The document discusses guidelines for the proper disposal of pharmaceutical waste in Tanzania as outlined by the Tanzania Food and Drug Authority (TFDA). It begins with definitions of key terms related to pharmaceutical waste and healthcare systems. It then describes the structure of Tanzania's national health system and introduces the TFDA guidelines for improper disposal. The guidelines stipulate that pharmaceutical waste must be disposed of safely and legally to avoid environmental contamination and diversion for resale. The document outlines procedures for pharmaceutical waste disposal according to the TFDA guidelines.
Drugs for coagulation, Antiplatelets, Fibrinolytics & AntifibrinolyticsBikashAdhikari26
Hemostasis is the process of stopping blood loss from damaged blood vessels. It involves vascular constriction, platelet plug formation, blood clotting, and fibrous tissue growth. Coagulants promote coagulation and are used to treat hemorrhagic states. Vitamin K is a necessary cofactor for the production of coagulation factors and is used to treat bleeding disorders caused by vitamin K deficiency or impaired coagulation factor synthesis. Antifibrinolytics like tranexamic acid and epsilon amino caproic acid inhibit fibrinolysis by blocking plasminogen and preventing clot dissolution, reducing bleeding in various conditions.
Pharmacology is a broad medical specialty that studies how drugs interact with living systems. It includes the study of drug synthesis, mechanisms of action, effects, and movement through the body. Some key areas are medicinal chemistry, pharmacodynamics, pharmacokinetics, chemotherapy, and toxicology. Drugs are given brand/trade names and have chemical/generic names. Pharmacists complete advanced degrees and dispense drugs through pharmacies and hospitals. Drug actions can be additive, synergistic, induce tolerance, or have idiosyncratic, side, or toxic effects. Major drug classes include analgesics, anesthetics, antibiotics, anticoagulants, antidepressants, antidiabetics, antihistamines, cardiovascular
Renal dialysis is a process that artificially performs the functions of the kidneys for patients with kidney failure. There are two primary types of dialysis - hemodialysis, which uses an external dialysis machine to filter blood outside the body, and peritoneal dialysis, which uses the peritoneal membrane in the abdomen as a filter. Dialysis removes waste and regulates fluid and electrolyte levels by processes of diffusion, ultrafiltration, and osmosis across a semi-permeable membrane. Dialysis is a life-sustaining treatment for end-stage kidney disease.
Drug information slideshare by P. vara lakshmiVaram18
This document provides information on drug information services. It defines drug information as current and critically examined data about drugs and their use for patients or situations. It discusses the history of drug information centers, noting the first was established in 1960 in the US. It outlines the need for such services due to the increasing number and complexity of drugs. The aims of drug information include optimizing decision making and developing guidelines. Sources of drug information are described, and skills, staffing, and operations of drug information centers are covered. The document concludes with examples of common drug information questions.
This document discusses the importance of evaluating clinical literature and provides guidance on how to systematically approach literature evaluation. It describes how to identify the level and type of reference (tertiary, secondary, primary), and provides tips for evaluating different aspects of clinical studies, such as the objective, subjects, treatment administration, setting, methods, controls, and data analysis. The document also discusses how the FDA communicates important drug safety information to healthcare professionals and the public.
Pharmacists in India play an important role in improving healthcare access and health outcomes. Currently there are around 10 lakh pharmacists in India working in various healthcare settings. Pharmacists can help overcome India's shortage of healthcare professionals by providing services like dispensing medicines accurately, counseling patients, aiding national health programs in tuberculosis and HIV/AIDS, and improving access to care in rural communities. By utilizing pharmacists' expertise and expanding their roles, India can more effectively achieve its public health goals.
There are four types of malaria parasites that infect humans. Plasmodium falciparum causes the most serious form of malaria. The parasites are transmitted via the bites of infected female Anopheles mosquitoes. Several anti-malarial drugs are discussed, including chloroquine, quinine, primaquine, artemisinin derivatives, mefloquine, and combinations of sulfadoxine and pyrimethamine. Treatment regimens vary depending on the parasite species and drug resistance patterns. Malaria prevention includes suppressive prophylaxis with drugs like chloroquine, mefloquine, or doxycycline.
Drugs for coagulation, Antiplatelets, Fibrinolytics & AntifibrinolyticsBikashAdhikari26
Hemostasis is the process of stopping blood loss from damaged blood vessels. It involves vascular constriction, platelet plug formation, blood clotting, and fibrous tissue growth. Coagulants promote coagulation and are used to treat hemorrhagic states. Vitamin K is a necessary cofactor for the production of coagulation factors and is used to treat bleeding disorders caused by vitamin K deficiency or impaired coagulation factor synthesis. Antifibrinolytics like tranexamic acid and epsilon amino caproic acid inhibit fibrinolysis by blocking plasminogen and preventing clot dissolution, reducing bleeding in various conditions.
Pharmacology is a broad medical specialty that studies how drugs interact with living systems. It includes the study of drug synthesis, mechanisms of action, effects, and movement through the body. Some key areas are medicinal chemistry, pharmacodynamics, pharmacokinetics, chemotherapy, and toxicology. Drugs are given brand/trade names and have chemical/generic names. Pharmacists complete advanced degrees and dispense drugs through pharmacies and hospitals. Drug actions can be additive, synergistic, induce tolerance, or have idiosyncratic, side, or toxic effects. Major drug classes include analgesics, anesthetics, antibiotics, anticoagulants, antidepressants, antidiabetics, antihistamines, cardiovascular
Renal dialysis is a process that artificially performs the functions of the kidneys for patients with kidney failure. There are two primary types of dialysis - hemodialysis, which uses an external dialysis machine to filter blood outside the body, and peritoneal dialysis, which uses the peritoneal membrane in the abdomen as a filter. Dialysis removes waste and regulates fluid and electrolyte levels by processes of diffusion, ultrafiltration, and osmosis across a semi-permeable membrane. Dialysis is a life-sustaining treatment for end-stage kidney disease.
Drug information slideshare by P. vara lakshmiVaram18
This document provides information on drug information services. It defines drug information as current and critically examined data about drugs and their use for patients or situations. It discusses the history of drug information centers, noting the first was established in 1960 in the US. It outlines the need for such services due to the increasing number and complexity of drugs. The aims of drug information include optimizing decision making and developing guidelines. Sources of drug information are described, and skills, staffing, and operations of drug information centers are covered. The document concludes with examples of common drug information questions.
This document discusses the importance of evaluating clinical literature and provides guidance on how to systematically approach literature evaluation. It describes how to identify the level and type of reference (tertiary, secondary, primary), and provides tips for evaluating different aspects of clinical studies, such as the objective, subjects, treatment administration, setting, methods, controls, and data analysis. The document also discusses how the FDA communicates important drug safety information to healthcare professionals and the public.
