5.6. Conclusion (Batz)

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5.6. Conclusion (Batz)

  1. 1. Conclusion<br />GreenPharmEdu.org<br />
  2. 2. Doing Your Part<br />How the practitioner can help:<br />Insert special instructions on proper disposal of medication being prescribed.<br />Be active in pursuing take back programs in state, county or city<br />Informational posters in and around the pharmacy<br />For more information on how to take action in your area please see:<br />http://teleosis.org/gpp-resources.php<br />http://www.groundwater.org/gi/docs_pack/action_ppcp.pdf<br />
  3. 3. Other Available resources<br />The Groundwater Foundation is a nonprofit organization that educates people and inspires
action to ensure sustainable, clean groundwater for future generations:<br />http://www.groundwater.org/<br />The Drug Take-Back Network serves as a central information resource for all parties interested in learning about drug take-back and disposal issues:<br />http://www.takebacknetwork.com/about.html<br />The Teleosis Institute is devoted to developing effective, sustainable health care provided by professionals who serve as environmental health stewards:<br />http://teleosis.org/<br />
  4. 4. References<br />Daughton, C.G. and I.S. Ruhoy. 2009. Environmental footprint of pharmaceuticals: The significance of factors beyond direct excretion to sewers. Society of Environmental Toxicology and Chemistry. (http://www.epa.gov/esd/bios/daughton/ETC-Footprint-2009.pdf) <br />http://www.epa.gov/ppcp/ as of 7/25/2010.<br />Daughton, C.G. 2008 Pharmaceuticals as Environmental Pollutants: the Ramifications for Human Exposure," In: International Encyclopedia of Public Health, Kris Heggenhougen and Stella Quah (Eds.), Vol. 5, San Diego: Academic Press; 2008, pp. 66-102.<br />http://www.epa.gov/ppcp/faq.html#Insimpleterms as of 7/25/2010<br />http://toxics.usgs.gov/highlights/pharm_soils/index.html as of 7/25/2010<br />Kinney, C.A., Furlong, E.T., Werner, S.L., and Cahill, J.D., 2006, Presence and distribution of wastewater-derived pharmaceuticals in soil irrigated with reclaimed water: Environmental Toxicology and Chemistry, v. 25, no. 2, p. 317-326, doi: 10.1897/05-187R.1.<br />Fransman W, Vermeulen R, and Kromhout H. 2005. Dermal exposure to cyclophosphamide in hospitals during preparation, nursing and cleaning activities. Int Arch Occup Environ Health, 78:403-412.<br />Meijster T, Fransman W, Veldhof R, Kromhout H. 2006. Exposure to antineoplastic drugs outside the hospital environment. Ann OccupHyg 50:657-664.<br />http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186187.htm as of 9/12/2010<br />http://www.epa.gov/ppcp/faq.html as of 7/26/2010<br />http://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186188.htm as of 7/25/2010<br />http://www.deadiversion.usdoj.gov/21cfr/cfr/1307/1307_21.htm as of 7/26/2010<br />
  5. 5. References cont.<br />http://pe.usps.com/text/dmm300/601.htm#wp1065404 as of 7/26/2010<br />http://www.epa.gov/aging/RX-report-Exe-Sum/ as of 7/27/2010<br />http://www.takebacknetwork.com/news_t.php# as of 7/27/2010<br />http://nodrugsdownthedrain.org/DrugDropOff.pdf as of 7/27/2010<br />http://www.medicinereturn.com/ as of 7/27/2010<br />http://www.azpharmacy.org/displaycommon.cfm?an=1&subarticlenbr=31 as of 7/27/2010<br />http://www.goodmedicinebadbehavior.org/download/DEA-PillBook-2010.pdf as of 9/7/2010<br />http://www.smarxtdisposal.net/questions.html as of 9/8/2010<br />http://www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf as of 9/12/2010<br />http://www.pharmacy.ca.gov/publications/dont_flush_meds.pdf as of 9/14/2010<br />http://www.namsdl.org/home.htm as of 9/14/2010<br />http://www.namsdl.org/documents/PrescriptionDrugTakeBackProgramsforConsumers2010.pdf as of 9/14/2010<br />

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