<p>Deb and all See FDA link on disposal recommendations</p><p>http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm</p><p>Paragraph of page</p><p> </p><p><strong>Medicine Take-Back
Programs</strong></p><p>Medicine take-back programs for disposal are a good way to remove expired, unwanted, or unused medicines from the home and reduce the chance that others may accidentally take the medicine. Contact your city or county government's household trash and recycling service to see
if there is a medicine take-back program in your community and learn about any special rules regarding which medicines can be taken back. You can also talk to your pharmacist to see if he or she knows of other medicine disposal programs in your area or visit the U.S. Drug Enforcement
Administration’s website for information on <a href="http://www.deadiversion.usdoj.gov/drug_disposal/takeback/">National Prescription Drug Take-Back Events</a>.</p><p> </p><p>At one point FDA did recommend flushing-in recent years they have added the above statement. While it does not
address hospital waste directly it is getting consumers and the general public to think about the issue and hopefully healthcare institutions will make some needed changes to their policies.</p><p> </p><p>Chris Angel</p><p>Yellow Jug Old Drugs</p><p>www.SecureResponsibleDrugDisposal.org<br /><br />
---------------------------- Original Message ----------------------------<br />
Subject: [Pharmwaste] inconsistent message<br />
From: "Hauser, Deborah" <Deborah.Hauser@epa.ohio.gov><br />
Date: Thu, November 13, 2014 7:56 am<br />
To: "pharmwaste@lists.dep.state.fl.us" <pharmwaste@lists.dep.state.fl.us><br />
--------------------------------------------------------------------------<br />
<br />
> Good morning,<br />
><br />
> I've gotten the occasional question from hospital workers here in Ohio about policies to rinse Schedule IV drugs down the drain. As I generally work with the residential side of things, I'm not as well-versed on hospital practices. However, it seems to me there is a serious disconnect between
the message from the environmental folks (like my agency, Ohio EPA) and the FDA. The FDA's most recent guidance still suggests flushing a lengthy list of pharms (see below). Has anyone had any experience with hospitals making it a policy to NOT flush pharmaceuticals? As far as I know, it is still
legal to flush the pharmaceuticals that FDA advises. But I guess I'd like to see some sort of solution that involves incinerating ALL pharms, even the ones that have historically been flushed. Do any of you have any suggestions I could pass on to Ohio hospitals?<br />><br />
><br />
> Thanks,<br />
> Deb<br />
><br />
><br />
> Medicine<br />
><br />
> Active Ingredient<br />
><br />
> Abstral (PDF - 1M)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM239930.pdf>, tablets (sublingual)<br />
><br />
> Fentanyl<br />
><br />
> Actiq (PDF - 251KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM085817.pdf>, oral transmucosal lozenge *<br />
><br />
> Fentanyl Citrate<br />
><br />
> Avinza (PDF - 51KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311346.pdf>, capsules (extended release)<br />
><br />
> Morphine Sulfate<br />
><br />
> Buprenorphine Hydrochloride, tablets (sublingual) *<br />
><br />
> Buprenorphine Hydrochloride<br />
><br />
> Buprenorphine Hydrochloride; Naloxone Hydrochloride, tablets (sublingual) *<br />
><br />
> Buprenorphine Hydrochloride; Naloxone Hydrochloride<br />
><br />
> Butrans (PDF - 388KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM219146.pdf>, transdermal patch system<br />
><br />
> Buprenorphine<br />
><br />
> Daytrana (PDF - 281KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088581.pdf>, transdermal patch system<br />
><br />
> Methylphenidate<br />
><br />
> Demerol, tablets *<br />
><br />
> Meperidine Hydrochloride<br />
><br />
> Demerol, oral solution *<br />
><br />
> Meperidine Hydrochloride<br />
><br />
> Diastat/Diastat AcuDial<http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm?fuseaction=Search.Overview&DrugName=DIASTAT>, rectal gel [for disposal<br />
> instructions: click on link, then go to "Label information"<br />
