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CDSCO lists 17 drugs safe to flush to prevent harm from misuse at home
The list is part of the central drug regulator's draft guidance document for the safe disposal of unused or expired drugs, aimed at preventing antimicrobial resistance (AMR) and other public health risks.
'There is a small number of medicines that may be especially harmful and, in some cases, fatal with just one dose if they are used by someone other than the person for whom the medicine was prescribed,' the CDSCO stated in a guidance document dated 26 May.
The CDSCO added that the objective of the guidance document is to provide clear and comprehensive instructions, in accordance with the Drugs and Cosmetics Act and other applicable laws, for the safe disposal of expired and unused drugs.
Unscientific disposal of unused or expired medicines is considered one of the primary sources of environmental pollution, with carelessly discarded antibiotics seeping into soil and water bodies and eventually affecting human life.
'In an effort to tackle the unsafe disposal of unused drugs, state governments, in coordination with local bodies, may establish the methodology and facilities for the collection and disposal of unused or expired drugs according to the provisions of the Biomedical Waste Management Rules, 2016,' the document added.
The draft guidance also details methods for the collection, storage, transport and disposal of 11 other types of expired or unused drug dosages and packaging, with separate instructions for manufacturers, wholesalers, retailers, hospitals and other stakeholders.
These include anti-infectives, antineoplastics, radioactive drugs, and medicines in packaging such as ampoules, aerosol canisters and PVC materials, among others.
The draft proposal for the safe disposal of unused and expired medicines comes five years after it was first placed at the 58th meeting of the Drugs Consultative Committee (DCC) of the CDSCO in July 2020. The committee had recommended constituting a sub-committee to examine the issue and prepare the guidance document.
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Indian Express
2 days ago
- Indian Express
CDSCO lists 17 drugs you should ‘flush down sink or toilet' on expiry and not throw in trash; here's why
Most of us have a common habit of discarding expired medicines in the dustbin. However, according to the Central Drugs Standard Control Organisation's (CDSCO) latest advisory, flushing certain expired or unused drugs down the toilet should be the norm, rather than throwing them in the dustbin. According to CDSCO, improper disposal of expired, unused drugs may be hazardous to public health, animal health, and the environment. It has also been noted as one of the key factors contributing to the growth of Anti-Microbial Resistance (AMR), as stated in a notification dated May 26, 2025. In the same notification, it listed a 'small number of medicines' that may be especially harmful and, in some cases, fatal if used by someone other than the person for whom the medicine was prescribed. 'Expired, unwanted, or unused medicines should be flushed down the sink or toilet to help prevent danger to people and pets in the home.' Notably, an expired drug refers to a drug which had crossed the expiry date mentioned on the label. Further, unused drugs refer to the medications that have not been used by the individual for whom they were prescribed or purchased. The drug regulator noted that expired drugs may come into contact with scavengers and children if a landfill is insecure. 'Pilfering from a stockpile of waste drugs or during sorting may result in expired drugs being diverted to the market for resale and misuse. Most pharmaceuticals past their expiry date become less efficacious, and a few may develop a different adverse drug reaction profile.' What are the risks if these medicines are thrown away or stored carelessly? To gain a deeper understanding, we consulted an expert. Dr Amit Saraf, director of internal medicine at Jupiter Hospital in Thane, called improper disposal 'a real danger.' 'Some painkillers, anxiety medications, or sedatives can lead to overdose or poisoning if someone takes them by mistake. Over time, improper disposal adds to antimicrobial resistance and environmental pollution. Keeping expired drugs at home also increases the risk of self-medication or misuse,' said Dr Saraf. Agreeing with CDSCO's stance, Dr Saraf said that flushing certain high-risk medicines, like opioids and sedatives, prevents accidental consumption or misuse. 'If they are thrown in the household trash, children, pets, or waste workers might find them. Some of these drugs can be deadly even in a single dose if taken by someone who shouldn't,' said Dr Saraf. What is the purpose of this move? The CDSCO aims to minimise harm to people, animals, and the environment. If these medicines are thrown away improperly, they can end up in landfills, contaminating soil and water. 'Some may also be misused if they get into the wrong hands. The guidance on flushing applies to a list of 17 high-risk drugs that are dangerous without medical supervision,' asserted Dr Saraf. What do doctors think about this advisory? Doctors generally support the move, especially those in public health and pharmacology. 'Safe disposal is part of responsible prescribing. We often instruct patients on how to take medicines, but we seldom explain how to dispose of them. This action raises awareness among healthcare providers and patients about the life cycle of medicines, even after they are no longer used,' said Dr Saraf. DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.
