Medications collected for disposal by outreach pharmacists in Australia
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Objective To examine the types, quantities, and monetary value of drugs which are disposed of by patients of outreach pharmacists, and to describe the role of outreach pharmacists in promoting the safe disposal of drug waste and reducing medication cost. Setting An Outreach Medication Review service at a major public hospital in Melbourne, Australia. Methods Part of the service offered by outreach pharmacists in OMR at St Vincent’s Hospital Melbourne is to collect the medications that have expired, or are no longer needed by patients. This audit looked at all the items collected over a period of 2 months, July and August of 2008. We recorded the types of medication groups and the number of items in each of these groups. An estimate of the value of this medicinal waste was also made. Main outcome measure Measurable parameters were the number of medications collected in the various therapeutic groups, and an estimate of their monetary value. This served to provide an estimate of the total value of wasted medications. Results Medications collected fell into 11 therapeutic groups, with a total of 293 items collected. The largest number of medications belonged to the cardiovascular group. The number of patients seen was 40 patients, with each patient having an average of 7.3 items that are either expired or unnecessary. The estimated value of medicinal waste per patient is about AU$1308 annually. Conclusion Outreach pharmacists are in a good position to collect unnecessary medications, and to educate patients on the prudent use of government subsidy of medications. The economic ramification of medication disposal is significant, in terms of the cost of medications that end up not being used. Cardiovascular medications are the main group that end up being wasted, and is among the most expensive to subsidize. Further studies are needed to examine ways of minimising medication waste and reducing the cost of such wastage.
KeywordsAustralia Costs Dispensing Expired medicines Medication waste Prescribing
The author wishes to acknowledge Nigel Ng, an OMR pharmacist, for his help in collecting, counting, and allocating medications into therapeutic groups.
There is none to be declared.
Conflict of interest
There is none to be declared.
- 2.Kummerer K. Drugs, diagnostic agents and disinfectants in wastewater and water—a review. Series of the Association for Water, Soil, Air and Hygiene. 2000;105:59–71.Google Scholar
- 9.Expenditure and prescriptions twelve month to 30 June 2007. Data and modelling Section: Pharmaceutical Policy and analysis Branch, PBS. http://www.health.gov.au/internet/wcms/publishing.nsf/Content/pbs_expenditure_prescriptions-copy1. Accessed 17th July 2009.
- 10.Media Release “Vintage RUM!”. The national Return and Disposal of Unwanted medicines Limited; 2008. Accessed July 2009.Google Scholar
- 11.Guiding principles for medication management in the community—July 2006. Australian Government: Department of Health and Ageing. http://www.health.gov.au/internet/main/publishing.nsf/Content/nmp-guide-medmgt-jul06-contents~nmp-guide-medmgt-jul06-guidepr9. Accessed 17th July 2009.
- 15.Collins M, Johnston A. Project Medicollect: an analysis of the drugs collected. Aust Prescr. 1992;11:341–4.Google Scholar
- 19.Hawksworth GM, Wright DJ, Chrystyn H. A day to day analysis of the unwanted medicinal products returned to community pharmacies for disposal. J Soc Adm Pharm. 1996;13:215–22.Google Scholar
- 21.Balassa J. Brand confusion with digoxin. Aust Prescr. 2006;29:153.Google Scholar