Pharmacists in India play an important role in improving healthcare access and health outcomes. Currently there are around 10 lakh pharmacists in India working in various healthcare settings. Pharmacists can help overcome India's shortage of healthcare professionals by providing services like dispensing medicines accurately, counseling patients, aiding national health programs in tuberculosis and HIV/AIDS, and improving access to care in rural communities. By utilizing pharmacists' expertise and expanding their roles, India can more effectively achieve its public health goals.
There are four types of malaria parasites that infect humans. Plasmodium falciparum causes the most serious form of malaria. The parasites are transmitted via the bites of infected female Anopheles mosquitoes. Several anti-malarial drugs are discussed, including chloroquine, quinine, primaquine, artemisinin derivatives, mefloquine, and combinations of sulfadoxine and pyrimethamine. Treatment regimens vary depending on the parasite species and drug resistance patterns. Malaria prevention includes suppressive prophylaxis with drugs like chloroquine, mefloquine, or doxycycline.
The document discusses Drug Induced Kidney Disease (DIKD), specifically drug induced nephrotoxicity. It notes that DIKD is a common complication of various therapeutic agents that can cause abnormalities in acid-base balance, electrolytes, urine sediment, decline in glomerular filtration rate, and increased creatinine and BUN. It identifies several classes of drugs that commonly cause nephrotoxicity like aminoglycosides, amphotericin B, and cisplatin. It also discusses risk factors, clinical presentation, prevention, and various pathological mechanisms of nephrotoxicity including tubular epithelial cell damage, acute tubular necrosis, osmotic nephrosis, and hemodynamically mediated kidney
This document provides an overview of hospital and clinical pharmacy. It discusses the definition and functions of hospital pharmacy, drug distribution systems in hospitals like unit dose and floor ward stock systems. It also covers sterile and non-sterile manufacturing, procurement, and testing. Additional topics include the pharmacy therapeutic committee, hospital formularies, drug information services, and applying computers to pharmacy work. The document then discusses clinical pharmacy practice, patient counseling, common medical terminology, and disease states. It concludes with sections on drug interactions, adverse drug reactions, clinical toxicology, drug dependence, and bioavailability.
This document discusses the management of diarrhea through rehydration and drug therapy. It defines diarrhea and describes oral rehydration solutions for acute diarrhea treatment. Loperamide is recommended for acute diarrhea while opioids like codeine, diphenoxylate, and tincture of opium can be used for chronic diarrhea. Antimicrobial agents may be given if an infectious cause is known. Other drugs discussed for chronic diarrhea include clonidine, octreotide, cholestyramine, bulk forming agents, and certain plant alkaloids, calcium channel blockers, and chloride channel blockers.
The document discusses the Pharmacy and Therapeutics Committee (PTC), which is constituted in hospitals to ensure rational drug use. The PTC is composed of physicians, pharmacists and other healthcare professionals. It plays an advisory, educational and drug safety monitoring role. It develops hospital formularies, monitors adverse drug reactions and provides education to staff. Regular meetings are held to review drug use policies and safety issues. The PTC aims to promote optimal drug therapy through its various functions.
In this presentation i have tried to thoroughly discuss about the concept of Drug induced kidney disease or injury, the mechanism behind it, its classification and how to access it.
Community pharmacies include privately owned establishments that serve the public's need for drugs and pharmaceutical services. They range from corporate chains to independently owned shops. Community pharmacists play an important role in processing prescriptions accurately, counseling patients, monitoring drug use, promoting health, and responding to minor ailments. They must maintain legal and financial records and adhere to a code of ethics regarding their professional activities and relationships.
Role of Pharmacist in healthcare system_Pharmacistday_Proud to be a pharmacistMallikarjuna Mocharlla
Here I would like to discuss the Introduction, Overview, Pharmacy is an art of science, Separation of Pharmacy and Medicine, Manpower imbalance in pharmacy, The scope of pharmacy and the role of pharmacists, Pharmacist Oath of a pharmacist (present scenario)
This document provides information about purchasing and inventory control in a hospital pharmacy setting. It defines key terms like purchasing, types of purchasing, and functions of purchasing. It describes the roles of the purchasing agent and pharmacist in drug procurement. It outlines the purchasing procedure and discusses controlling purchases, storeroom arrangement, inventory processes, and perishable inventory. The document is an assignment on this topic submitted by a pharmacy student to their professor.
This document discusses hyperlipidemia and its treatment. It begins by explaining how elevated lipid levels can lead to atherosclerosis and coronary artery disease. It then outlines different drug classes for treating hyperlipidemia, including statins, fibrates, and niacin, describing their mechanisms of action and side effects. Combination therapies are discussed as being more effective for certain conditions like familial combined hyperlipidemia. The document provides an overview of hyperlipidemia management through pharmacological means.
Alligation involves mixing preparations of different strengths to produce an intermediate strength. It is calculated by:
1) Subtracting the required percentage from the stronger percentage.
2) Subtracting the weaker percentage from the required percentage.
3) The differences are the proportions of the stronger and weaker preparations to mix.
For example, to make 100g of an 8% substance by mixing 10% and 2% preparations, the calculation is:
1) Subtract 8% from 10% = 2%
2) Subtract 2% from 8% = 6%
3) Mix 6 parts of 10% and 2 parts of 2% preparations.
This gives 75g
The document discusses over-the-counter (OTC) drugs in India. It states that OTC drugs do not require a prescription and include drugs not listed as prescription-only. Prescription-only drugs are listed in Schedules H and X and require medical supervision. Drugs in Schedule G require labels stating they are dangerous without medical oversight. The Indian OTC market was worth $1.8 billion in 2009 and is projected to grow 10-12% over 5 years. Common OTC products include digestives, analgesics, and vitamins.
Commonly used instruments in experimental pharmacologyShaikh Abusufyan
For all YouTube Live video practical series of experimental Pharmacology click:
https://youtube.com/playlist?list=PLBVbJ9HCa1Ba6WSJjeBaK0HMF79hdad3g
For More Such Learning You Can Subscribe to
My YouTube Channel:
https://www.youtube.com/channel/UC5o-WkzmDJaF7udyAP2jtgw/featured?sub_confirmation=1
Facebook Page: https://www.facebook.com/asacademylearningforever
Website Blog: https://itasacademy.blogspot.com/
Central nervous system (CNS) depressants are a class of drugs that slow down brain activity and cause muscles to relax. They include benzodiazepines, barbiturates, alcohol, opioids, and some sleeping pills. They work by enhancing the effects of the inhibitory neurotransmitter GABA at GABAA receptors in the brain, resulting in sedative, hypnotic, anxiolytic, and muscle relaxant effects. While effective for treating conditions like anxiety and insomnia, long-term use can lead to tolerance, addiction, and withdrawal symptoms.
