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Pharmacy World and Science

, Volume 28, Issue 6, pp 352–358 | Cite as

Reasons why medicines are returned to Swedish pharmacies unused

  • Anders B. E. EkedahlEmail author
ORIGINAL PAPER

Abstract

Objective:

To identify the reasons and their relative importance why medicines are returned to Swedish pharmacies unused.

Setting:

A random sample of the pharmacies in Sweden.

Method:

Interviews using a semi-structered interview form with pharmacy customers returning unused medicines to the pharmacy.

Main outcome measure:

Reasons given by patients/relatives/carers for returning unused medicines to the pharmacy.

Results:

The four main reasons for returning unused medicines to the pharmacy were: (1) the medicines were too old, (2) the user had died, (3) there was no need for the medicine anymore, and (4) therapy changes. These reasons made up 75% of all reported reasons.

Conclusion:

Hoarding or over-supply of prescribed medicines may explain a large part of the volume of medicines that remain unused. Actions aiming to reduce waste of prescribed medicines ought to focus on those patients who contribute to a substantial part of all unused medicines.

Keywords

Drugs Drug waste Medicines Pharmaceuticals Pharmacies Sweden Unused medicines 

Notes

Acknowledgements

The author acknowledges the work of the interviewers at the 59 participating pharmacies as well as the assistance from Mr Örjan Åkeren, of The National Corporation of Swedish Pharmacies, with the data on licensed drugs in Sweden. Funding of the study: The study was supported financially through a grant from “Stiftelsen Apoteket AB:s fond för forskning och studier i hälsoekonomi och samhällsfarmaci”.

References

  1. 1.
    Ekedahl A, Wergeman L, Rydberg T. Unused drugs in Sweden measured by returns to pharmacies. J Soc Adm Pharm 2003;20:26–31.Google Scholar
  2. 2.
    Isacson D, Olofsson C. Drugs up in smoke: a study of caseated drugs in Sweden. Pharm World Sci 1999;21(2):96–99.PubMedCrossRefGoogle Scholar
  3. 3.
    Cook H. Why so many drugs go to waste. Pharm Pract 1996;6(8):268–70.Google Scholar
  4. 4.
    Ekedahl A. Unused drugs returned to pharmacies—a few patients return a large proportion of the unused drugs. J Soc Adm Pharm 2003;20:257–58.Google Scholar
  5. 5.
    Braybrook S, John DN, and Leong K. A survey of why medicines are returned to pharmacies. Pharm J 1999;263:7063.Google Scholar
  6. 6.
    Hawksworth GM, Wright DJ, and Chrystyn H. A detailed analysis of the day to day unwanted medicinal products returned to community pharmacies for disposal. J Soc Adm Pharm 1996;13(4):215–22.Google Scholar
  7. 7.
    Jones S. Assessing the effectiveness of one-stop dispensing. Hosp Pharm 2002;9:237–39.Google Scholar
  8. 8.
    Langley C, Marriott J, Mackridge A, Daniszewski R. An analysis of returned medicines in primary care. Pharm World Sci 2005;27(4):296–99.PubMedCrossRefGoogle Scholar
  9. 9.
    Cameron S. Study by Alberta pharmacists indicates drug wastage a “mammoth” problem. Can Med Ass J 1996;155(11):1596–98.Google Scholar
  10. 10.
    Thormodsen M, Fonnelop H, Rytter E, Torisen HM. “To be used as directed by your physician”—reasons why patients do not use prescribed medicines. Tidsskr Nor Laegeforen 1997;117(24):3521–25 (norwegian).PubMedGoogle Scholar
  11. 11.
    Hulter Åsberg K. 900 tons of drugs are returned to pharmacies annually A questionnaire study on unused drugs. Läkartidningen 2004;101:898–900 (swedish).Google Scholar
  12. 12.
    Grainger-Rousseau T-J, Fielding DW, Smith MA, Daws D, Desrosiers D. What’s left in the medicine cabinet? The BC EnviRx Project. Poster No. 296. International Congress on Clinical Pharmacy, Orlando, FL, April 1999.Google Scholar
  13. 13.
    Eklund LH, Wessling A. Unused returned drugs. Sven Farm Tidskr 1975;79:499–3 (swedish).Google Scholar
  14. 14.
    Boethius G, Möller B. Returned drugs in relation to prescribed—frequency, reason and cost. Sven Farm Tidskr 1979;83(14):539–42 (swedish).Google Scholar
  15. 15.
    Wold G, Hunskår S. Bruk og kast av medikamenter i hjemmet. Erfaringer fra en kommunal innsamlingsaksjon [Use and disposal of drugs at home. Experiences of a community campaign for drug collection]. Tidsskr Nor Laegeforen 1992;112(12):1605–7 (norwegian).PubMedGoogle Scholar
  16. 16.
    Bergh H, Marklund B. Characteristics of frequent attenders in different age and sex groups in primary health care. Scand J Prim Health Care 2003;21:171–77.PubMedCrossRefGoogle Scholar
  17. 17.
    Browne GB, Humphrey B, Pallister R, Browne J, Shetzer L. Prevalence and characteristics of frequent attenders in a prepaid Canadian family practice. J Fam Pract 1982;14:63–71.PubMedGoogle Scholar
  18. 18.
    Andersson SO, Mattsson B, Lynoe N. Patients frequently consulting general practitioners at a primary health care centre in Sweden: a comparative study. Scand J Soc Med 1995;23:251–57.PubMedGoogle Scholar
  19. 19.
    Svab I, Zaletel-Kragelj L. Frequent attenders in general practice: a study from Slovenia. Scand J Prim Health Care 1993;11:38–43.PubMedGoogle Scholar
  20. 20.
    Jyvasjarvi S, Keinaenen-Kiukaanniemmi S, Vaeisaenen E, Larivaara P, Kivelae SL. Frequent attenders in a Finnish health centre: morbidity and reasons for encounter. Scand J Prim Health Care 1998;16:141–48.PubMedCrossRefGoogle Scholar
  21. 21.
    Neal RD, Heywood PL, Morley S, Clayden AD, Dowell A. Frequency of patients’ consulting in general practice and workload generated by frequent attenders: comparisons between practices. Br J Gen Pract 1998;48:895–98.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.R&D DepartmentThe National Corporation of Swedish PharmaciesMalmöSweden

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