Hazardous Pharmaceutical Waste

Disposal

Why do we care about pharmaceutical waste?

-To protect humans and the environment-increasing evidence of harm from even very small amounts of some pharmaceuticals, particularly in fetal and newborn development

-To be a good citizen/steward

-To comply with our Code of

Conduct and other applicable

regulations

-To avoid fines and imprisonment

Improper pharmaceutical disposal

• Avoid landfilling•Landfills often leak over time and pharmaceuticals can enter groundwater

•Avoid drain disposal•Many pharmaceuticals are not removed in water treatment processes•Some of these persist in the environment –many are designed to not degrade

HAZARDOUSPHARMACEUTICAL WASTE

BLACK BIN DISPOSALThe Following Items Must Be Disposed of in The Black Bin

Insulin Containing M-CreosolInsulin Detemir (Levamir) Insulin Aspart (Novolog)Insulin Glargine (Lantus)Novolog Mix Humilin MixNitroglycerin Products Nitroglycerin Ointment (Nitro-Bid)Nitroglycerin Patch (Nitro-Dur) Nitroglycerin Sublingual Spray (Nitrolingual)Nitroglycerin IV VialsNitroglycerin ER Capsule Nitroglycerin Sublingual Tablet (Nitroquick)Warfarin Tablets/CoumadinLindane ProductsLindane ShampooLindane Lotion Silver Sulfadiazine CreamSilver Nitrate Applicator/Stick

Nicotine ProductsNicotine Patch (Habitrol, Nicotrol)Nicotine Nasal Spray (Nicotrol)Nicotine Inhaler (Nicotrol)Coal Tar Topical Solution Barium Erythromycin Topical SolutionClindamycin Topical SolutionSelenium Sulfide Topical Solution Vaccines with ThimerosalDTaP (Tripedia) DTaP-Hib (TriHIBlt)Td (DECAVAC)Tetanus Toxoid (Tetanus Toxoid Adsorbed USP, Booster,Tetanus Toxoid Adsorbed Adult Use)Influenza (FluLaval, Fluzone)Epinephrine Injection, Unused

Proper disposal of hazardous

pharmaceutical waste:

Reduce waste, when possible

•Over 2 million tons of waste every year from healthcare institutions • Use appropriate sizes if available (50mg package for a 50mg dose)•Stock appropriate quantities and sizes of pharmaceuticals or report inappropriate inventory