While spring isn’t quite here, it’s not too early to set some time aside to clean your medicine cabinet, drawer, or shelf. To some extent, most people welcome spring with a little extra attention to mopping, dusting, or vacuuming away winter’s dust and dirt. While the windows may shine and the house and yard look fresh, the medicine cabinet remains untouched with a variety of forgotten old prescription bottles and OTC medications that “might come in handy someday” still on the shelf. Likely some of these medications have expired and may cause more harm than good.
I’m guilty of keeping them too long myself. Largely I forget about them and as long as I don’t need anything from the medicine cabinet, they are out of sight and out of mind. Since it is a common problem, different groups have initiated “Take Back” or cleaning times to call attention to the issue. Twice each year we have “National Prescription Drug Take Back Day” when consumers are encouraged to return unused or old medicine to their pharmacies, hospitals, or drop-off sites. The first one in 2018 will be April 28; there will be a second in the fall, usually in October. We also have National Spring Cleaning Week the last week in March when medicine cabinet cleaning is encouraged as part of the spring cleaning routine.
What should consumers do the rest of the year to safely dispose of medicines if they are unable to utilize the designated drop-off times? The FDA offers instructions on how to safely dispose of medicines by flushing unwanted drugs down the toilet and for placing them in the garbage. The downside of these alternatives are that drugs that are flushed can taint our rivers, lakes, and water supplies. Drugs in the trash are a potential hazard to the environment and may be found accidently by children or pets, or scavenging teens or adults looking for a high. In 2014 the DEA (Drug Enforcement Administration) authorized pharmacies and hospitals to take back drugs designated as controlled substances any time from a consumer wishing to surrender them; prior to that time, controlled substances had to be surrendered to law enforcement. Controlled substances include opioid painkillers like Oxycontin, stimulants like Adderall, and depressants like Ativan. Drop-off is completely free and anonymous.
Now there’s a new alternative. Since 2016, the drugstore chain, Walgreens, has been installing safe medication disposal kiosks across the nation. Not every store has one so to find a kiosk in your area, visit Store Locator. The kiosks provide a safe and convenient way to dispose of unwanted, unused or expired prescriptions, including controlled substances, and over-the-counter medications, ointments and creams, liquids, lotions, pet medications, prescription patches, and vitamins and supplements at no cost.
Certain medications or items are not accepted at the kiosks including needles, inhalers, aerosol cans, hydrogen peroxide, thermometers, and illicit drugs. As part of Walgreens drug take-back program, the kiosks make the disposal of medications easier and are available year-round during pharmacy hours to help reduce the misuse of medications and the rise in overdose deaths.
Here are some tips to get you started on extending your spring cleaning to your medicine cabinet:
Check the dates. Examine everything in the medicine cabinet, including ointments, supplements and vitamins. Discard any item that is beyond the expiration date and any prescription medications that are more than a year old. It is important to note that the expiration date really refers to that product unopened. Once a medication has been opened and used, the clock starts ticking on its shelf life as contamination has been introduced. Medications and vitamins may lose their effectiveness or potency after the expiration date. Some may even become toxic. Therefore, write the date you opened it on the container and after one year, get rid of all things opened or partially used.
Discard any items that have changed color or smell funny. Regardless of the expiration or use by date, these items should be disposed. This includes any colors that have faded, because they may have been exposed to too much light
Discard unmarked containers. If something is no longer in its original container or cannot be identified, get rid of it. Medications should always be kept in their original containers so that they are easily recognized. This includes ointments, since these can easily be mistaken for creams.
Dispose of medication and medical supplies properly and carefully. Because of the potential harm to the environment or to humans or pets, it is not recommended to simply throw out medication or flush them down the toilet. If you must do so, follow the FDA recommendations. Consider the disposal options aforementioned and utilize whichever works best for you.
Most collection sites won’t accept asthma inhalers, needles, insulin syringes or any other syringes, marijuana, mercury thermometers, and medications containing iodine. For disposal information and drop-off locations for syringes, needles, and other injectables—for example,for example, expired EpiPens—go to Safe Needle Disposal or call 800-643-1643. When in doubt about how to safely dispose of a medication or medical device, check with your pharmacist.
Remove any personal identifying information on the prescription label. Prior to disposal or container recycling either remove the label or black out any personal information including the RX number. Also be sure the container is clean before recycling.
Inspect adhesive bandages. Bandages and tapes have a limited lifespan, too, and should be replaced before their adhesive breaks down.
Lastly, consider relocating your medicine cabinet. The bathroom is not the best place to store medication. The temperature and humidity changes that come with the shower running can lower the potency of some medicines. Medications should be kept in a cool dry place, away from children, pets, and scavengers. Consider a locked drawer or a locked box on a shelf.
It’s smart to undertake a medicine-cabinet cleaning every spring. An annual review of prescriptions, over-the-counter medicines, and medical products can help keep us safe and healthy. Using an old product won’t necessary land you in the ER, but it could or it may not work effectively thereby wasting you money, affecting your health, or possibly delaying your recovery. Further, if the medicine isn’t on the shelf, it can’t be accidently used, incorrectly used, or abused.