Assessment of knowledge, attitudes and practices regarding disposal of unused and expired medicines among the general public in Bathinda district, Punjab

Sandeep Kaur; Arshdeep Kaur

doi:10.18203/2394-6040.ijcmph20263607

Authors

Sandeep Kaur Department of Pharmacy, Guru Kashi University, Talwandi Sabo, Bathinda, Punjab, India https://orcid.org/0009-0008-7238-2948
Arshdeep Kaur Department of Pharmacy, Guru Kashi University, Talwandi Sabo, Bathinda, Punjab, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20263607

Keywords:

Unused medicines, Expired medicines, Disposal practices, Public awareness, Environmental pollution, Community health

Abstract

Background: Improper disposal of unused and expired medicines has become an important public health and environmental concern. Lack of awareness regarding safe medication disposal practices may lead to environmental pollution, drug resistance, and adverse health outcomes. The present study aimed to assess the knowledge, attitude, and consumer practices regarding disposal of unused and expired medicines among the general public in Bathinda district, Punjab.

Methods: A community-based cross-sectional observational study was conducted among 152 participants aged above 18 years in Bhucho-kalan, Bhucho-khurd, and Bhucho-mandi areas of Bathinda district. Data were collected using a structured questionnaire through face-to-face interviews after obtaining informed consent. Statistical analysis was performed using Microsoft Excel and IBM SPSS version 22.0. Chi-square test was applied and p<0.05 was considered statistically significant.

Results: Majority of participants (61.2%) reported the availability of expired medicines at home. About 53.3% participants understood expiry of medicines as loss of shelf life, treatment failure, and production of toxins. Most respondents disposed medicines in household trash (59.2%) and only a few returned medicines to pharmacies (5.3%). Significant association was observed between checking expiry dates and demographic factors such as age, education, and occupation status (p<0.05).

Conclusions: Although the public showed awareness regarding environmental hazards associated with improper disposal of medicines, inappropriate disposal practices were still common. Awareness programs, written instructions, and drug take-back initiatives are required to improve safe disposal practices among the general population.

References

AlAzmi A, AlHamdan H, Abualezz R, et al. Patients' Knowledge and Attitude toward the Disposal of Medications. J Pharm. 2017;2017:8516741.

Al-Shareef F, El-Asrar SA, Al-Bakr L, et al. Investigating the disposal of expired and unused medication in Riyadh, Saudi Arabia: a cross-sectional study. Int J Clin Pharm. 2016;38(4):822-8.

Azmi Hassali M, Shakeel S. Unused and expired medications disposal practices among the general public in Selangor, Malaysia. Pharmacy. 2020;8(4):196.

Bashaar M, Thawani V, Hassali MA, Saleem F. Disposal practices of unused and expired pharmaceuticals among general public in Kabul. BMC Public Health. 2017;17(1):45.

Vatovec C, Van Wagoner E, Evans C. Investigating sources of pharmaceutical pollution: Survey of over-the-counter and prescription medication purchasing, use, and disposal practices among university students. J Environ Manage. 2017;198:348-52.

Kassahun H, Tesfaye D. Disposal Practices of Unused Medications Among Patients in Public Health Centers of Dessie Town, Northeast Ethiopia: A Cross Sectional Survey. Integr Pharm Res Pract. 2020;9:65-70.

Kusturica MP, Sabo A, Tomic Z, Horvat O, Solak Z. Storage and disposal of unused medications: knowledge, behavior, and attitudes among Serbian people. Int J Clin Pharm. 2012;34(4):604-10.

Law AV, Sakharkar P, Zargarzadeh A, et al. Taking stock of medication wastage: unused medications in US households. Res Social Adm Pharm. 2015;11(4):571-8.

Lucca JM, Alshayban D, Asulaiman D. Storage and disposal practice of unused medication among the Saudi families: An endorsement for best practice. Imam J Appl Sci. 2019;4(1):1.

Marwa KJ, Mcharo G, Mwita S, et al. Disposal practices of expired and unused medications among households in Mwanza, Tanzania. PLoS One. 2021;16(2):e0246418.

Manocha S, Suranagi UD, Sah RK, et al. Current Disposal Practices of Unused and Expired Medicines Among General Public in Delhi and National Capital Region, India. Curr Drug Saf. 2020;15(1):13-9.

Monga P, Rubi PT, Gupta S, Agrawal BK. Current disposal practice of unused and expired medicines amongst patients visiting a tertiary care hospital in North India. Discov Sci Soc. 2020;24(108):4303-10.

Gidey MT, Birhanu AH, Tsadik AG, et al. Knowledge, Attitude, and Practice of Unused and Expired Medication Disposal among Patients Visiting Ayder Comprehensive Specialized Hospital. Biomed Res Int. 2020;2020:9538127.

Raja S, Mohapatra S, Kalaiselvi A, Rani RJ. Awareness and disposal practices of unused and expired medication among health care professionals and students in a tertiary care teaching hospital. Biomed Pharmacol J. 2018;11(4):2073.

Kusturica MP, Tomas A, Tomic Z, et al. Analysis of expired medications in Serbian households. Slov J Public Health. 2016;55(3):195-201.

Wajid S, Siddiqui NA, Mothana RA, Samreen S. Prevalence and Practice of Unused and Expired Medicine—A Community-Based Study among Saudi Adults in Riyadh, Saudi Arabia. Biomed Res Int. 2020;2020.

Pramestutie HR, Hariadini AL, Ebtavanny TG, Illahi RK, Ilmi SN. Managing unused, damaged, and expired medications: Knowledge and attitudes among people of Malang, Indonesia. J Appl Pharm Sci. 2021;11(9):102-9.

Tit DM, Bungau S, Cseppento CN, Copolovici DM, Buhas C. Disposal of unused medicines resulting from home treatment in Romania. J Environ Prot Ecol. 2016;17(4):1425-33.