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First Post
4 days ago
- First Post
India's drug regulator wants you to flush these 17 expired drugs immediately. Here's why
The Central Drugs Standard Control Organisation (CDSCO) has released a list of 17 drugs, if expired, to be flushed down the toilet immediately rather than discarded. CDSCO says fentanyl, tramadol and tapentadol are among those that could be harmful if discarded improperly. Here's what you need to know read more The CDSCO has listed 17 drugs that should be flushed and not thrown in the dustbin. AI-generated image How do you dispose of expired medicines? Do you just toss them in the bin? If so, India's apex drug regulatory body has a warning for you. The Central Drugs Standard Control Organisation (CDSCO) has released a list of 17 drugs which should be flushed down the toilet rather than thrown in the dustbin if they are expired or unused. The body warns that if not discarded properly, these drugs could be harmful to people and the environment. STORY CONTINUES BELOW THIS AD We take a look. Which drugs should be flushed, not thrown out? The CDSCO has listed 17 drugs, mostly narcotic medicines, that should be flushed down the drain and not dumped in the dustbin. These include fentanyl, tramadol, tapentadol, oxycodone and several other painkiller drugs as well as Diazepam, an anti-anxiety medication. What's the rationale behind it? According to the CDSCO, these 17 medicines could be harmful and even fatal, with only one dose, if they are taken by anyone other than the person for whom they were prescribed. The apex drug regulatory body said in its Guidance Document on Disposal of Expired/Unused Drugs that safe and proper disposal of expired or unused medicines is needed for protecting the environment and public health, reported PTI. It said that if these listed drugs are kept unwanted, unused or expired at home, they should be flushed down the sink or toilet to prevent danger to people and pets. Expired drugs have crossed the expiry date on the label, while unused medicines are those that have not been used by the person for whom it was prescribed, the CDSCO said in its guidelines. 'Improper disposal of expired/unused drugs is detrimental to human, animal and environment and may be hazardous if it leads to contamination of water supplies or local sources used by nearby communities or wildlife. Expired drugs may come into the hands of scavengers and children if a landfill is insecure,' its document said. Drugs have to be discarded properly, or else they can harm people and the environment. Representational Image/Pixabay The regulatory body warned that pilfering from a stockpile of waste drugs or during sorting could lead to expired drugs reaching the market for resale and misuse. However, the CDSCO underlined that for medications that are commonly used by people, there is a need for scientific disposal to prevent environmental pollution. For this, it recommended that state drug control departments and the chemists and druggists' association jointly launch the 'drug take back' initiative under which people can return unused or expired drugs. STORY CONTINUES BELOW THIS AD 'Initially, state drugs control departments and concerned chemists and druggists' associations may jointly launch 'drug take back' site programme at designated locations, where people can drop expired or unused drugs from their homes and that can be disposed finally by such associations under intimation to concerned state drug licencing authority with the help of registered/licenced external agencies,' the document said. ALSO READ: Wegovy launched in India: How the breakthrough drug triggers weight loss How poor disposal of drugs harms environment Several reports and studies have shown how unscientific disposal of unused or unexpired drugs is polluting the environment and impacting human health. A 2018 study by AIIMS' ocular pharmacology division found that drugs thrown in garbage bins ended up in the environment and contributed to the development of multidrug-resistant pathogens. The findings were based on the analysis of water samples from seven places in the Yamuna River, 35 borewells in Delhi-NCR and the water percolating from waste at the Ghazipur landfill site. The researchers discovered traces of antibiotics and other drugs on the surface of the Yamuna River and areas close to the Ghazipur landfill. STORY CONTINUES BELOW THIS AD The CDSCO's guidelines are aimed at reducing environmental pollution by the discarded drugs and mitigating risk to public health. 'The government's move to formulate a guideline on disposal of unused or expired drugs is commendable indeed. We also plan to develop a pamphlet on how to dispose of drugs that will be given to all patients while being discharged from the hospital to create more awareness on the subject,' Devarati Majumdar, director and chief of pharmacy at Max Healthcare, told Times of India (TOI). 'Expired drugs are essentially chemical waste," a senior environmental health expert told News18, pointing out that they seep into groundwater and rivers, impacting fish and plants, and eventually humans. 'This is why a nationwide awareness campaign and strict disposal protocols are now essential," the person added. With inputs from agencies