This document discusses coagulants and anticoagulants. It describes how coagulants promote coagulation and control bleeding, including systemic coagulants like vitamin K, tranexamic acid, and fibrinogen. Local coagulants called styptics are also discussed. Anticoagulants prevent coagulation and control conditions involving excessive clotting. Common anticoagulants described are heparin, low molecular weight heparin, warfarin and newer oral anticoagulants. Warfarin is a vitamin K antagonist that inhibits vitamin K-dependent clotting factors. Its mechanism of action and factors affecting dosing are summarized.
Use of computers in hospital pharmacy, biostatistics and research methodology...shaistasumayya2
Computers in pharmacy are used for the information of drug data, records and files, drug management (creating, modifying, adding and deleting data in patient files to generate reports), business details.
The document outlines the guidelines for Good Pharmacy Practice (GPP) in Nepal as established by the Nepal Pharmacy Council. It details the major roles of pharmacists in providing quality pharmacy services and medication management. The guidelines specify requirements for pharmacy premises, equipment, manpower, storage, inventory control, services, and documentation to ensure optimal patient care and regulatory compliance. Adherence to GPP aims to improve public health outcomes.
The document discusses various types of antacids, their formulations, mechanisms of action, and precautions. It describes that antacids work by neutralizing stomach acid but their effects only last 20-40 minutes when taken without food. Several antacid brands and their active ingredients are outlined, including Gelusil, Gelusil MPS, and Digene. Potential side effects of antacids like acid rebound, milk-alkali syndrome, and interactions with other drugs are also noted. Manufacturing processes for ingredients like sodium bicarbonate, aluminum hydroxide gel, and potassium citrate are summarized as well.
Blood coagulation involves a balance between procoagulants and anticoagulants that allows blood to clot normally after a vascular injury. Hemostasis is achieved through vascular constriction, formation of a platelet plug, and ultimately a blood clot. Coagulation disorders can result in too little or too much clotting. Anticoagulants like heparin and warfarin are used to treat and prevent thrombotic conditions by inhibiting different steps in the coagulation cascade, but also increase the risk of bleeding.
This document summarizes immunostimulant drugs and immunotherapy. It describes the innate and adaptive immune response and lists immunostimulant microbial products like BCG that boost immune function. Immunostimulant drugs include cytokines, thalidomide, and levamisole. Immunotherapy methods covered are active and passive vaccination, adoptive cell transfer, and cell-based vaccination. The document provides details on specific immunostimulant drugs and their uses and side effects.
The advantage of an Online pharmacy becomes most apparent if you have some form of physical disability which impedes your ability to get around. For someone in that situation, especially in a deprived area, it makes sense to shop for your prescription medicines online, rather than expose yourself to possible harm by making your way to the neighbourhood pharmacy. With an internet connection, one can place an order anytime of the day, year round with the purchase arriving directly at your doorstep. Many people also choose to have an online account as a backup in case of unforeseen circumstances interfering with their supply of medication. Even if you're not physically impaired, buying your medication online can be much easier and hassle free than making a trip to your local pharmacy.
Pharmaceutical Waste Treatment and Disposal Practicesrekhac86
This document discusses treatment and disposal methods for pharmaceutical waste. It describes sorting pharmaceutical waste into categories based on dosage form and recommended disposal methods for each category. The key categories are solids, liquids, and ampoules. For solids like tablets and powders, recommended methods include encapsulation, inertization, and high-temperature incineration. Small amounts of some liquid pharmaceuticals can be flushed down sewers if biodegradable, while other liquids require methods like incineration. Ampoules should be crushed and treated like other solids. Special categories like hazardous, controlled, or cytotoxic drugs require extra precautions.
A small description of what is pharmaceutical waste, hospital and otherwise, some regulations and some of the practices used to manage such waste.
This presentation was done just under 10 minutes which was the time limit.
The document discusses Drug Induced Kidney Disease (DIKD), specifically drug induced nephrotoxicity. It notes that DIKD is a common complication of various therapeutic agents that can cause abnormalities in acid-base balance, electrolytes, urine sediment, decline in glomerular filtration rate, and increased creatinine and BUN. It identifies several classes of drugs that commonly cause nephrotoxicity like aminoglycosides, amphotericin B, and cisplatin. It also discusses risk factors, clinical presentation, prevention, and various pathological mechanisms of nephrotoxicity including tubular epithelial cell damage, acute tubular necrosis, osmotic nephrosis, and hemodynamically mediated kidney
This document provides an overview of hospital and clinical pharmacy. It discusses the definition and functions of hospital pharmacy, drug distribution systems in hospitals like unit dose and floor ward stock systems. It also covers sterile and non-sterile manufacturing, procurement, and testing. Additional topics include the pharmacy therapeutic committee, hospital formularies, drug information services, and applying computers to pharmacy work. The document then discusses clinical pharmacy practice, patient counseling, common medical terminology, and disease states. It concludes with sections on drug interactions, adverse drug reactions, clinical toxicology, drug dependence, and bioavailability.
This document discusses the management of diarrhea through rehydration and drug therapy. It defines diarrhea and describes oral rehydration solutions for acute diarrhea treatment. Loperamide is recommended for acute diarrhea while opioids like codeine, diphenoxylate, and tincture of opium can be used for chronic diarrhea. Antimicrobial agents may be given if an infectious cause is known. Other drugs discussed for chronic diarrhea include clonidine, octreotide, cholestyramine, bulk forming agents, and certain plant alkaloids, calcium channel blockers, and chloride channel blockers.
The document discusses the Pharmacy and Therapeutics Committee (PTC), which is constituted in hospitals to ensure rational drug use. The PTC is composed of physicians, pharmacists and other healthcare professionals. It plays an advisory, educational and drug safety monitoring role. It develops hospital formularies, monitors adverse drug reactions and provides education to staff. Regular meetings are held to review drug use policies and safety issues. The PTC aims to promote optimal drug therapy through its various functions.
In this presentation i have tried to thoroughly discuss about the concept of Drug induced kidney disease or injury, the mechanism behind it, its classification and how to access it.
Community pharmacies include privately owned establishments that serve the public's need for drugs and pharmaceutical services. They range from corporate chains to independently owned shops. Community pharmacists play an important role in processing prescriptions accurately, counseling patients, monitoring drug use, promoting health, and responding to minor ailments. They must maintain legal and financial records and adhere to a code of ethics regarding their professional activities and relationships.
Role of Pharmacist in healthcare system_Pharmacistday_Proud to be a pharmacistMallikarjuna Mocharlla
Here I would like to discuss the Introduction, Overview, Pharmacy is an art of science, Separation of Pharmacy and Medicine, Manpower imbalance in pharmacy, The scope of pharmacy and the role of pharmacists, Pharmacist Oath of a pharmacist (present scenario)
This document provides information about purchasing and inventory control in a hospital pharmacy setting. It defines key terms like purchasing, types of purchasing, and functions of purchasing. It describes the roles of the purchasing agent and pharmacist in drug procurement. It outlines the purchasing procedure and discusses controlling purchases, storeroom arrangement, inventory processes, and perishable inventory. The document is an assignment on this topic submitted by a pharmacy student to their professor.
