Analysis of pharmaceutical waste received in educational practices towards the promotion of conscious disposal of unused or expired medicines in Goiás state, Brazil
DOI:
https://doi.org/10.22239/2317-269X.01314Keywords:
Environmental Pollution, Drug Utilization, Medical Waste, Waste Management, Drug PublicityAbstract
Introduction: Annually, 10–28 thousand tons of medicines are inappropriately discarded in the environment by Brazilian consumers, being a great problem in public and environmental health. The lack of knowledge of the population about the impacts generated is one of the factors that promote this scenario. Objective: To perform the characterization of expired or unused medicines received in educational practices in Goiânia, Goiás State, Brazil. Method: Educational practices and receipt of expired/unused medicines occurred in June, October and December 2018 in different places of Goiânia (educational institution, municipal parks etc). The medicines were characterized regarding the pharmaceutical form, therapeutic classes, compliance with current Brazilian legislation etc, and forwarded to an environmentally correct disposal. Results: 866 medicines were received, predominantly products of national origin (98.72%), human use (97.46%), solid pharmaceutical forms (75.64%), unused (10.16%) or expired (86.26%), and industrialized medicines of the generic (26.32%), similar (39.26%) or reference (28.86%) types. In addition, 17.10% were free medicine samples, mainly contraceptives, antihypertensives and antibacterials. Moreover, 7.51% were medicines under special control (Ordinance No. 344/1998), while 9.12% were antimicrobials with a need for retention of the prescription (RDC No. 20/2011). Among the drugs classified in the therapeutic classes covered by the RDC No. 222/2018, 344 (39.72%) were received, among them: antimicrobials (18.93%), hormones (14.20%), immunosuppressants (6.12%) and antiretrovirals (0.47%). Conclusions: In view of the large amount of pharmaceutical waste characterized in this study, it is highlighted the need to promote continuing educational practices to provide the population with correct information and public awareness. Moreover, it is important to establish effective legislative instruments to promote the environmentally correct disposal of expired/unused medications found in household environments.
Downloads
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Health Surveillance under Debate: Society, Science & Technology (Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnología) – “Visa em Debate”

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
COPYRIGHT ALLOWANCE The author (s) hereinafter designated as the ASSIGNOR hereby assign and transfer, free of charge, the ownership of the copyrights related to this ARTICLE to the Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debate, represented by FUNDAÇÃO OSWALDO CRUZ, established at Av. Brasil, nº 4365, Manguinhos, Rio de Janeiro, RJ, Brazil, CEP 21045-900, under the conditions set out below: (a) The terms and conditions set forth in this Agreement shall apply to the following: 1. The ASSIGNOR declares that they s(he) is (are) the author (s) and owner (s) of the copyrighted property of the ARTICLE submitted. 2. The ASSIGNOR declares that the ARTICLE does not infringe the copyrights and / or other property rights of third parties, that the disclosure of images (if any) has been authorized and that they s(he) assume(s) full moral and / or property liability for its content, before third parties. 3. THE ASSIGNOR assigns and transfers all copyrights relating to the ARTICLE to the ASSIGNEE, especially the rights of editing, publication, translation into another language and reproduction by any process or technique. The ASSIGNEE becomes the exclusive owner of the rights related to the ARTICLE, and any reproduction, totally or partially, is prohibited in any other means of publicity, printed or electronic, without prior written authorization from the ASSIGNEE. 4. The assignment is free and, therefore, there will be no remuneration for the use of the ARTICLE by the ASSIGNEE.