Storage, Reuse and Disposal Practices of Home - Stored Medicines in Urban Households in Pune, India

Authors

  • Sonali Suryawanshi Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India
  • Priti P Dhande Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India
  • Jayshree S Dawane Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India
  • Aadya Bhavsar Bharati Vidyapeeth (Deemed to be University) Medical College, Pune, India

DOI:

https://doi.org/10.55489/njcm.150220243449

Keywords:

storage, medicine, disposal, household, developing countries

Abstract

Background: Improper home medicine storage is a global issue that leads to medicine wastage contributing to adverse effects. There have only been a few community-based research studies for in-home drug storage methods, reasons for use and its disposal ways among the consumers of India, until date.

Methodology: A descriptive, cross-sectional study was done from April 2023 to June 2023. Data were collected by face-to-face interview of household representative using pretested structured questionnaire on medicines in households, their utilization, storage and disposal practices.

Results: Most of the participants (78.3%) were educated to the level of graduation and above and their common reported source of procurement for stored medicines was doctor’s previous prescriptions (61.79%) where 42.5% of them stored medicines for anticipated future use. Commonly stored drugs in households were analgesics and antihistaminics and drugs for digestive system while only 5.3% stored antibiotics mostly for ongoing treatment. Unsafe storage practices like storing medicines without proper labelling (65%) and within reach of children (33.49%) were found in the study. Also, 42.45% participants reported to share stored medicines with family members and friends. Major practice for drug disposal was reported as throwing in household garbage (93.1%).

Conclusion: In current study, 100% prevalence of in-home storage medication practices among the well-educated consumers without proper care taken for their use, storage and disposal which may pose a risk to the environment as well as humans.

References

Jafarzadeh, A., Mahboub-Ahari, A., Najafi, M. et al. Medicine storage, wastage, and associated determinants among urban households: a systematic review and meta-analysis of house-hold surveys. BMC Public Health 21, 1127 (2021). Doi: https://doi.org/10.1186/s12889-021-11100-4 PMid:34118923 PMCid:PMC8196539

Maharana, S. P., Paul, B., Dasgupta, A., Garg, S.Storage, reuse, and disposal of unused medications:A cross-sectional study among rural households of Singur, West Bengal. International Journal of Medical Science and Public Health, 2017, 6(7): 1185-1190. Doi: https://doi.org/10.5455/ijmsph.2017.0408219042017

Ocan M, Bbosa GS, Waako P, et al. Factors predicting home storage of medicines in northern Uganda. BMC Public Health. 2014;14(1):1. Doi: https://doi.org/10.1186/1471-2458-14-650 PMid:24964746 PMCid:PMC4229978

Shaghaghi A, Asadi M, Allahverdipour H. Predictors of self-medication behavior: a systematic review. Iran J Public Health. 2014;43(2):136.

Narang P, Garg V, Sharma A. Regulatory, safety and economic considerations of over-the-counter medicines in the Indian population. Discover Health Systems. 2023 May 22;2(1):17. Doi: https://doi.org/10.1007/s44250-023-00032-y PMid:37251102 PMCid:PMC10201516

World Health Organization. Promoting rational use of medi-cines: Core components. WHO Policy Perspectives on Medi-cines, No. 5. Geneva: World Health Organization;2002. Available from: http://www.who.int/medicines/publications/policyperspectives/ppm05en.pdf. [Last accessed on 2022 Dec.10]

Law AV, Sakharkar P, Zargarzadeh A, Tai BWB, Hess K, Hata M, Mireles R, Ha C, Park TJ. Taking stock of medication wast-age: unused medications in US households. Res Social Adm Pharm. 2015;11(4):571-578. Doi: https://doi.org/10.1016/j.sapharm.2014.10.003 PMid:25487420

West LM, Diack L, Cordina M, Stewart D. A systematic review of the literature on 'medication wastage': an exploration of causative factors and effect of interventions. Int J Clin Phar-macol. 2014;36(5):873-881. Doi: https://doi.org/10.1007/s11096-014-9981-2 PMid:25037952

Ruhoy IS, Daughton CG. Beyond the medicine cabinet: an analysis of where and why medications accumulate. Environ Int. 2008;34(8):1157-1169. Doi: https://doi.org/10.1016/j.envint.2008.05.002 PMid:18571238

