Unsafe Disposal of Medications Affects You, Me, and Our Environment

TONI ABBEY | ONCOLOGY NURSE NAVIGATOR | APRIL 28 2018

Throughout my oncology career I have felt a bit unsettled knowing the multitude of medications our patients receive. Many of these medications may go unused for a number of reasons – either the medication stopped working or was no longer tolerated or needed, the treatment regimen was changed, or symptoms were abated. Under most circumstances, unused medication cannot be returned to a local pharmacy – a two-fold issue, as we are responsible for keeping them from getting into the wrong hands, and disposing of them in an environmentally sound manner.

Because most individuals are not aware of how to properly dispose of medications, – billions are  flushed down toilets, drains, and dumped into landfills. Improperly disposing of pharmaceuticals is worrisome, because by default they are designed to alter normal biological processes. Epidemiologists, endocrinologists, and other scientists do not yet understand the full effects of the collective exposure of these medications on humans, and to top that, the sheer volume of medications – including over-the-counter herbs, vitamins and minerals – continues to be increasingly consumed and excreted by Americans every day.

It is most concerning that studies are showing evidence of antibiotics in our sewage, which is contributing to the creation of antibiotic-resistant bacteria. Other common medications found in our sewage are anti-depressants, hormone medications, birth control pills, and other endocrine disruptors, which are chemicals that can mimic hormones and interfere with the hormone system in mammals. Some of these can contribute to the growth of cancerous tumors, birth defects, and other developmental disorders. Because it is so costly to upgrade wastewater and sewage treatment techniques to a system that removes these chemicals, many municipalities do not have them. What we can do to minimize the effects of prescription medications is take personal responsibility to follow accepted standards for the disposal of our own unused medications now. Here’s how: 

  1. Talk to your Pharmacist. Research shows that pharmacists are some of the most accessible healthcare professionals. As medication experts, pharmacists are available to guide you on how to properly dispose of your unused medications.
  2. Never flush medications down the drain or toilet. There are several other methods to properly dispose of medications on your own. Please link to the resources below.
  3. Chemotherapy medications must be treated as bio-hazardous waste. Contact the Specialty Pharmacy that dispensed or mailed you the medication for complete instructions regarding proper disposal. You may also call the pharmacist at the clinic or hospital that prescribed the medication.

Take-Back programs are the safest and most environmentally friendly way to dispose of prescription medications, preventing both misuse and abuse.

In Durango, Colorado, we are fortunate to have a year-round local Take-Back program, which is sponsored by the Durango Police Department. The disposal bin is located at 990 E. 2nd Ave., Durango, Colorado, with a detailed list of medications that will be accepted on Monday-Friday, 8 am-4:30 pm. Take-Back programs DO NOT accept any form of chemotherapy medications.

Where do the medications go from there? Currently the most common way of rendering medications and controlled substances as unusable is through incineration, which is a process that ensures the medication does not get into the wrong hands, or end-up in our community water system.

Please remember that most of our municipal wastewater treatment plants are not designed to treat water for the removal of all prescription and over-the-counter medications and cannot remove most of the chemicals and compounds in medications that are being released directly into our waterways. It is imperative that we all do our part to dispose of medications in the recommended ways to ensure that others and our streams, lakes, and rivers stay healthy! 

Safe Storage and Disposal of Medications (Cancer.Net)
AWaRXe Safe Disposal Site Locator
FDA’s Safe Disposal of Medications – or call 888-463-6332

 

 

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Holding Courage Retreat

Ghost RanchTONI ABBEY | ONCOLOGY NURSE NAVIGATOR | JUNE 7 2016

Over the weekend we visited the Ghost Ranch to experience some of the awe-inspiring spiritual geology where Georgia O’Keeffe lived and painted in her lifetime. While there we discovered an incredible resource at Ghost Ranch specifically for cancer survivors – “Holding Courage Retreats,” which are designated as a week-long haven for women who are experiencing cancer.  Their goal is for women to “spend time in a positive process that melds inner reflection and creativity with spirituality through group discussion and sharing, guided mediation, massage, yoga, body and breath work, and art and music therapy.”  The program ends each day with a refreshing, star-filled sky of earned sleep within the majestic canyons and mesas which surround the Ghost Ranch.  For more information, please see Ghost Ranch Holding Courage Retreats or contact Deena and Maureen at HoldingCourageRetreats@gmail.com. The next retreat is August 21-August 27th 2016, and they will hold two more retreats in November of 2016.

What a wonderful gift to share with survivors in our region! Thanks Maureen and Deena for all your work to provide this wonderful experience for cancer survivors.

 

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The “We” in our Website

TONI ABBEY, RN, OCN | FOUNDER | JULY 15, 2014

Take it from me — building a functional website is an intimidating and overwhelming process! As with any new undertaking, there can be glitches. If there is something that isn’t working on our site, please be gracious by dropping us a line to let us know.

Our intention is to be the centralized source of cancer resources in Southwest Colorado. In meeting this intention, by linking to our  Pinterest Boards you will find a wealth of resources, inspiration and articles. These resources may be the perfectly timed bit of information for you, your friends, caregivers, or to help others on their journey to wellness. Don’t forget to check out our Facebook page to discover more about what we are up to.

And for what’s to come:  We can’t wait to share the musings from our guest bloggers – professionals from our communities, experts from all walks of life – as contributors to our Blog.

We are so happy to be here, and to have a nesting place for Blueprints of Hope.

 

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A bird’s-eye view …

bicycle on green meadow

TONI ABBEY, RN, OCN | FOUNDER | JUNE 30, 2014

We are fortunate in Southwest Colorado to have a wonderful cancer care community with an accredited cancer program that works to provide cancer treatment and supportive care throughout treatment and beyond. Our medical community does what they are able to for those experiencing cancer, but as with cancer care everywhere, there are not enough hours in the day to do it all.

The concept for Blueprints of Hope developed when we recognized that once individuals who were experiencing cancer left the comfort and care of their cancer-care providers, many needs remained unmet. This wasn’t because the cancer care they received wasn’t great, but that there are so many needs to be addressed within the cancer care realm. It’s a systemic problem, and happens across the spectrum of cancer care everywhere.

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