This document discusses hyperlipidemia and its treatment. It begins by explaining how elevated lipid levels can lead to atherosclerosis and coronary artery disease. It then outlines different drug classes for treating hyperlipidemia, including statins, fibrates, and niacin, describing their mechanisms of action and side effects. Combination therapies are discussed as being more effective for certain conditions like familial combined hyperlipidemia. The document provides an overview of hyperlipidemia management through pharmacological means.
Alligation involves mixing preparations of different strengths to produce an intermediate strength. It is calculated by:
1) Subtracting the required percentage from the stronger percentage.
2) Subtracting the weaker percentage from the required percentage.
3) The differences are the proportions of the stronger and weaker preparations to mix.
For example, to make 100g of an 8% substance by mixing 10% and 2% preparations, the calculation is:
1) Subtract 8% from 10% = 2%
2) Subtract 2% from 8% = 6%
3) Mix 6 parts of 10% and 2 parts of 2% preparations.
This gives 75g
The document discusses over-the-counter (OTC) drugs in India. It states that OTC drugs do not require a prescription and include drugs not listed as prescription-only. Prescription-only drugs are listed in Schedules H and X and require medical supervision. Drugs in Schedule G require labels stating they are dangerous without medical oversight. The Indian OTC market was worth $1.8 billion in 2009 and is projected to grow 10-12% over 5 years. Common OTC products include digestives, analgesics, and vitamins.
Commonly used instruments in experimental pharmacologyShaikh Abusufyan
For all YouTube Live video practical series of experimental Pharmacology click:
https://youtube.com/playlist?list=PLBVbJ9HCa1Ba6WSJjeBaK0HMF79hdad3g
For More Such Learning You Can Subscribe to
My YouTube Channel:
https://www.youtube.com/channel/UC5o-WkzmDJaF7udyAP2jtgw/featured?sub_confirmation=1
Facebook Page: https://www.facebook.com/asacademylearningforever
Website Blog: https://itasacademy.blogspot.com/
Central nervous system (CNS) depressants are a class of drugs that slow down brain activity and cause muscles to relax. They include benzodiazepines, barbiturates, alcohol, opioids, and some sleeping pills. They work by enhancing the effects of the inhibitory neurotransmitter GABA at GABAA receptors in the brain, resulting in sedative, hypnotic, anxiolytic, and muscle relaxant effects. While effective for treating conditions like anxiety and insomnia, long-term use can lead to tolerance, addiction, and withdrawal symptoms.
This document discusses coagulants and anticoagulants. It describes how coagulants promote coagulation and control bleeding, including systemic coagulants like vitamin K, tranexamic acid, and fibrinogen. Local coagulants called styptics are also discussed. Anticoagulants prevent coagulation and control conditions involving excessive clotting. Common anticoagulants described are heparin, low molecular weight heparin, warfarin and newer oral anticoagulants. Warfarin is a vitamin K antagonist that inhibits vitamin K-dependent clotting factors. Its mechanism of action and factors affecting dosing are summarized.
Use of computers in hospital pharmacy, biostatistics and research methodology...shaistasumayya2
Computers in pharmacy are used for the information of drug data, records and files, drug management (creating, modifying, adding and deleting data in patient files to generate reports), business details.
The document outlines the guidelines for Good Pharmacy Practice (GPP) in Nepal as established by the Nepal Pharmacy Council. It details the major roles of pharmacists in providing quality pharmacy services and medication management. The guidelines specify requirements for pharmacy premises, equipment, manpower, storage, inventory control, services, and documentation to ensure optimal patient care and regulatory compliance. Adherence to GPP aims to improve public health outcomes.
The document discusses various types of antacids, their formulations, mechanisms of action, and precautions. It describes that antacids work by neutralizing stomach acid but their effects only last 20-40 minutes when taken without food. Several antacid brands and their active ingredients are outlined, including Gelusil, Gelusil MPS, and Digene. Potential side effects of antacids like acid rebound, milk-alkali syndrome, and interactions with other drugs are also noted. Manufacturing processes for ingredients like sodium bicarbonate, aluminum hydroxide gel, and potassium citrate are summarized as well.
Blood coagulation involves a balance between procoagulants and anticoagulants that allows blood to clot normally after a vascular injury. Hemostasis is achieved through vascular constriction, formation of a platelet plug, and ultimately a blood clot. Coagulation disorders can result in too little or too much clotting. Anticoagulants like heparin and warfarin are used to treat and prevent thrombotic conditions by inhibiting different steps in the coagulation cascade, but also increase the risk of bleeding.
This document summarizes immunostimulant drugs and immunotherapy. It describes the innate and adaptive immune response and lists immunostimulant microbial products like BCG that boost immune function. Immunostimulant drugs include cytokines, thalidomide, and levamisole. Immunotherapy methods covered are active and passive vaccination, adoptive cell transfer, and cell-based vaccination. The document provides details on specific immunostimulant drugs and their uses and side effects.
The advantage of an Online pharmacy becomes most apparent if you have some form of physical disability which impedes your ability to get around. For someone in that situation, especially in a deprived area, it makes sense to shop for your prescription medicines online, rather than expose yourself to possible harm by making your way to the neighbourhood pharmacy. With an internet connection, one can place an order anytime of the day, year round with the purchase arriving directly at your doorstep. Many people also choose to have an online account as a backup in case of unforeseen circumstances interfering with their supply of medication. Even if you're not physically impaired, buying your medication online can be much easier and hassle free than making a trip to your local pharmacy.
Pharmaceutical Waste Treatment and Disposal Practicesrekhac86
This document discusses treatment and disposal methods for pharmaceutical waste. It describes sorting pharmaceutical waste into categories based on dosage form and recommended disposal methods for each category. The key categories are solids, liquids, and ampoules. For solids like tablets and powders, recommended methods include encapsulation, inertization, and high-temperature incineration. Small amounts of some liquid pharmaceuticals can be flushed down sewers if biodegradable, while other liquids require methods like incineration. Ampoules should be crushed and treated like other solids. Special categories like hazardous, controlled, or cytotoxic drugs require extra precautions.
A small description of what is pharmaceutical waste, hospital and otherwise, some regulations and some of the practices used to manage such waste.
This presentation was done just under 10 minutes which was the time limit.
The document discusses pharmaceutical waste management, including definitions, types of pharmaceutical waste, disposal methods, guidelines, and procedures. It describes the different types of pharmaceutical waste, such as cytotoxic, chemical, infectious, and controlled substances waste. It provides details on various waste disposal methods like incineration, immobilization, landfill, and sewer disposal. It also discusses color coding for waste storage, integrated solid waste management, and procedures for waste disposal and record keeping.