Daughton CG, Ruhoy IS. The afterlife of drugs and the role of pharm Ecovigilance. Drug Saf. 2008;31(12):1069-1082. Doi: https://doi.org/10.2165/0002018-200831120-00004 PMid:19026025

Kheir N, El Hajj MS, Wilbur K, Kaissi RML, Yousif A. An explor-atory study on medications in Qatar homes. Drug Healthc Pa-tient Saf. 2011; 3: 99-106. Doi: https://doi.org/10.2147/DHPS.S25372 PMid:22279414 PMCid:PMC3264424

Bennadi D. Self-medication: A current challenge. Journal of basic and clinical pharmacy. 2013 Dec;5(1):19. Doi: https://doi.org/10.4103/0976-0105.128253 PMid:24808684 PMCid:PMC4012703

Sorensen L, Stokes JA, Purdie DM, et al. Medication manage-ment at home:medication risk factor prevalence and inter-relationships. J Clin Pharm Ther.2006;31(5):485-91. Doi: https://doi.org/10.1111/j.1365-2710.2006.00768.x PMid:16958827

Wieczorkiewicz SM, Kassamali Z, Danziger LH. Behind closed doors: medication storage and disposal in the home. Ann Pharmacother. 2013;47(4):482. Doi: https://doi.org/10.1345/aph.1R706 PMid:23535813

James TH, Helms ML, Braund R. Analysis of medications re-turned to community pharmacies. Ann Pharmacother. 2009;43(10):1631-5. Doi: https://doi.org/10.1345/aph.1M209 PMid:19776296

De Bolle L, Mehuys E, Adriaens E, Remon J-P, Van Bortel L, Christiaens T. Home medication cabinets and self-medication: a source of potential health threats? Ann Pharmacother. 2008;42(4):572-9. Doi: https://doi.org/10.1345/aph.1K533 PMid:18364405

Abou-Auda HS. An economic assessment of the extent of medication uses and wastage among families in Saudi Arabia and Arabian gulf countries. Clin Ther. 2003;25(4):1276-92. Doi: https://doi.org/10.1016/S0149-2918(03)80083-8 PMid:12809973

Dayom D, Enato E, Mantim N, Dangiwa D. Expired and leftover medicines in the home: potentials for accidental drug poison-ing in children. Int J Pharm Ther. 2014;5(4):283-8.

Ekedahl AB. Reasons why medicines are returned to Swedish pharmacies unused. Pharm World Sci. 2006;28(6):352-8. Doi: https://doi.org/10.1007/s11096-006-9055-1 PMid:17221141

Mirza N, Ganguly B. Utilization of medicines available at home by general population of rural and urban set up of Western India. J Clin Diagn Res. 2016;10(8):FC05-9. Doi: https://doi.org/10.7860/JCDR/2016/20600.8298 PMid:27656460 PMCid:PMC5028514

Kumar V, Mangal A, Yadav G, Raut D, Singh S. Prevalence and pattern of self-medication practices in an urban area of Delhi, India. Med J DY Patil Univ 2015; 8:16-20. Doi: https://doi.org/10.4103/0975-2870.148828

Hardon A, Hodgkin C, Fresle D. How to investigate the use of medicines by consumers? In How to investigate the use of medicines by consumers 2004 (pp. 89-89).

Chung, S., Brooks, B. Identifying household pharmaceutical waste characteristics and population behaviors in one of the most densely populated global cities. Resources, Conserva-tion and Recycling, 2019, 140: 267-277. Doi: https://doi.org/10.1016/j.resconrec.2018.09.024

Organization WH. Promoting rational use of medicines. In: WHO Regional Office for South-East Asia; 2011.

Kar SS, Pradhan HS, Mohanta GP. Concept of essential medi-cines and rational use in public health. Indian journal of com-munity medicine: official publication of Indian Association of Preventive & Social Medicine. 2010 Jan;35(1):10. Doi: https://doi.org/10.4103/0970-0218.62546 PMid:20606912 PMCid:PMC2888334

Organization WH: Annex 9: guide to good storage practices for pharmaceuticals. WHO Technical Report Series 2003. Available from: https://www.who.int/medicines/areas/quality_safe-ty/quality_assurance/GuideGoodStoragePracticesTRS908 Annex9.pdf?ua=1. (Accessed 20 Feb 2023)

Aditya S, Singh H. Safe medication disposal: Need to sensitize undergraduate students. International Journal of Pharmacy & Life Sciences. 2013 Mar 1;4(3).

