UNUSED AND EXPIRED MEDICATION DISPOSAL PRACTICES AMONG THE GENERAL PUBLIC IN (SEBHA)

Abstract
Evidence shows the improper disposal of unused or expired medications has a significant threat to environmental safety in worldwide. The objective of study to evaluate the knowledge, attitude and practice household population about disposal of unused and expired medication. Methodology: The study was conducted in west southern Libya (Sebha city), during October to April 2021 to April in 2022. Various literature sources were reviewed to develop A self-administered questionnaire with some modification. Result: Out of 650 self-administered only 500 completed questionnaires was returned. Regarding keeping expired drugs (141,28.2%) admitted they kept expired medicines at home compared with those (359, 71.8%) who denied that. The majority of respondents (358, 71,6%) admitted they have at least one medication stored at home. The present study, nearly one-quarter of participants (141,28.2%) admitted they kept expired medicines and over one-half participants also reported they having unused medications 256(51.2%) in their house. Nearly half of respondents (237, 47.4%) reported their unused or expired medicines were taking from the private pharmacies The most common reason cited in this study for possessing the unused medicines at home was " I am need it in the future” which were represented by (244, 48.8%). Following reasons ware "medicines change" and “Symptoms improvement and recovery” which reported by (186,37.2%) and (163,32.6%)of participants respectively. Antibiotics was The largest class of drugs (205, 41.0%) and then followed by antipyretic and analgesic medications which were accounted for (149,29.8%) and (139,27.8%) of respondents respectively. Over the half of participants (261, 52.2%) agreed that disposing of medicines in the garbage is the most appropriate method and in the same time majority of them discarded unused or expired medicines through the garbage regardless dosage form were solid (413,82.6%), liquid(292,58.4%), or semisolid(398,79.6%) while the discarding in bathroom of these three dosage forms represented by (48, 9.6%), (114,22.8%), (61, 12.2%) respectively. Over three quarters of participants (403,80.6%) indicated they were aware of the negative impact of drug waste on the environment and (343,68.6%) of participants denied they have knowledge about how to dispose of drugs. The V majority of the participants (385,77.0%) denied they receive any information on how to dispose of the medication and nearly two thirds of participants (304,60.8%) suggested that medical team is appropriate tool to give awareness for disposing medication Conclusion: the majority of the participants kept the unused medications in their homes and they admitted disposing of them in the garbage although the majority of them declared they were aware of its negative impact on the environment. the government should increase awareness and develop cost-effective medication waste management programs through upholding the pharmacists' role which is able to educate the consumers about properly disposing of their medications and establishing the Return Unwanted Medicines (RUM) Project through community pharmacy services
Description
Keywords
Citation