Most of the pharmaceutical firms are adapting and following the rules of pharmaceutical waste destruction as they are being regularly monitored by the government.
pharmaceutical waste treatment and disposal proceduremaria grace
The document discusses various treatment and disposal methods for pharmaceutical waste. It begins with introducing the types and origins of pharmaceutical waste water. It then discusses several treatment methods including physical processes like reverse osmosis and evaporation, chemical processes like neutralization and precipitation, thermal processes like incineration and pyrolysis, and biological processes like activated sludge and anaerobic digestion. Specific treatment methods used by the pharmaceutical industry are also highlighted for each category. The document provides details on the mechanisms and applications of various treatment options for pharmaceutical waste.
Pharmaceutical wastes enter water systems through human and veterinary use and improper disposal methods. Studies have found various pharmaceuticals present in surface waters at concentrations high enough to cause deformities in aquatic life. Pharmaceutical wastes are a concern as they may pose unknown health risks to humans. A healthcare action plan outlines steps that health administrators, physicians, and nurses can take to minimize pharmaceutical wastes entering water systems and protect environmental and human health. These include managing disposal programs, avoiding over-prescription of drugs, and educating patients on proper medication disposal.
This document provides guidelines for waste disposal, scrap disposal procedures, and record keeping for a pharmaceutical company. It discusses responsibilities, definitions, regulatory bodies, types of waste, methods of product and waste disposal, procedures, scales of disposal, guidelines, and required records. The types of waste include hazardous, biomedical, radioactive, and different categories defined by WHO. Methods of disposal include incineration, immobilization, discharge to sewer, and chemical decomposition. Strict procedures and record keeping are mandated by regulations.
Waste management in pharmaceutical industryMd Mohsin
The document discusses waste management in the pharmaceutical industry. It outlines different sources and types of pharmaceutical waste and describes treatment methods. Solid waste is treated through incineration and landfilling. Liquid waste undergoes chemical and biological treatment processes in an effluent treatment plant, including screening, oil/grease separation, flocculation, clarification, and filtration through moving bed biological reactors and activated carbon before being discharged. The document provides an overview of pharmaceutical waste streams and standard waste treatment approaches.
The document discusses healthcare waste management. It begins by defining waste and healthcare waste. It then categorizes healthcare waste based on various classification systems such as the UNEP/SBC/WHO system and the BMW Schedule 2011 in India. It discusses the major sources of healthcare waste such as hospitals, medical centers, laboratories, etc. It also provides estimates of healthcare waste generation rates globally and in different countries including Nepal. The document outlines the objectives of the seminar on healthcare waste management.
Medical waste poses risks to public health if not properly managed. It can transmit diseases and cause infections. The amount of medical waste generated varies globally, with wealthier areas producing more waste per hospital bed. Common treatment methods include incineration, autoclaving, microwaving, chemical disinfection, and irradiation. Case studies show that waste reduction, recycling, and reuse programs can lower disposal costs while diverting waste from landfills and incineration. Proper handling, storage, transportation, and treatment are needed to safely manage medical waste.
This document discusses health care waste management. It aims to provide an overview of different categories of health care waste, inform about proper waste segregation and disposal, and raise awareness of environmental issues. The categories include general, infectious, pathological, sharps, pharmaceutical, genotoxic, heavy metal, pressurized, and radioactive waste. Guidelines are provided on segregation by color coding, collection, storage, transportation, treatment and disposal of each waste type. Proper management can help control diseases and protect workers, communities and the environment.
This presentation offers guidance to those hospitals that are rolling out a new pharmacy program as well best practices for maintaining and continuously improving current programs. Take a look and find out why annual program reviews are highly recommended.
Webinar presentation regarding waste stream analysis and best management practices. This presentations covers tactical topics including how to thoroughly and expediently analyze your own waste streams. It includes real life tactics for cost-efficient waste stream management.
Waste generation in pharmaceutical manufacturing industryVishal Duggal
This document discusses waste generation in the pharmaceutical manufacturing industry. It describes the main processes used - fermentation, biological and natural extraction, and chemical synthesis - and the types of wastes generated from each, including spent fermentation broth, solvents, equipment cleaning wastes, and process wastewaters containing unreacted materials. The waste streams can vary significantly based on the specific products and processes used. Water usage and wastewater generation are also significant aspects of pharmaceutical production.
This document provides an overview of the Expanded Program on Immunization (EPI) including its objectives, strategies, elements, and principles of vaccinating children. The key points are:
1) EPI aims to reduce childhood diseases through vaccination coverage of at least 90% for diseases like tuberculosis, diphtheria, pertussis, neonatal tetanus, polio, hepatitis B, and measles.
2) General principles of EPI include administering multiple vaccines on the same day, continuing the vaccination schedule if doses are delayed, and strictly following vaccine storage and handling guidelines.
3) Contraindications to vaccination include severe allergic reactions to previous doses or known vaccine components,
This document provides an introduction to the concepts of pharmacokinetics. It defines pharmacokinetics as the mathematical description of drug behavior in the human body, including absorption, distribution, metabolism and excretion of drugs. The objectives are to teach students how to analyze pharmacokinetic data using graphs and calculations, and apply the principles of pharmacokinetics to predict drug performance and optimize therapeutic outcomes. Key concepts covered include volume of distribution, bioavailability, clearance, and the relationships between drug dose, concentration and pharmacological response over time.
This document provides an overview of pharmacokinetics and drug absorption. It defines key terms like bioavailability, discusses factors that influence drug absorption like lipid solubility and ionization, and mechanisms of drug transport including passive diffusion. Specific topics covered include the first-pass effect, importance of drug and environmental pH on absorption, and how molecular weight impacts absorption. Measurement of areas under the curve is presented as a method for assessing bioavailability.
This document discusses biomedical waste management. It defines biomedical waste and categorizes it into 10 categories. It also classifies hospital wastes and discusses the proper procedures for segregating, packaging, transporting, and storing biomedical waste. Key steps in biomedical waste handling include proper segregation using color-coded containers, disinfection, and disposal in compliance with regulations. Improper practices can lead to injuries and spread of infection. Training of healthcare staff is important.
The document discusses biomedical waste management. It defines medical waste as any waste containing infectious or potentially infectious material generated by healthcare facilities. It outlines the different types of medical waste and how they are classified. The stages of medical waste disposal are described as collection and segregation, storage and transportation, and treatment and disposal. Common treatment methods like incineration and autoclaving are also summarized.
This document discusses hazardous pharmaceutical waste management. Certain pharmaceuticals used in healthcare facilities are considered hazardous waste and must be disposed of following hazardous waste regulations. These include pharmaceuticals that are ignitable, corrosive, reactive, or toxic. Pharmaceutical wastes can also be considered hazardous if they contain ingredients specifically listed as hazardous by the EPA. Hazardous pharmaceutical waste must be collected in closed, labeled containers and disposed of properly. Facilities must train their staff on identifying and managing hazardous pharmaceutical waste to remain in compliance with regulations.
