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Investigating the disposal of expired and unused medication in Riyadh, Saudi Arabia: a cross-sectional study

International Journal of Clinical Pharmacy volume 38, pages 822–828 (2016)Cite this article

Abstract

Background Improper disposal of medication has several possible consequences such as childhood poisoning, environmental pollution, a negative impact on wildlife, and antibiotic resistance. The number of studies conducted to characterize pharmaceutical disposal practices is limited, particularly in the Middle East. Objective The aim of this cross-sectional study was to examine the behaviour of individuals with respect to the disposal of expired and unused medications. Furthermore, we aimed to identify the best methods of education regarding appropriate, safe disposal of medication. Setting The study was carried out in King Khalid University Hospital (KKUH), and King Saud University (KSU), during a 3-month period from February 2015 to April 2015. Method Twelve hundred patients were randomly selected from KKUH and KSU. Participants were invited to complete paper-based questionnaire with self enumeration. Pilot testing was conducted and involved 50 randomly selected participants. Main outcome measures The proportion of expired medications present in the home and their therapeutic groups, disposal methods of expired and unused medications, and preferred educational methods regarding safe and proper disposing of medications. Results A substantial proportion (79.15 %) of respondents disposed of unwanted medication via household waste, while a small proportion (1.70 %) returned unwanted medication to a pharmacy. Although currently practised disposal methods are undoubtedly unsuitable, 70.20 % of respondents considered finding appropriate, safe methods via which to dispose of unwanted medication their responsibility, and 78.6 % expressed an interest in receiving information concerning the correct disposal of unwanted medication. Conclusion We have demonstrated that a low percentage of respondents have ever received information regarding correct medication disposal. Moreover, the results have shown that over half of the respondents store antibiotics in their households. Additionally, respondents weren’t aware of the consequences of keeping expired medication at home. It is quite clear that the awareness of proper and safe drug disposal among the Saudi population is quite low making it a priority of concerned authorities to implement educational programs.

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Acknowledgments

We would like to thank Amir S. Marzouk from KKUH, College of medicine research centre for his help in statistical analysis.

Funding

The authors acknowledge the Research Centre of the Science and Medical studies Departments at King Saud University for financial support.

Author information

Affiliations

  1. Saudi Medication Safety Centre, Ministry of National Guard, Health Affairs, Riyadh, 22490, Saudi Arabia

    Fatma Al-Shareef

  2. College of Pharmacy, King Saud University, Riyadh, 22452, Saudi Arabia

    Sarah Abu El-Asrar, Lamyaa Al-Bakr & Maisam Al-Amro

  3. Department of Pharmaceutics, College of Pharmacy, King Saud University, Riyadh, 22452, Saudi Arabia

    Fulwah Alqahtani & Fadilah Aleanizy

  4. Department of Medicinal Chemistry, College of Pharmacy, King Saud University, Riyadh, 22452, Saudi Arabia

    Sarah Al-Rashood

Authors
  1. Fatma Al-Shareef
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  2. Sarah Abu El-Asrar
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  3. Lamyaa Al-Bakr
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  4. Maisam Al-Amro
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  5. Fulwah Alqahtani
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  6. Fadilah Aleanizy
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  7. Sarah Al-Rashood
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Correspondence to Fatma Al-Shareef.

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Al-Shareef, F., El-Asrar, S.A., Al-Bakr, L. et al. Investigating the disposal of expired and unused medication in Riyadh, Saudi Arabia: a cross-sectional study. Int J Clin Pharm 38, 822–828 (2016). https://doi.org/10.1007/s11096-016-0287-4

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  • DOI: https://doi.org/10.1007/s11096-016-0287-4

Keywords

  • Medication disposal
  • Medication waste
  • Saudi Arabia
  • Unused medications