> and view current label]<br />
><br />
> Diazepam<br />
><br />
> Dilaudid, tablets *<br />
><br />
> Hydromorphone Hydrochloride<br />
><br />
> Dilaudid, oral liquid *<br />
><br />
> Hydromorphone Hydrochloride<br />
><br />
> Dolophine Hydrochloride (PDF - 48KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311370.pdf>, tablets *<br />
><br />
> Methadone Hydrochloride<br />
><br />
> Duragesic (PDF - 179KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088584.pdf>, patch (extended release) *<br />
><br />
> Fentanyl<br />
><br />
> Embeda (PDF - 39KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM179172.pdf>, capsules (extended release)<br />
><br />
> Morphine Sulfate; Naltrexone Hydrochloride<br />
><br />
> Exalgo (PDF - 83KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM204267.pdf>, tablets (extended release)<br />
><br />
> Hydromorphone Hydrochloride<br />
><br />
> Fentora (PDF - 338KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM088597.pdf>, tablets (buccal)<br />
><br />
> Fentanyl Citrate<br />
><br />
> Kadian (PDF - 135KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311373.pdf>, capsules (extended release)<br />
><br />
> Morphine Sulfate<br />
><br />
> Methadone Hydrochloride, oral solution *<br />
><br />
> Methadone Hydrochloride<br />
><br />
> Methadose, tablets *<br />
><br />
> Methadone Hydrochloride<br />
><br />
> Morphine Sulfate, tablets (immediate release) *<br />
><br />
> Morphine Sulfate<br />
><br />
> Morphine Sulfate (PDF - 282KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM199333.pdf>, oral solution *<br />
><br />
> Morphine Sulfate<br />
><br />
> MS Contin (PDF - 433KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM311374.pdf>, tablets (extended release) *<br />
><br />
> Morphine Sulfate<br />
><br />
> Nucynta ER (PDF - 38KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM270268.pdf>, tablets (extended release)<br />
><br />
> Tapentadol<br />
><br />
> Onsolis (PDF - 297KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM285397.pdf>, soluble film (buccal)<br />
><br />
> Fentanyl Citrate<br />
><br />
> Opana, tablets (immediate release)<br />
><br />
> Oxymorphone Hydrochloride<br />
><br />
> Opana ER (PDF - 56KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM283820.pdf>, tablets (extended release)<br />
><br />
> Oxymorphone Hydrochloride<br />
><br />
> Oxecta, tablets (immediate release)<br />
><br />
> Oxycodone Hydrochloride<br />
><br />
> Oxycodone Hydrochloride, capsules<br />
><br />
> Oxycodone Hydrochloride<br />
><br />
> Oxycodone Hydrochloride (PDF - 100KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM289880.pdf>, oral solution<br />
><br />
> Oxycodone Hydrochloride<br />
><br />
> Oxycontin (PDF - 417KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM208530.pdf>, tablets (extended release)<br />
><br />
> Oxycodone Hydrochloride<br />
><br />
> Percocet, tablets *<br />
><br />
> Acetaminophen; Oxycodone Hydrochloride<br />
><br />
> Percodan, tablets *<br />
><br />
> Aspirin; Oxycodone Hydrochloride<br />
><br />
> Suboxone<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM225677.pdf> (PDF - 83KB<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM225677.pdf>)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM225677.pdf>, film (sublingual)<br />
><br />
> Buprenorphine Hydrochloride; Naloxone Hydrochloride<br />
><br />
> Xyrem (PDF - 185KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM089830.pdf>, oral solution<br />
><br />
> Sodium Oxybate<br />
><br />
> Zubsolv (PDF - 354KB)<http://www.fda.gov/downloads/Drugs/DrugSafety/UCM362203.pdf>, tablets (sublingual)<br />
><br />
> Buprenorphine Hydrochloride; Naloxone Hydrochloride<br />
><br />
><br />
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></p><p> </p><p> </p><p> </p><p><br />
Chris Angel</p><p> </p><p> </p><p> </p><p style="text-align: center;"><br />
www.GreatLakesCleanWater.org 989.736.8179</p><p style="text-align: center;"><br />
Facebook https://www.facebook.com/pages/Great-Lakes-Clean-Water-Organization/250252498393081</p><p style="text-align: center;"><br />
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