Auta A, Omale S, Shalkur D, Abiodun AH. Unused medicines in Nigerian households: Types and disposal practices. J Pharma-col Pharmacother. 2011;2(3):195-6. Doi: https://doi.org/10.4103/0976-500X.83290 PMid:21897719 PMCid:PMC3157135

Amoabeng IA, Otoo BA, Darko G, Borquaye LS. Disposal of Unused and Expired Medicines within the Sunyani Municipali-ty of Ghana: A Cross-Sectional Survey. J Environ Public Health. 2022 May 26; 2022:6113346. Doi: https://doi.org/10.1155/2022/6113346 PMid:35664422 PMCid:PMC9162851

Yousef AM, Al-Bakri AG, Bustajani Y, Wazaify M. Self-medication patterns in Amman, Jordan. Pharm World Sci. 2008;30(1):24-30. Doi: https://doi.org/10.1007/s11096-007-9135-x PMid:17562220

Manocha S, Suranagi UD, Sah RK, Chandane RD, Kulhare S, Goyal N, et al. Current Disposal Practices of Unused and Ex-pired Medicines Among General Public in Delhi and National Capital Region, India. Curr Drug Saf. 2019;15(1):13-9. Doi: https://doi.org/10.2174/1574886314666191008095344

Sharad Arun Nigam, 2Balakeshwa Ramaiah. Current Disposal Practice Trends of Unused and Expired Medicines Among General Public in Hegde Nagar, Bangalore, India.International Journal for Research Trends and Innovation Volume 8, Issue 1 -239 -43.

Jafarzadeh A, Mahboub-Ahari A, Najafi M, Yousefi M, Dalal K. Medicine storage, wastage, and associated determinants among urban households: a systematic review and meta-analysis of household surveys. BMC Public Health. 2021 Jun 12;21(1):1127. Doi: https://doi.org/10.1186/s12889-021-11100-4 PMid:34118923 PMCid:PMC8196539

Ayele Y, Mamu M. Assessment of knowledge, attitude and practice towards disposal of unused and expired pharmaceuticals among community in Harar city, Eastern Ethiopia. J Pharm Policy Pract. 2018;11(1):1-7. Doi: https://doi.org/10.1186/s40545-018-0155-9 PMid:30459955 PMCid:PMC6236888

Deviprasad PS, Laxman CV. Cross sectional study of factors associated with home storage of medicines. J Chem Pharm Res. 2016;8(8):1114-20.

Banat SB, Auta A, Dayom DW, Buba Z. Assessment of the stor-age and disposal of medicines in some homes in Jos north lo-cal government area of Plateau State, Nigeria. Trop J Pharma-ceut Res. 2016;15(5):989-93. Doi: https://doi.org/10.4314/tjpr.v15i5.13

Martins RR, Farias AD, Oliveira Y, Diniz RDS, Oliveira AG. Prevalence and risk factors of inadequate medicine home storage: a community-based study. Rev Saude Publica. 2017; 51:95. Doi: https://doi.org/10.11606/S1518-8787.2017051000053 PMid:29166438 PMCid:PMC5676701

Ristić G, Đorđević A, Hristov S. A regional model for house-hold pharmaceutical waste management. Proceedings of the Institution of Civil Engineers-Waste and Resource Manage-ment. 2016;169(4):191-9. Doi: https://doi.org/10.1680/jwarm.16.00004

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Published

2024-02-01

How to Cite

1.
Suryawanshi S, Dhande PP, Dawane JS, Bhavsar A. Storage, Reuse and Disposal Practices of Home - Stored Medicines in Urban Households in Pune, India. Natl J Community Med [Internet]. 2024 Feb. 1 [cited 2024 Nov. 3];15(02):127-33. Available from: https://njcmindia.com/index.php/file/article/view/3449

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Original Research Articles