KNOWLEDGE, ATTITUDE AND PRACTICE STUDY OF SAFE DISPOSAL OF MEDICATIONS AMONG MEDICAL POST-GRADUATE STUDENTS, INTERNS AND NURSING STAFF OF TERTIARY CARE HOSPITAL OF CENTRAL GUJARAT, INDIA

MIRAL PATEL; CHIRAG MISTRY; VISHAL GAEKWAD

doi:10.22159/ijpps.2025v17i4.53676

Authors

MIRAL PATEL Department of Pharmacology, Medical College Baroda, Vadodara, Gujarat-390001, India https://orcid.org/0009-0004-3108-5841
CHIRAG MISTRY Department of Pharmacology, Medical College Baroda, Vadodara, Gujarat-390001, India https://orcid.org/0009-0003-7898-1320
VISHAL GAEKWAD Department of Pharmacology, Medical College Baroda, Vadodara, Gujarat-390001, India https://orcid.org/0009-0006-1440-3419

DOI:

https://doi.org/10.22159/ijpps.2025v17i4.53676

Keywords:

Attitude, Eco-pharmacology, Knowledge, Medicine disposal, Practice, Unused medicines

Abstract

Objective: To evaluate the knowledge, attitude, and practice about disposing unused medicines in doctors and nurses in a tertiary care hospital in central Gujarat, India.

Methods: A questionnaire comprising eighteen questions evaluating knowledge (5), attitude (8), and practice (5) of unused medicines was prepared which was pre-validated by ten resident doctors of the institute. Before starting the study, permission was obtained from the Institutional Ethics Committee. Informed consent was obtained before administering the questionnaire to the medical post-graduate students, interns, and nursing staff. Responses were recorded in a Microsoft Excel spreadsheet and evaluated for percentage response.

Results: Out of the total staff approached, 326 participants consented to participate. Most (79%) knew eco-pharmacology, and almost all (94%) acknowledged that improper drug disposal contributes to environmental pollution. However, only 28% had received advanced training in proper waste medicine disposal. The most common disposal method was discarding medicines in household trash (53%), followed by returning them to pharmacies (19%). Nearly all participants (90%) supported implementing drug take-back schemes to address improper disposal.

Conclusion: Overall, most healthcare staff is aware of the importance of safe medicine disposal; still there is a gap in their attitudes and practices. Greater emphasis on training and awareness is essential to improve proper disposal practices.

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References

Radhrakrishna L. Knowledge Attitude and Practice (KAP) towards disposal of medicines: a qualitative study among health care professionals in South India. World J Pharm Res. 2014;3:1955-63.

Boxall AB. The environmental side effects of medication. EMBO Reports. 2004;5(12):1110-6. doi: 10.1038/sj.embor.7400307.

Oaks JL, Gilbert M, Virani MZ, Watson RT, Meteyer CU, Rideout BA. Diclofenac residues as the cause of vulture population decline in Pakistan. Nature. 2004;427(6975):630-3. doi: 10.1038/nature02317, PMID 14745453.

Taggart MA, Senacha KR, Green RE, Jhala YV, Raghavan B, Rahmani AR. Diclofenac residues in carcasses of domestic ungulates available to vultures in India. Environ Int. 2007;33(6):759-65. doi: 10.1016/j.envint.2007.02.010, PMID 17433834.

Medhi B, Sewal RK. Ecopharmacovigilance: an issue urgently to be addressed. Indian J Pharmacol. 2012;44(5):547-9. doi: 10.4103/0253-7613.100363, PMID 23112410.

National formulary of India: disposal of unused/expired pharmaceutical products(Appendix IV). Indian Pharmacopoiea Commision. 4th ed; 2011.

Swaroop H, Chakraborty A, Virupakshaiah A. Knowledge, attitude and practice of medical professionals towards the safe disposal of unused medications in South India. World J Pharm Pharm Sci. 2015;4(5):1427-8.

Kaur K, Bansal N. Knowledge, attitude and practice on safe disposal of medicines among medical personnel. IJCAAP. 2021;6(2):79-82. doi: 10.18231/j.ijcaap.2021.014.

Bhatt S, Kumar H. Knowledge attitude and practice of medical personnel on ecopharmacology. Int J Basic Clin Pharmacol. 2022;11(5):419-24. doi: 10.18203/2319-2003.ijbcp20222137.

Arunachalam U, Mv GS, S PV, R G. Assessment of knowledge and practice toward disposal of expired drugs among medical professionals in Chennai-a cross-sectional prospective study. Asian J Pharm Clin Res. 2017;10(12):324. doi: 10.22159/ajpcr.2017.v10i12.21529.

Aditya S. Safe medication disposal: need to sensitize undergraduate students. Int J Pharm Life Sci. 2013;2(6):2-4.

More SA, Gupta K, Kharat A, Mishra PS. Knowledge, attitude, and practice about storage and safe disposal of unused medicines among medical and dental personnel: Ecopharmacovigilance perspective. Asian J Pharm Clin Res. 2024;17(5):191-7. doi: 10.22159/ajpcr.2024.v17i5.49800.

Gubae K, Arega Moges T, Agegnew Wondm S, Bayafers Tamene F, Kiflu M, Aschale E. Ecopharmacology: knowledge, attitude, and medication disposal practice among pharmacy students. Integr Pharm Res Pract. 2023;12:185-93. doi: 10.2147/IPRP.S428457, PMID 37901480.

Kinrys G, Gold AK, Worthington JJ, Nierenberg AA. Medication disposal practices: increasing patient and clinician education on safe methods. J Int Med Res. 2018;46(3):927-39. doi: 10.1177/0300060517738681, PMID 29322845.

Kolpin DW, Furlong ET, Meyer MT, Thurman EM, Zaugg SD, Barber LB. Pharmaceuticals, hormones, and other organic wastewater contaminants in U.S. Streams, 1999-2000: a national reconnaissance. Environ Sci Technol. 2002;36(6):1202-11. doi: 10.1021/es011055j, PMID 11944670.

Kelly F, McMillan S, Spinks J, Bettington E, Wheeler AJ. ‘You don’t throw these things out:’ an exploration of medicines retention and disposal practices in Australian homes. BMC Public Health. 2018;18(1):1026. doi: 10.1186/s12889-018-5753-6, PMID 30119656.

Vollmer G. Disposal of pharmaceutical waste in households survey. Green Sustain Pharm; 2010. p. 165-78.

Barnett Itzhaki Z, Berman T, Grotto I, Schwartzberg E. Household medical waste disposal policy in Israel. Isr J Health Policy Res. 2016;5:48. doi: 10.1186/s13584-016-0108-1, PMID 27766144.