[Pharmwaste] CNN Health: Throwing away expired meds

Jim Mullowney jmullowney at pharma-cycle.com
Wed Oct 10 15:05:19 EDT 2012


I wanted the group to know that Rhode Island has a Senate committee to look
at drugs that are contained in human excrement specifically chemotherapy
drugs, the first hearing is on October 17th. As you may know Pharma-cycle,
Inc. collects the waste from patients undergoing certain chemotherapy
treatments. Large volumes of cytotoxic drugs are excreted in the urine and
stool of patients undergoing treatment with a limited number of chemicals,
less than 25, excreted in their active form. Of the 25 drugs we've
identified all of them are either on the NIOSH hazardous drug list or
identified in the OSHA hazardous drug policy and are known to cause Cancer,
Birth Defects, or Miscarriages in others. Our website has detailed
information on how these drugs get into the environment as well as the
amount of the chemicals that are being excreted. Would you please let the
group know about www.pharma-cycle.com and we would appreciate any feedback
to the science that we provided.
We feel strongly that the battle against drugs and the environment has to
start with the most dangerous chemicals ever made, cytotoxic chemotherapy
drugs.
Thank you for your help

Jim Mullowney, President
Pharma-Cycle Inc
www.pharma-cycle.com
Direct: 617-755-0883

-----Original Message-----
From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Fredrick L.
Miller
Sent: Wednesday, October 10, 2012 2:48 PM
To: pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] CNN Health: Throwing away expired meds

The Army conducted/conducts the same kind of research on preserved foods.
Believe it or not, the Army is one of the largest employers of veterinarians
because they've found vets to be well suited to the task of dealing with
food safety and vector control.

Fred

-----Original Message-----
From: pharmwaste-bounces at lists.dep.state.fl.us
[mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Volkman,
Jennifer (MPCA)
Sent: Wednesday, October 10, 2012 11:41 AM
To: Matthew C. Mireles; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] CNN Health: Throwing away expired meds

I find this interesting because I've noticed that some common OTC cold
medicines seem to now have an expiration date of one year, following the
generic advice for many prescriptions--which is to toss after one year. I
read further into the comments to see if anything beyond the usual whining
came up and I found this from one commentor:

"This article is on the right track. Unfortunately, it doesn't go deep
enough.

The U.S. military has been investigating this for over thirty years. In fact
they commissioned the FDA to do an extensive study. This program is called
the Shelf Life Extension Program (SLEP).

Why haven't you heard about this program, because it is classified. This
program has established the true measured shelf life of many common
medications. It found that 90% of medications are made up of stable
molecules and were effective and still within new manufacture guidelines
much later than their expiration date, many after 10 and even 15 years.

Quotes from FDA researchers tell you the real story:

"Manufacturers put expiration dates on for marketing, rather than
scientific, reasons,"
"It's not the job of the FDA to be concerned about a consumer's economic
interest."
"With a handful of exceptions - notably nitroglycerin, insulin and some
liquid antibiotics - most drugs are probably as durable as those the agency
has tested for the military."

Contrary to the wailing from the penut gallery here, antibiotics cipro,
tetracycline, and penicillin we found to be still effective after ten years.
That is not to say they stop being effective at that time, but rather that
was how old the lots were that they were testing.

The real issue here is about marketing and liability. Companies have a
self-serving financial benefit not to have extended expiration period. Also,
they have no control over how the medication is stored and used. Although,
one medication tested was stored where the daytime temperature was routinely
135 degrees(F). It was tested at its experation date and found to have no
degradation."

So, it seems it would be beneficial to find this study and see what could be
learned from it. It appears there is justification for more accurate dating
and better patient education.
________________________________________
From: pharmwaste-bounces at lists.dep.state.fl.us
[pharmwaste-bounces at lists.dep.state.fl.us] on behalf of Matthew C. Mireles
[mirelesmc at earthlink.net]
Sent: Wednesday, October 10, 2012 9:11 AM
To: pharmwaste at lists.dep.state.fl.us
Subject: [Pharmwaste] CNN Health: Throwing away expired meds

You may be interested in this story by CNN Health...

Are we throwing away 'expired' medications too soon?
http://www.cnn.com/2012/10/08/health/throwing-away-expired-meds/index.html?h
pt=he_c2


Matthew Mireles

Please note that my new email address is mirelesmc at gmail.com effective Sept
6, 2012.
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