Pharmacovigilance is the monitoring of medications to detect adverse effects. It is needed because pre-marketing clinical trials are limited in detecting all potential adverse reactions. Pharmacovigilance aims to identify new or increased risks, understand underlying causes, and improve prescribing and regulation based on benefit-risk analysis. Spontaneous reporting by healthcare professionals is the primary method, with centers collecting reports to identify signals, educate providers, and communicate risks to patients.
Pharmacovigilance is the science of monitoring the effects of pharmaceutical products after they have been licensed for use, especially in order to identify and evaluate previously unreported adverse reactions. Herb-drug interactions can occur when herbs are taken concurrently with prescription or over-the-counter medications. Some common herb-drug interactions include garlic increasing the breakdown of antiviral drugs, green tea increasing the side effects of oral contraceptives, and liquorice decreasing the effectiveness of antihypertensives. It is important to report any suspected adverse reactions to medications to help ensure safe and effective use of drugs and herbs.
The Drug and Cosmetic Act of 1940 and its Rules of 1945 were passed to regulate the import, manufacture, distribution and sale of drugs and cosmetics in India. The Act defines drugs and cosmetics and establishes schedules that list regulated substances. It provides for licensing of sales and imports, sets labeling and packaging requirements, and qualifies government analysts and drug inspectors to enforce the Act.
The document discusses new EPA regulations for hospital waste incinerators that require improved waste segregation and employee training. It defines various waste streams - municipal solid waste, recyclables, regulated medical waste, pharmaceutical waste, and hazardous waste - and proper disposal methods. Compliance with regulations helps protect health, safety and the environment while reducing disposal costs.
The document discusses the National Agency for Food and Drug Administration and Control's (NAFDAC) role in regulating herbicides in Nigeria. It defines herbicides and pesticides. NAFDAC's mandate is to regulate food, drugs and chemicals. Herbicides are classified as pre-emergent, knockdown, or selective. NAFDAC controls herbicides through product registration and evaluation, labeling requirements, inspections, and promoting safe use. The goal is to make sure herbicides are safe, effective and properly used to protect human and environmental health.
Model Pharmacy Of Bangladesh outlines responsibilities and requirements for model pharmacies in Bangladesh. A model pharmacy must have at least one A grade, B-grade, and two C- grade registered pharmacists. It must maintain records of all dispensed medicines and prescriptions. Temperature must be monitored to remain below 30°C. Pharmacists must provide counseling to patients on dosages, drug information, and ensure understanding and privacy. Only registered medicines can be dispensed, prescription-only medicines require a prescription, and referrals made if a patient's condition exceeds pharmacy capabilities. Required dispensing tools like spatulas and measures must be available. Permitted products and services include prescription medicines, OTC medicines, and medical supplies.
This document discusses bio medical waste management. It defines different types of hospital waste including biomedical waste. It classifies waste into hazardous and non-hazardous categories. Hazardous waste is further divided into infectious and toxic types. Ten categories of biomedical waste are outlined along with their color coding and appropriate treatment methods. The key steps in waste management are identified as survey, segregation, storage, transportation, treatment, and disposal. Common health risks of improper waste handling are also noted.
This document outlines WHO guidelines for good manufacturing practices for herbal medicines. It discusses quality control and standardization of herbal medicines. The guidelines provide requirements for production areas, equipment, materials, documentation, personnel training, and quality assurance. Key points include using analytical techniques to characterize herbal medicines, implementing quality assurance systems, maintaining sanitation and hygiene during manufacturing, and qualifying and validating processes.
1) The document discusses biomedical waste management, including types of biomedical waste, sources of healthcare waste, and treatment techniques.
2) It outlines the key steps of waste management including segregation, collection, storage, transportation, and treatment/disposal. Common treatment methods include incineration, autoclaving, and chemical disinfection.
3) Proper biomedical waste management is important to prevent environmental pollution and the spread of diseases. Healthcare facilities must adhere to regulatory guidelines for handling, treating and disposing different categories of waste.
BIOMEDICAL WASTE MANAGEMENT AND HANDLING RULESkalpanameena17
The document summarizes the rules and regulations regarding biomedical waste management and handling in India. It defines biomedical waste and classifies it into four main categories. It outlines the responsibilities of various stakeholders like healthcare facilities, producers, consumers, recyclers, and dealers. It describes best practices for medical waste handling like proper segregation, packaging, and disposal. It also discusses the need for proper biomedical waste management to prevent disease transmission and injuries.
Medications are a critical component of the care provided to patients and are used for diagnostic, symptomatic,
preventive, curative, and palliative treatment and management of diseases and conditions. A medication
system that supports optimal medication management must include processes that support safe and effective
medication use. Safe, effective medication use involves a multidisciplinary, coordinated effort of health care
practitioners applying the principles of process design, implementation, and improvement to all aspects of
the medication management process, which includes the selecting, procuring, storing, ordering/prescribing,
transcribing, distributing, preparing, dispensing, administering, documenting, and monitoring of medication
therapies
The document discusses standards and guidelines for medication management and use (MMU) from the Joint Commission International (JCI). It covers 16 total chapters organized under patient centered, organization management, and academic medical center hospital standards. Specifically, it discusses guidelines for medication storage, ordering, dispensing, administration, and monitoring. Key aspects include safe storage of medications, proper dispensing processes, formulary management, medication reconciliation, handling of narcotics, medication ordering and administration procedures, and reporting of medication errors.
The WHO guidelines provide technical guidance for monitoring the safety of herbal medicines within pharmacovigilance systems. They were developed to enhance monitoring of herbal medicine safety within current pharmacovigilance systems. The guidelines define key terms related to herbal medicines and contaminants. They provide guiding principles for assessing herbal medicine safety with regards to contaminants and residues, including determining levels of toxic metals, radioactive contaminants, aflatoxins, and microbiological contaminants. The objectives are to provide guidance on quality assessment criteria and methods to control herbal medicine quality relating to safety.
This document provides standards for the management of regulated medical waste at Navy medical treatment facilities. It outlines 9 categories of regulated medical waste and requirements for their collection, storage, transportation, treatment and disposal. Proper personal protective equipment and cleaning procedures are also described to prevent exposure to infectious waste. The goal is to protect medical personnel and properly dispose of waste in accordance with all applicable regulations.
DGDA-DIU-akt.pptxMajor steps of a Drug RegistrationUSAYATUNMAHERA2
monitors and regulates all the activities of these 858 companies. The chief of the Directorate, designated as the Director General, is also empowered by the Govt. to act as the Licensing Authority (LA) of drugs for the purpose of issuing licenses to manufacture, store, sell, import and export drugs and medicines. At present, there are 55 district offices of the Directorate in the country. All officers of the Directorate function as "Drug Inspector" pursuant to the Drug Laws and assist the Licensing Authority for properly discharging his responsibilities. Besides, a number of Committees, such as
Drug Control Committee (DCC),
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which comprise of experts, are there to advise the Licensing Authority and to recommend to him matters related to drugs and medicines.
