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Controlled Substances and Risk Management
Published in Mark V. Boswell, B. Eliot Cole, Weiner's Pain Management, 2005
Hans Hansen, Art Jordan, Jennifer Bolen
The dispensing record will include name of substance, dosage form, and date dispensed. A signature encounter on the form is unique to the drug disposal and will also include the amount and dosage utilized, and whether any wastage was necessary.
Public knowledge of antibiotics, self-medication, and household disposal practices in Jordan
Published in Expert Review of Anti-infective Therapy, 2023
Suhaib M. Muflih, Sayer Al-Azzam, Reema A. Karasneh, Barry A. Bleidt, Barbara R Conway, Stuart E. Bond, Mamoon A. Aldeyab
Old prescriptions refilling, using medications remaining after treatment of a previous disease or sharing medications between family and friends are other forms of self-medication [19–21]. Improper drug disposal behaviors can contribute to irrational use of medicine (IUM) practices such as inappropriate treatment, drug wastage, medication errors, AMR, intoxication, and unnecessary self-medication [22–25]. A clear indication for the use of antibiotics in the treatment of coronavirus disease-2019 (COVID-19) patients should be determined, i.e. a secondary bacterial super-infection [26,27]. Even though viral infections, including COVID-19, cannot be treated or prevented with antibiotics, a rise in antibiotic use alongside an increase in COVID-19 cases has been reported in several studies [26,28–30]. The emergence of the COVID-19 pandemic has contributed to increased fear, anxiety, depression, and stress in the general population [31–33]. Accordingly, measures including the use of masks, social distancing, and isolation were introduced to decrease transmission of the virus [34]. COVID-19 pandemic-induced psychological distress was significantly positively related to self-medication and preventative use of antibiotics increased in an emotional response to perceived health risks [35,36].
Primary prevention of prescription opioid diversion: a systematic review of medication disposal interventions
Published in The American Journal of Drug and Alcohol Abuse, 2021
Willemijn L.A. Schäfer, Julie K. Johnson, Q. Eileen Wafford, Sarah G. Plummer, Jonah J. Stulberg
Studies of opioid disposal interventions were identified for four types of interventions (see Table 1): prescription drug take-back events (13 studies), permanent drug donation boxes (2 studies), information and education programs for patients and the public (9 studies), and drug disposal bags (2 studies). Prescription drug take-back events provide an opportunity for communities to safely return unused prescription drugs, including opioids, at specific locations on certain dates. The type and number of prescription drug take-back events studied varied considerably between manuscripts, from a one-day event in a managed care setting (26) to a study of 1,395 take-back events held over the course of four years in 91 counties (27). Permanent drug donation boxes are usually at specific locations that are accessible to the public such as law enforcement offices and pharmacies (23,28). Healthcare-based educational programs studied included an online educational module(29), distributing a patient educational brochure (22,30,31), showing a video animation (32), and additional in-person education by a healthcare provider (33,34). Two studies focused on the same public information campaign in different years (35,36). Drug disposal bags, evaluated in two identified studies, allow people to safely dispose of prescription drugsfor example, by irreversibly adsorbing or oxidizing medications (21).
Evaluation of an activated carbon-based deactivation system for the disposal of highly abused opioid medications
Published in Drug Development and Industrial Pharmacy, 2018
Xinyi Gao, Pooja Bakshi, Sindhu Sunkara Ganti, Mahima Manian, Andrew Korey, William Fowler, Ajay K. Banga
In conclusion, the improper disposal of prescription opioids is a major concern due to associated potential abuse and risks of environmental contamination. Despite existing disposal protocols and programs, there is an imperative need for an environmentally safe, convenient, and effective drug disposal system. The disposal system evaluated in our study furnishes this need by demonstrating its efficiency by deactivating and retaining the four model opioids with high abuse potential. This system could successfully adsorb or deactivate 99.99% of the four model opioids within 28 d and did not release them when exposed to different stress conditions. Hence, this drug disposal system is not only an improvement over traditional methods of disposal of unused medications at home but also furnishes the need for a simple, convenient, safe, and environmentally friendly drug disposal procedure for both patients and healthcare providers. While our study demonstrates a promising drug disposal system, further testing with a range of drugs and dosage forms is required to deem the disposal system universal.