a patch is used, a lot of the medicine remains. That’s why the drug comes with instructions to flush used or leftover patches.

Disposing Inhaler Products

One environmental concern involves inhalers used by people who have asthma or other breathing problems, such as chronic obstructive pulmonary disease. Read handling instructions on the labeling of inhalers and aerosol products.

These products could be dangerous if punctured or thrown into a fire or incinerator. To properly dispose of these products and follow local regulations and laws, contact your trash and recycling facility.

Flushing Drugs and the Water Supply

Some people wonder if it’s okay to flush certain medicines when a take back option is not easily available. There are concerns about the small levels of drugs that may be found in surface water, such as rivers and lakes, and in drinking water supplies.

“The main way drug residues enter water systems is by people taking medicines and then naturally passing them through their bodies,” says Raanan Bloom, Ph.D., an environmental assessment expert at the FDA. “Many drugs are not completely absorbed or metabolized by the body and can enter the environment after passing through wastewater treatment plants.”

The FDA and the U.S. Environmental Protection Agency take the concerns of flushing certain medicines in the environment seriously. Still, there has been no sign of environmental effects caused by flushing recommended drugs. In fact, the FDA published a paper to assess this concern, finding negligible risk of environmental effects caused by flushing recommended drugs.

For more information on what to do when you no longer need your medicines, visit this FDA page.

Bella ✌️
 
In Las Vegas, we could take them to the pharmacy and they handled the disposal. In Tennessee, they could have cared less and told us to just put them in the trash (Which is why they leeched into the water table but....) In Maine, they do a "round up" periodically but its always downtown in the city or some other inconvenient place so..... I'm not sure what to do with them either!
 
I would just add to what @Bella said about disposing in some inedible substance…. Once you put the pills in with the cat litter/coffee grounds/ whatever, add a little water to it so that the pills will dissolve.
 
It’s so true what was said above by all. We all want to do the right thing but have perfectly reasonable objections to being made to jump through so many hoops to do it. I’ve given up . I seal unwanted meds up in tight packages & put them in the trash. I keep my used insulin needles in a small coffee can and when pretty full so it won’t rattle, seal that up tightly with lots of tape, and into the trash also.
Generally speaking it is getting harder and harder to be a “good citizen” these days.
 
It’s so true what was said above by all. We all want to do the right thing but have perfectly reasonable objections to being made to jump through so many hoops to do it. I’ve given up . I seal unwanted meds up in tight packages & put them in the trash. I keep my used insulin needles in a small coffee can and when pretty full so it won’t rattle, seal that up tightly with lots of tape, and into the trash also.
Generally speaking it is getting harder and harder to be a “good citizen” these days.
The same can be said about recycling.
When I was in NY, nearly everything was recycled. In this area, though, it's only been soda/beer cans and some types of glass bottles. Topping it off, somebody or another came up with a new law that stores that sell these products do not have to take them back for deposit, so customers can either lose money or need to go to some recycling center- difficult for people who don't drive or lack the time.
 
We take ours to the Police station, they have a dumpster with a locked lid. They are responsible for them from that point. Never had a problem.
 
Fortunately, we are able to take them to our pharmacy, labeled "expired meds", and they will dispose of them safely.
We can take them to any pharmacy; they only request that sharps are separate and names are removed from containers. I have a feeling not many people know about this based on the confused looks by the pharmacist assistant when I hand things over.
 
Far less than "most" actually. I know none around here are.
That surprises me, its been the law for 30+ years now, in the US. There are a few exceptions, but not many. See US Code of Federal Regulations includes (note MSWLF stands for municipal solid waste landfill):

§ 258.40 Design criteria.

(a) New MSWLF units and lateral expansions shall be constructed:

(1) In accordance with a design approved by the Director of an approved State or as specified in § 258.40(e) for unapproved States. The design must ensure that the concentration values listed in Table 1 of this section will not be exceeded in the uppermost aquifer at the relevant point of compliance, as specified by the Director of an approved State under paragraph (d) of this section, or

(2) With a composite liner, as defined in paragraph (b) of this section and a leachate collection system that is designed and constructed to maintain less than a 30-cm depth of leachate over the liner.

(b) For purposes of this section, composite liner means a system consisting of two components; the upper component must consist of a minimum 30-mil flexible membrane liner (FML), and the lower component must consist of at least a two-foot layer of compacted soil with a hydraulic conductivity of no more than 1 × 10−7 cm/sec. FML components consisting of high density polyethylene (HDPE) shall be at least 60-mil thick. The FML component must be installed in direct and uniform contact with the compacted soil component.


Groundwater protection is required. This was not true of older landfills, older than 30 years, so we have a lot of contaminated groundwater from those. The new regulations are of course not 100% effective, but they are pretty good. I have done landfill design, designed my first with a liner in 83, it was newish then.
 


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