Major steps of a Drug Registration
Health care waste includes all waste generated during healthcare activities. It is classified into infectious, pathological, chemical, pharmaceutical, radioactive and general waste. Improper management of healthcare waste poses hazards to workers, patients and the environment. Key principles for management include duty of care, polluter pays, precautionary and proximity. Management involves segregation, storage, transportation and treatment which includes incineration and non-burn techniques like burial and chemical disinfection. International agreements like the Basel and Stockholm Conventions aim to minimize hazardous waste and promote environmentally sound management.
Similar to Legal procedures To Dispose Pharmaceutical Waste In Tanzania (20)
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
2. 1. Definitions of terminologies used
2. Structure of national health and pharmaceutical in
Tanzania
3. Intro to TFDA Guidelines of improper disposal
4. Procedures for disposal according to TFDA Guidelines
Prepared By: Zubeda Ramzan
3. • A drug, medicine or pharmaceutical product means any substance
or mixture of substances manufactured, sold or presented for use
in the diagnosis, treatment, or prevention of a disease, disorder,
abnormal physical or mental state, or the symptoms thereof , in
man or animal.
• Unwanted pharmaceuticals/Pharmaceutical waste: For the purpose
of this study, unwanted pharmaceuticals (Pharmaceutical waste)
included all expired, unusable, damaged, improperly handled cold
chain (e.g. vaccines), improperly sealed and wrongly labeled
medicines.
Prepared By: Zubeda Ramzan
4. • Healthcare Waste (HCW) (including unwanted pharmaceuticals) is
defined as all the waste hazardous or not, generated by health
institutions during medical activities, clinical trials, research,
preventive, curative and/or diagnostic.
• Medical Waste: any waste generated in the diagnosis, treatment,
or immunization of human beings or animals, related to research,
production or testing of biologicals from all types of healthcare
institutions, including hospitals, clinics, dental or veterinary and
medical laboratories.
Prepared By: Zubeda Ramzan
5. • Improper Disposal: Usually means disposing medicines in the
garbage, indiscriminate throwaway to unauthorized
dumpsites in neighbourhoods or even flushing
pharmaceuticals down the toilet, whereby they enter the
sewage stream.
• Medicines Disposal: This entails the procedures by which
unwanted medicines are safely handled, professionally and
terminally discarded as per relevant national laws and
regulatory frameworks
Prepared By: Zubeda Ramzan
6. • Healthcare Waste Management (HCWM): Entail all activities
that lead to proper and safe disposal of waste produced from
health facilities.
Prepared By: Zubeda Ramzan
7. • The healthcare system in Tanzania has two major
components; the public and the private sector.
• The public share is 56%; the private share is 44%.
• The system works at four levels; the community, the ward
where there is a dispensary and a health centre at the division
level.
• As one moves further there is the district and regional
hospitals at district and regional levels respectively whereas
at the zonal and national levels, are the consultant/ referral
hospitals
Prepared By: Zubeda Ramzan
8. Tanzania Food and Medicines Authority (TFDA) Guidelines for Safe Disposal
of Pharmaceuticals stipulates that improper disposal of unwanted medicines
is hazardous as it can lead to contamination of water supplies or local sources
used by nearby communities or wildlife. Unwanted medicines may come into
the hands of scavengers and children if a landfill is insecure. Pilfering from a
stockpile of waste medicines or during sorting may result in unwanted
medicines being diverted to the market for resale and misuse.
Defective medicines disposal practices carry a public health risk. The main
health risks stated in these guidelines (i.e. WHO, 1999 & TFDA, 2009) include;
a) Contamination of drinking water.
Prepared By: Zubeda Ramzan
9. b) Non-biodegradable antibiotics,
antineoplastic(Inhibiting or preventing the growth or development of maligna
nt cells) and disinfectants may kill bacteria necessary for the treatment of
sewage.
c) Burning medicines at low temperatures or in open containers results in
release of toxic pollutants into the air which should ideally be avoided.
d) Inefficient and insecure unwanted medicines handling and sorting may
allow medicines to be diverted for resale to the general public.
Prepared By: Zubeda Ramzan
11. • In the following slides we will learn how to dispose waste legally in
Tanzania and TFDA (Tanzanian food and drug authority) is authority
which handles disposal of waste.
• The guidelines is divided into four sections which
a. define unfit medicines and cosmetics products
b. guidance on handling of unfit medicines and cosmetic products at
a facility,
c. procedure for application for disposal of unfit medicines and
cosmetic products and the actual destruction exercise. The last
d. part contains formats of application form, verification form,
disposal methods, disposal form and disposal certificate.
Prepared By: Zubeda Ramzan
12. • Medicines and Cosmetic products shall be considered as unfit
when they are: -
a. expired
b. improperly sealed
c. damaged, unexpired and improperly stored
d. improperly labeled
e. faulty, inadequate and contaminated
f. prohibited
g. unauthorized
Prepared By: Zubeda Ramzan
13. In order to manage properly unwanted medicines at a facility level, the
following requirements must be adhered to;
a) Maintain a register book for unwanted medicines
b) Keeping them into different categories by dosage (e.g. Solids, semi-solids,
powders and liquids)
c) Keeping separately medicines which fall under controlled medicines,
Antineoplastic
(Inhibiting or preventing the growth or development of malignant cells),
antibiotics and any other hazardous medicines.
d) Keeping in containers according to their dosage forms to facilitate
verification exercise, sorting and selection of disposal method.
Prepared By: Zubeda Ramzan
14. e) Demarcating an area for keeping containers of unwanted medicines which
shall be conspicuously labelled with words “Unwanted medicines– Not for
Sale” or “Dawa hizi hazifai kwa matumizi – zisiuzwe” in red ink.
f) Maintaining safe custody of unwanted pharmaceutical products in
registered premises until they are disposed off to avoid theft.
g) Application for disposal of unwanted medicines from Government
institutions shall be accompanied by an approval from Accountant General
declaring that the products have been written off and that are subject to
disposal as required by law under Section 256 of the Public Finance
Regulations, 2004
Prepared By: Zubeda Ramzan
16. Any person who intends to dispose of unwanted medicines shall adhere To
the following procedures:
a) Request in writing to the Director General of TFDA by using application
form which is available at TFDA headquarter offices, TFDA zone offices,
Regional and District Medical officer’s offices and TFDA website:
http://www.tfda.or.tz/.
b) And that the request shall be accompanied with a list of products to be
disposed of and should state clearly trade name, generic name and strength
(where applicable), dosage form, pack size, quantity, manufacturer, batch
number and market value of product.
Prepared By: Zubeda Ramzan
17. c) Finally TFDA-HQ or TFDA zone office/Regional/District
Medical officer’s offices shall send inspectors to the premises
to verify and authenticate the information submitted.
