Aged Care Insite Issue 105 | Feb-Mar 2018 | Page 22

practical living stockpiling unwanted medicines and the concerns surrounding disposal. ACI: What are some of the potential health risks associated with stockpiling unwanted medicines? Bad medicine Clean out your medicine cabinets, but do so safely, researchers say. Amanda Wheeler interviewed by Dallas Bastian A ustralians are stockpiling unused medicines and it could cause harm, a recent survey has found. Sixty per cent of respondents said they had unwanted medicines in their household. Most were keeping them just in case they were needed again. Of the medicines stored, a third were expired. Lead researcher Professor Amanda Wheeler from Griffith University said while keeping some medicines to use for 20 agedcareinsite.com.au reoccurring conditions, like migraines or asthma, is appropriate, others can be dangerous, as expired medicines may no longer be effective and accidental ingestion could cause harm. The research, published in Australian Health Review, also explored the disposal of medicines and found many people were simply pouring them down the sink or toilet or throwing them in the rubbish. Wheeler said this poses environmental risks and can have negative impacts on humans. Only 17.6 per cent of respondents had heard of the Return Unwanted Medicines (RUM) project, although, once informed, nine out of 10 said they would use it. The study’s authors said the survey provides important insights for health professionals. “It is important for those health professionals who assist consumers to manage their medicines to have strategies in place that routinely identify potential stockpiling and inform consumers about appropriate methods of medicines disposal,” they wrote. Aged Care Insite spoke with Wheeler to discuss the health risks associated with AW: Well, I think most of us have medicines that we no longer need or that have expired in our bathroom cabinets and kitchen cupboards. But storing unwanted medicines in the home can be dangerous. Expired medicines may no longer be effective, and if medicines end up in the wrong hands, they can cause harm from accidental ingestion. In 2015, the Australian Poisons Information Centre reported that more than 5000 children ended up in hospital due to medicine poisonings in Australia, and in the same year they had over 30,000 calls to the poisons centre relating to children who had unintentionally been exposed to medicines. That’s for young people, but another vulnerable group is older people. They’re often taking quite a number of medicines, and if they have lots of no longer needed medicines at home, this can sometimes lead to medication mix-ups, accidental ingestion of medicines they weren’t supposed to be taking, or even doubling up of doses, because it could become quite confusing, so those are the main risks. When is it appropriate to keep unused medicines, and which medicines pose the most risk when kept in a cupboard or drawer for future use? I think keeping medicines for recurring conditions like migraines or angina, or for an asthma reliever medication, is appropriate. What you need to do is check the expiry dates and make sure you know when they’re about to expire, and then when they do expire, take them to the pharmacy, discard them, and get a new prescription from a GP and a new supply. Just keep a check on those medicines. I think often we put things in cupboards and we don’t go back and check what the expiry date is, or how much we have accumulating in the cupboard, or multiple cupboards. Antibiotics are something I think people will keep – they may not have finished a course, or they think they’ll keep them in case they get an infection another time – but really antibiotics target a specific infection, and if you get another infection, it’s best to see your doctor and get him or her to check whether you need