Pharmaceutical Waste Reduction Strategies
Administer a patient-specific dosage
Prepackaged unit dose drugs are replaced with patient specific doses to prevent waste from partial use, especially in neonatal and pediatric units. This strategy may also be used for drugs that are acutely toxic waste when discarded, whose "containers" must also be managed as hazardous waste.
Reduces Amount: Yes
Reduces Toxicity: No
Examples of Applying this Strategy
In hospital units where doses are often customized, like neonatal and pediatrics, using patient-specific instead of prepackaged doses reduces the amount of medication wasted.
Delivery Method(s): Intravenous (IV), Injectable, Inhalation, Oral Liquid, Oral Tablet
For more information:
Smith, Charlotte, Pines, Eydie et al. "Managing Pharmaceutical Waste: A 10-Step Blueprint for Healthcare Facilities In the United States." Practice Greenhealth, 2008.
Healthcare Environmental Resource Center
Phone: (734) 995-7989 |
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By limiting the use of one-size-fits-all drug dosing the amount of drugs wasted is reduced by decreasing the number of adverse drug reactions (ADRs). Reducing ADRs results in reducing the amount of drugs needed to counteract the adverse reaction, reduces the drugs that accumulate and are stored after a change in treatment recommended by a physician, and through less waste caused by patient self-adjusting the does while still maintaining a standard dose fill-rate.
Delivery Method(s): Oral Tablet
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For more information:
Daughton, Christian G. "Cradle-to-Cradle Stewardship of Drugs for Minimizing Their Environmental Disposition While Promoting Human Health." Environmental Health Perspectives. 2003 May; 111(5):757-774.
Christian Daughton
Phone: (702) 798-2207
Email: daughton.christian@epa.gov |
Additional Resources
See pages 53-54 of "Managing Pharmaceutical Waste: A 10 Step Blueprint for Healthcare Facilities in the United States." https://www.hercenter.org/hazmat/tenstepblueprint.pdf
CDC's frequently asked questions on single dose vials
http://www.cdc.gov/injectionsafety/providers/provider_faqs_singlevials.html
CDC's frequently asked questions on multi-dose vials
http://www.cdc.gov/injectionsafety/providers/provider_faqs_multivials.html
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