[Pharmwaste] [EXTERNAL] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal

Volkman, Jennifer (MPCA) jennifer.volkman at state.mn.us
Tue Apr 23 20:20:46 EDT 2019


I agree with your points Margaret, thank you for your review!

I went through a bit today and agree it could be much better organized and all of the recommendations at various links should match up.

I think we should be able to ask for something prominent that refers people to their own state or local resources.

>From my perspective-used or unused is all the same when medications are in the home. It must ALL be stored safely. When you decide to get rid of it, remove it from your safe storage and to a collection bin. I don't believe flushing should all of a sudden become an immediate response when the drugs have been in the home up until that point.

The link works if you remove the period at the end :)
https://collaboration.fda.gov/rtr042419/event/registration.html

From: Margaret Shield <margaret.shield at cehstrategies.com>
Sent: Tuesday, April 23, 2019 5:31 PM
To: Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us>; pharmwaste at lists.dep.state.fl.us
Subject: RE: [Pharmwaste] [EXTERNAL] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal

RE FDA's medicine disposal guidance: in recent months I have noticed a small shift in FDA's emphasis on disposal options that is an improvement towards clarifying that secure medicine take-back programs are preferred over flushing drugs, or trashing them, even for the drugs on the "flush list". The improved, albeit still not optimal, messaging is in an infographic that lists the first question as "Do you have a drug take-back option readily available?". Here's the infographic in thumbnail:
[cid:image001.jpg at 01D4FA09.A5ED50B0]

The infographic is linked from this central page: "Disposal of Unused Medicines: What You Should Know":
https://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

A challenge with FDA's messaging on the website is that all 3 disposal options for consumers - take-back, flushing, trashing - are described and intermingled on web pages, often without a consistent hierarchy. Sometimes the images on the page provide a different emphasis that the text on the page.
Also older guidances are still up, like on this page https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm101653.htm
There's also still the glaring omission that local solid waste or wastewater policies may differ from the FDA's guidance in discouraging flushing or trashing.

Margaret Shield, PhD
(pronouns: she/her/hers)
Community Environmental Health Strategies, LLC
margaret.shield at CEHstrategies.com<mailto:margaret.shield at CEHstrategies.com>
mobile:  206-499-5452
www.CEHstrategies.com<http://www.cehstrategies.com/>

From: Pharmwaste <pharmwaste-bounces at lists.dep.state.fl.us<mailto:pharmwaste-bounces at lists.dep.state.fl.us>> On Behalf Of Volkman, Jennifer (MPCA)
Sent: Tuesday, April 23, 2019 12:48 PM
To: Jones, Diane B., R.Ph. <Jones.Diane at mayo.edu<mailto:Jones.Diane at mayo.edu>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: Re: [Pharmwaste] [EXTERNAL] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal

I sent a note to the "Stakeholder engagement staff" asking for another link. I searched around on the website a bit and didn't find it. I did find this "DCER Conversation" with the same guy pictured below that you can read here if you are interested: https://www.fda.gov/Drugs/NewsEvents/ucm464197.htm It appears that this was posted in 2015, so perhaps they've made a change on the FDA recommendations (not requirements) for proper disposal.

Scanning a few areas of the website show that FDA is still advocating for sewering of a certain list of medications, so nothing has changed other than they appear to have added more of a description as to why they favor sewering certain drugs. Given the danger of fentanyl patches and actual deaths caused, I don't see their guidance changing. They do note the existence of collection options and refer to the DEA's search engine to locate collection sites. DEA's search widget only include pharmacies, most likely because they must register with DEA, while law enforcement does not, so they don't have the info to include them on a search. We are still at 2/3 law enforcement and 1/3 pharmacies hosting collection bins here in MN, so using our own search engine is better. I would imagine that several of you have your own more comprehensive search widgets yourselves.

Sorry for the bum steer on the link, if I get a corrected link, I'll forward it to the group. It is likely that this occurs tomorrow since tomorrow's date is included in the link (?) I'm not expecting any change, but it would be good to know what they are going to do with this campaign and how widely they'll promote it.


From: Jones, Diane B., R.Ph. <Jones.Diane at mayo.edu<mailto:Jones.Diane at mayo.edu>>
Sent: Tuesday, April 23, 2019 2:09 PM
To: Volkman, Jennifer (MPCA) <jennifer.volkman at state.mn.us<mailto:jennifer.volkman at state.mn.us>>; pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: RE: [EXTERNAL] [Pharmwaste] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal

The link to register does not work- says not found.

From: Pharmwaste [mailto:pharmwaste-bounces at lists.dep.state.fl.us] On Behalf Of Volkman, Jennifer (MPCA)
Sent: Tuesday, April 23, 2019 1:53 PM
To: pharmwaste at lists.dep.state.fl.us<mailto:pharmwaste at lists.dep.state.fl.us>
Subject: [EXTERNAL] [Pharmwaste] FYI: FDA Unveils Public Education Campaign on Safe Opioid Disposal

I hope they get this right and recommend using collection programs. Has anyone on here been working with FDA on this?


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April 22, 2019







Dear Colleague,



FDA is excited to announce the upcoming launch of a new public education campaign to encourage safe disposal of unused opioid pain medicines. Please join us on Wednesday, April 24th at 12:00 p.m. (EDT) to hear about this important new effort and learn what you can do to reduce the chance of accidental or intentional prescription opioid misuse among your constituents, neighbors, friends, and loved ones.



To view webinar: https://collaboration.fda.gov/rtr042419/event/registration.html.<https://gcc01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fs2027422842.t.en25.com%2Fe%2Fer%3Futm_campaign%3DFDA%2520Unveils%2520Public%2520Education%2520Campaign%2520on%2520Safe%2520Opioid%2520Disposal%26utm_medium%3Demail%26utm_source%3DEloqua%26s%3D2027422842%26lid%3D7520%26elqTrackId%3DD5C709DD94BCFA994EE77E600A3308B6%26elq%3De2b75d5723254708889efdaa4a7ef8fb%26elqaid%3D7703%26elqat%3D1&data=02%7C01%7Cjennifer.volkman%40state.mn.us%7Cf14e317a26ad4d10131908d6c81f1518%7Ceb14b04624c445198f26b89c2159828c%7C0%7C0%7C636916433161373796&sdata=6PT9vsWOpFHHduwdZHVV1LUqyjalp%2B5bzWF9O9QPsBc%3D&reserved=0>







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