Ma Carolyn S, Batz Forrest, Juarez Deborah Taira, Ladao Lani C
Department of Pharmacy Practice, University of Hawai'i at Hilo College of Pharmacy, Hilo, HI (CSM, FB, DTJ).
Hawaii J Med Public Health. 2014 Jan;73(1):26-31.
Unused/unwanted medications in households and patient care facilities expose vulnerable populations, including children, elders, and pets, to potential harm through inadvertent ingestion, as well as the potential for theft and assault. Hawai'i Administrative Rules prohibit the return of any prescription medications to retail pharmacies after dispensing. The Hawai'i Narcotics Enforcement Division (NED) partnered with the University of Hawai'i at Hilo Daniel K. Inouye College of Pharmacy (CoP) in eleven Drug Take Back events throughout the state. Most participants heard of the events via newspaper and television marketing. The most common methods of medication disposal are via trash or down household drains. Over 8,000 lbs of unused/unwanted medications was collected, identified and logged from 2011 through 2012. The majority of returned drugs were non-controlled substances (90%). Commonly returned medications included prescription cardiac medications such as simvastatin and lisinopril, non-prescription analgesics such as aspirin and ibuprofen, and dietary supplements such as vitamins and iron. Commonly returned controlled substance medications included narcotics such as hydrocodone/acetaminophen combinations and oxycodone, and sedative hypnotics such as zolpidem and lorazepam.
家庭和医疗护理机构中未使用/不需要的药物会因意外摄入,使包括儿童、老年人和宠物在内的弱势群体面临潜在危害,同时还存在被盗和被袭击的风险。夏威夷行政法规禁止在配药后将任何处方药退回零售药店。夏威夷麻醉品执法司(NED)与位于希洛的夏威夷大学丹尼尔·K·伊努伊药学院(CoP)在全州范围内联合举办了11次药品回收活动。大多数参与者是通过报纸和电视宣传得知这些活动的。最常见的药品处理方式是扔进垃圾桶或倒入家庭下水道。2011年至2012年期间,共收集、识别并记录了超过8000磅未使用/不需要的药物。回收的药物中大部分是非管制药品(90%)。常见的回收药品包括处方心脏药物,如辛伐他汀和赖诺普利;非处方镇痛药,如阿司匹林和布洛芬;以及膳食补充剂,如维生素和铁剂。常见的回收管制药品包括麻醉药品,如氢可酮/对乙酰氨基酚组合制剂和羟考酮;以及镇静催眠药,如唑吡坦和劳拉西泮。