[Pharmwaste] Re: Pharmwaste Digest, Vol 118, Issue 4

Lawernce Kenemore Jr. ldkjr100 at gmail.com
Fri Aug 14 11:11:38 EDT 2015


Throwing them in the trash or flushing them only continues to contribute to the
contamination of our water systems and effects the eco-system. It would be a
poor response to tell someone to flush or throw in the trash from a
Pharmaceutical professional. Coming soon an in home destruction of pharmaceuticals-OTC-vitamins supplements. FillAboxrecycling.com Stat-Medicament-Disposal Larry Kenemore Jr.

On Fri, Aug 14, 2015 at 9:54 AM, < pharmwaste-request at lists.dep.state.fl.us > wrote:
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Today's Topics:

1. Vitamins and Supplements (Tiemeier, Amy)
2. FW: Vitamins and Supplements (Bunnell, Ross)


---------- Forwarded message ----------
From: "Tiemeier, Amy" <Amy.Tiemeier at stlcop.edu>
To: "pharmwaste at lists.dep.state.fl.us" <pharmwaste at lists.dep.state.fl.us>
Cc:
Date: Fri, 14 Aug 2015 09:27:49 -0500
Subject: [Pharmwaste] Vitamins and Supplements
Good Friday Morning!



I wanted to get the group’s thoughts on the necessity of incinerating vitamins
and supplements vs just throwing them in the trash or flushing them.



Our non-profit has noticed that a fair amount of what we get in our drop boxes
are large bottles of vitamins and supplements that are expired. As we pay for
incineration by weight and are reliant on donations to support our incineration,
we were wondering if we could remove vitamins and supplements from the list of
items we accept and rather advise people to throw them in the trash or flush
them. It doesn’t seem like these types of items are the ones we are worried
about especially as they come from naturally occurring sources. That being said,
I wanted to get the thoughts of the experts on the list serve who understand the
environmental impact of these things better than I do.



Thank you for any input or insight you have.



Warm Regards,

Amy Tiemeier



Amy Tiemeier, Pharm.D., BCPS

Director, Community Partnerships

Associate Director, Office of Experiential Education

Associate Professor, Department of Pharmacy Practice





4588 Parkview Place, St. Louis, MO 63110-1088

Office: 314.446.8554 | Fax: 314.446.8386

amy.tiemeier at stlcop.edu









---------- Forwarded message ----------
From: "Bunnell, Ross" <Ross.Bunnell at ct.gov>
To: "'pharmwaste at lists.dep.state.fl.us'" <pharmwaste at lists.dep.state.fl.us>
Cc:
Date: Fri, 14 Aug 2015 14:57:38 +0000
Subject: [Pharmwaste] FW: Vitamins and Supplements
Amy:



Although it doesn’t squarely address your question, I’d like to offer some
insight from Connecticut DEEP’s experience with retail pharmacies that may
inform this issue.


In our inspections of retail pharmacies in Connecticut, we have made some
surprising findings, including some relating to the management of vitamins and
nutritional supplements. More specifically, we have found that many vitamins
contain sufficiently high concentrations of selenium or chromium as to be
regulated as “toxic” hazardous wastes when they are disposed of. (I should note
that chromium is a rather unique issue for CT because the federal HW regs and
most states provide an exemption from HW requirements for wastes that contain
primarily trivalent chromium, which is the type of chromium that is found in
vitamins; however CT does not adopt this exemption, meaning that many vitamins
will be classified as HW for chromium in CT, where they would not be in most
other states).



Obviously vitamins and other nutritional substances contain a “nutritive” rather
than a “toxic” amount of such metals when consumed in the recommended dosage.
However, when large amounts of vitamins are disposed of at the same time, the
potential exists for this disposal to result in a slug of contaminant being
released into the environment all at once. This might argue in favor of managing
the vitamins/nutritional supplements the same as the other pharmaceuticals that
are collected – namely, in a manner that will ensure that any toxic constituents
are properly managed and are not released into the environment.



On a similar note, believe it or not, we have also found that some “energy” bars
contain enough chromium to be classified as a “toxic” hazardous waste in CT.
Apparently, chromium is believed to boost energy, and some manufacturers add it
to their energy bars to appeal to consumers who think that it enhances the
effectiveness of the product.



--Ross Bunnell, CT DEEP



From: pharmwaste-bounces at lists.dep. state.fl.us [mailto: pharmwaste-bounces@ lists.dep.state.fl.us ] On Behalf Of Tiemeier, Amy
Sent: Friday, August 14, 2015 10:28 AM
To: pharmwaste at lists.dep.state.fl. us
Subject: [Pharmwaste] Vitamins and Supplements



Good Friday Morning!



I wanted to get the group’s thoughts on the necessity of incinerating vitamins
and supplements vs just throwing them in the trash or flushing them.



Our non-profit has noticed that a fair amount of what we get in our drop boxes
are large bottles of vitamins and supplements that are expired. As we pay for
incineration by weight and are reliant on donations to support our incineration,
we were wondering if we could remove vitamins and supplements from the list of
items we accept and rather advise people to throw them in the trash or flush
them. It doesn’t seem like these types of items are the ones we are worried
about especially as they come from naturally occurring sources. That being said,
I wanted to get the thoughts of the experts on the list serve who understand the
environmental impact of these things better than I do.



Thank you for any input or insight you have.



Warm Regards,

Amy Tiemeier



Amy Tiemeier, Pharm.D., BCPS

Director, Community Partnerships

Associate Director, Office of Experiential Education

Associate Professor, Department of Pharmacy Practice





4588 Parkview Place, St. Louis, MO 63110-1088

Office: 314.446.8554 | Fax: 314.446.8386

amy.tiemeier at stlcop.edu








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