Redispensing of medicines unused by patients: a qualitative study among stakeholders

  title={Redispensing of medicines unused by patients: a qualitative study among stakeholders},
  author={Charlotte L. Bekker and H Helga Gardarsdottir and Toine C. G. Egberts and Marcel L. Bouvy and Bart J. F. Bemt},
  journal={International Journal of Clinical Pharmacy},
Background Medication waste has undesirable economic and environmental consequences. This waste is partly unavoidable, but might be reduced by redispensing medicines unused by patients. However, there is little knowledge of stakeholders’ views on the redispensing. Objective To identify the stakeholders’ views on the redispensing of medicines unused by patients. Setting Dutch healthcare system. Method Semi-structured interviews were conducted with 19 Dutch stakeholders from September 2014 until… 
Stakeholder Views on the Idea of Medicines Reuse in the UK
This commentary draws on stakeholder meetings to elaborate the range of views about medicines reuse within a UK context by drawing on discussions with groups of stakeholders in the UK in the past two years.
Management of Medicines Wastage, Returned Medicines and Safe Disposal in Malaysian Community Pharmacies: A Qualitative Study
The results revealed that pharmacists have positive perceptions of the safe disposal of medicines and aimed to minimize medicines wastage (unused medicines) in order to minimize loss of revenue.
Public Attitudes towards Medicinal Waste and Medicines Reuse in a ‘Free Prescription’ Healthcare System
The level of public acceptance for the reuse of medication was higher than previously reported and has implications for the future design of medicines reuse schemes.
Medicines as Common Commodities or Powerful Potions? What Makes Medicines Reusable in People’s Eyes
People’s pro-medicines-reuse beliefs align with perceptions of medicines as common commodities, which helps explain why patients returning their medicines to community pharmacies want these to be recycled.
Towards Medicines Reuse: A Narrative Review of the Different Therapeutic Classes and Dosage Forms of Medication Waste in Different Countries
Findings from the international literature on the different therapeutic classes and the dosage forms of medicines that are returned by patients to community pharmacies, hospitals, general practitioners’ clinics, or collected through waste campaigns could help policy makers understand the potential implications of treating most unused medicines as medication waste and whether therefore pursuing a medicines reuse scheme could be environmentally or financially logical.
‘You don’t throw these things out:’ an exploration of medicines retention and disposal practices in Australian homes
Inappropriate medicine storage, use, and/or disposal practices raises public health concerns, particularly as there is a free returned medicines scheme available, and that this particular participant group were considered experienced medicine users.
Pharmacists’ Activities to Reduce Medication Waste: An International Survey
Pharmacists have various opportunities to reduce medication waste throughout the pharmaceutical supply chain, however, not all are broadly implemented.
What does it cost to redispense unused medications in the pharmacy? A micro-costing study
Redispensing unused medications in the pharmacy is at least cost-beneficial if applied to expensive medications, and the price level primarily depended upon the proportion of dispensed packages returned unused to the pharmacy and fulfilling the quality criteria.
Willingness of patients to use unused medication returned to the pharmacy by another patient: a cross-sectional survey
When quality is guaranteed, a substantial proportion of patients are willing to use medication returned unused to the pharmacy by another patient, suggesting that implementation of redispensing may be supported by patients.


Reasons why medicines are returned to Swedish pharmacies unused
  • A. Ekedahl
  • Medicine, Political Science
    Pharmacy World and Science
  • 2006
Hoarding or over-supply of prescribed medicines may explain a large part of the volume of medicines that remain unused and actions aiming to reduce waste of prescribe medicines ought to focus on those patients who contribute to a substantial part of all unused medicines.
Value and types of medicines returned by patients to sultan qaboos university hospital pharmacy, oman.
Medications used for cardiovascular and infectious diseases appeared as the most frequent and the most expensive returned medicines and it is suggested that health care providers in Oman should devise health education programmes to improve proper utilization of medicine.
A focus group based study of the perspectives of the Maltese population and healthcare professionals on medication wastage
This study has employed a theoretical framework to obtain a better understanding of facilitators which require attention as part of strategic development and to explore potential solutions to reduce medication wastage.
An Analysis of Returned Medicines in Primary Care
Investigation of the types and amounts of medicines returned to both general practices and associated local community pharmacies indicates that unused medicines impose a significant financial burden on the National Health Service as well as a socialurden on the United Kingdom population.
Returned medicines: waste or a wasted opportunity?
The debate on the potential for re-using these medicines in developing countries where medicines are not widely available and also within the UK is re-opened.
Evaluation of the scale, causes and costs of waste medicines. Report of DH funded national project.
Throughout this report references are made to the work of Primary Care Trusts in areas such as medicines management and further reducing medicines wastage.
Returned medicines in community pharmacies of Barcelona, Spain
This study confirms the importance of analyzing the return of unwanted medicines to reduce unnecessary health expenditure and highlights the inadequacies of the Spanish health system in the areas of prescription, dispensing and use of medicines.
Wasted medications, wasted resource
A Canadian recycling program, run by a not-for-profit organization to prevent double-billing, would not put added pressure on government and would save patients money and improve their health without putting them at increased risk.
Investigating the disposal of expired and unused medication in Riyadh, Saudi Arabia: a cross-sectional study
It is demonstrated that a low percentage of respondents have ever received information regarding correct medication disposal, and over half of the respondents store antibiotics in their households, indicating that the awareness of proper and safe drug disposal among the Saudi population is quite low.
A cross-sectional survey of the Maltese general public on medication wastage
More effort is warranted to raise awareness of the public as an initial step in promoting behavioural change in relation to medication wastage among the general public in Malta.