Prepared By: Zubeda Ramzan
19. • During verification exercise, the drug inspector shall
supervise sorting exercise of unfit medicines and
cosmetics products before determination of disposal
method.
• Some of the examples of category of products and their
recommended disposal methods are highlighted on the
table below:
Prepared By: Zubeda Ramzan
20. S/N CATEGORY DISPOSAL METHODS
1. Solids, semi-solids and powders Landfill, incineration and
waste immobilization
2. Liquids Sewer, high temperature
incineration and treated
waste
3. Antineoplastic(Inhibiting or preventing the gr
owth or development of malignant cells)
Treated waste and
landfill, high temperature
incineration and return to
manufacturer
4. Controlled drugs Treated waste and
landfill, high temperature
incineration
5. Aerosols and inhalers Landfilling without waste
incertization
6. Disinfectants Sewers or fast flowing
watercourse
7. PVC plastics, glass (ampoules, bottles and
vials)
Landfilling and recycling
8. Paper, cardboard Recycle, burn or landfill
Prepared By: Zubeda Ramzan
21. • Sorting should be done in an open or in a well ventilated area/building
as close as possible to the stock pile in an orderly manner.
• After verification exercise is completed, a verification form shall be
filled and signed by both parties.
• Verification process shall involve the following stages:
a. Identification of the product.
b. Separate medicines which fall under controlled drugs, antineoplastic
(Inhibiting or preventing the growth or development of malignant cells),a
ntibiotics and any other hazardous medicinal or cosmetic products
c. Sort according to Destruction Method(explained later).
Prepared By: Zubeda Ramzan
22. • Staff involved in sorting exercise shall be provided with protective
gears such as gloves, boots, overalls and dust masks and shall be
briefed on the sorting exercise, health and safety risks associated
with handling the materials.
• Sorted medicines and cosmetics shall be carefully packed into steel
drums or cardboard boxes or jute bags and information to be
indicated outside the container shall include; dosage form(s) and
proposed mode of destruction. The materials should be kept in a
dry secure and preferably separate room to avoid being confused
with in–date medicines cosmetics until disposal is carried out.
Prepared By: Zubeda Ramzan
23. • After verification the applicant shall be informed by either
TFDA-HQ or TFDA zone office, Regional or District Authorities
through a letter on the proposed mode of destruction and
shall be directed to arrange with the respective local
authority e.g. Municipal/ District Medical Officer/Pharmacist
to determine disposal site, cost and date of destruction.
• The cost of destruction shall be born by the owner of the
product as stated under Section 99 of Tanzania Food, Drugs
and Cosmetics Act of 2003.
Prepared By: Zubeda Ramzan
24. • Procedures of destruction :
• A Drug Inspector, Health Officer, Environmental Officer and
Policeman shall supervise the transport of consignment from the
owner’s premises to the disposal site for destruction exercise.
• The destruction exercise shall be supervised by Health Officer,
Environmental Officer, Policeman and Drug Inspector.
• Unfit medicines and cosmetic products shall be transported in a
closed motor vehicle to avoid theft.
• Supervisors shall wear protective gears such as overalls, gloves,
masks, caps and boots during the exercise
Prepared By: Zubeda Ramzan
25. • Upon completion of the exercise, a Drug Disposal Form shall be
duly filled in and signed by the supervisors and owner/owner’s
representative.
• Drug Disposal Form shall be sent to TFDA headquarter offices.
• Once TFDA has received the form, a certificate of destruction of
unfit medicines and cosmetic products shall be prepared and sent
to the consignee.
• Particular care shall be taken while handling anti cancer drugs,
narcotic drugs and penicillin to avoid associated hazards.
Prepared By: Zubeda Ramzan
26. 1. Landfill
This is a disposal method, which involves placing unfit medicines
and cosmetic products directly into a land disposal site without
prior treatment.
The method is used in disposing off solid waste.
Small quantities of unfit medicines and cosmetic products produced
on a daily basis may be land filled provided that they are dispersed
in large quantities of general waste.
Cytotoxic, narcotic drugs and cosmetic products containing heavy
metals such as mercury should not be land filled, even in small
quantities.
Prepared By: Zubeda Ramzan
27. 2.Sewer
This is a method used whereby waste medicines and cosmetic
products in liquid form e.g. syrups, lotions and intravenous fluids
are diluted with water and flushed into a proper functioning
sewerage system/sewers in small quantities over a period of
time without causing serious public health or environmental
effect. Fast flowing watercourses may likewise be used to flush
small quantities of well-diluted liquid medicines/cosmetics or
antiseptics.
Prepared By: Zubeda Ramzan
28. 3. Medium temperature incineration
• This method involves the use of medium temperature incinerators. Unwanted
solid pharmaceuticals may be destructed by using a two-chamber incinerator
that operates at the minimum temperature of 8500C, with a combustion
retention time of at least two seconds in the second chamber.
• It is recommended that prior to destruction; pharmaceutical waste should be
diluted with large quantities of municipal waste (approximately 1:1000).
• Medium temperature furnaces may be used in absence of medium
temperature incinerators. This type of incinerator is not suitable for
incineration of halogenated compounds, as they need a more high
temperature incinerator.
• The method is applicable to solids, semi-solids, powders and controlled drugs
of that nature.
Prepared By: Zubeda Ramzan
29. 4. High temperature incineration
• This involves the use high temperature incinerator, which operates at
a temperature well in excess of 8500C. Our country does not possess
such expensive and sophisticated incinerators so the uses of industrial
plant such as cement kilns serve the purpose. Cement kilns can reach
temperatures of 14500C – 20000C that is suitable for total destruction
of organic waste component. These have long combustion retention
times and disperse exhaust gases via tall chimneys, often to high
altitudes thus reducing the risk ofenvironmental effect.It may be
necessary prior to incineration to remove packaging materials to avoid
clogging and blockage of incinerator or kiln.
Prepared By: Zubeda Ramzan
30. 5. Burning in open containers
• Paper and cardboard packaging materials, if they are not to
be recycled, may be burnt. Polyvinyl Chloride (PVC) plastic
however must not be burnt. Unfit medicines and cosmetics
should not be destroyed by burning at low temperatures in
open containers, as toxic pollutants may be released into the
air. It is strongly recommended that only very small quantities
of unfit medicines and cosmetics be disposed of in this way.
Prepared By: Zubeda Ramzan
31. 6. Return to donor or manufacturer
• Wherever practical the possibility of returning unfit medicines
and cosmetic products for safe disposal by the manufacturer
should be explored; particularly medicines and cosmetics
which present problems, such as antineoplastic and heavy
metals. For unwanted, unrequested donations, especially that
arrive with past or unreasonably expiry dates, it may be
possible to return them to the donor for disposal.
Prepared By: Zubeda Ramzan