Pharmacy student’s awareness and perception of pharmaceutical disposal and its level in tap water

Authors

  • Nurin Izzati Salime Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, Bandar Puncak Alam, Selangor, Malaysia
  • Johanna Sophia Anak Stanley PAP Rashidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darusalam, Gadong, Brunei Darussalam https://orcid.org/0009-0000-4375-6156
  • Hui Poh Goh PAP Rashidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darusalam, Gadong, Brunei Darussalam
  • Long Chiau Ming School of Medical and Life Sciences, Sunway University, Sunway City, Malaysia
  • Salfarina Ramli Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, Bandar Puncak Alam, Selangor, Malaysia & Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM) Selangor Branch, Bandar Puncak Alam, Selangor, Malaysia
  • Richard Johari James Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, Bandar Puncak Alam, Selangor, Malaysia & Integrative Pharmacogenomics Institute (iPROMISE), Universiti Teknologi MARA (UiTM) Selangor Branch, Bandar Puncak Alam, Selangor, Malaysia
  • Chee-Yan Choo Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, Bandar Puncak Alam, Selangor, Malaysia & MedChem Herbal Research Group, Faculty of Pharmacy, Universiti Teknologi MARA (UiTM) Selangor Branch, Bandar Puncak Alam, Selangor, Malaysia

DOI:

https://doi.org/10.46542/pe.2024.241.688694

Keywords:

Clean water, Disposal practice, Pharmaceutical, Sustainable Development Goal, Tap water

Abstract

Background: Improper disposal of pharmaceuticals can harm humans, animals, and the ecosystem, with studies finding residues in tap water that may affect drinking water safety. Therefore, this study aims to examine pharmacy student’s disposal practices and the association between the Respondents' Disposal Practices (RDP) with Demographic Factors (RDF), their knowledge of the impact of improper disposal on tap water quality (KII), awareness of proper disposal practices (KPD), and the availability and accessibility of disposal facilities (AAD).

Methods: The questionnaire consisted of a question on RDP as the dependent variable and fifteen questions from four independent variables, namely, RDF, KII, KPD, and AAD. It was distributed online using Google Forms. Descriptive data was analysed using SPSS to investigate the association between dependent and independent variables.

Results: There were 175 respondents, and 76.6% of them kept unused or expired medications. The analysis revealed that the RDP were unrelated to the RDF. However, KII and KPD were partially associated with RDP. Lastly, the AAD was strongly associated with RDP.

Conclusion: Most respondents were unaware of the proper disposal of unused or expired drugs. The study recommends incorporating proper medication disposal into the pharmacy curriculum and strengthening the medication take-back programme by encouraging community pharmacies to participate in the Medicine Return Programme.

References

Ayele, Y., & Mamu, M. (2018). Assessment of knowledge, attitude, and practice towards disposal of unused and expired pharmaceuticals among the community in Harar City, Eastern Ethiopia. Journal of pharmaceutical policy and practice, 11, 27. https://doi.org/10.1186/s40545-018-0155-9

Chong, K. M., Rajiah, K., Chong, D., & Maharajan, M. K. (2022). Management of medicines wastage, returned medicines and safe disposal in Malaysian community pharmacies: A qualitative study. Frontiers in Medicine, 9, 884482. https://doi.org/10.3389/fmed.2022.884482

FDA. (2024). Drug disposal: FDA’s flush list for certain medicines. https://www.fda.gov/drugs/disposal-unused-medicines-what-you-should-know/drug-disposal-fdas-flush-list-certain-medicines

Fidora, A. F. (2017). Knowledge and barriers to safe disposal of pharmaceutical products entering the environment (Publication No. 4624) [Doctoral dissertations, Walden University]. https://scholarworks.waldenu.edu/dissertations/4624/

Foon, P. Y., Yuvaraj, G., Jasmine, Y. A. L., & Hasnah, H. (2019). Malaysian behaviour towards proper disposal of unused medications. The European Proceedings of Social & Behavioural Sciences, 65, 271‒278. https://doi.org/10.15405/epsbs.2019.08.27

Gómez-Canela, C., Santos, M. S., Franquet-Griell, H., Alves, A., Ventura, F., & Lacorte, S. (2020). Predicted environmental concentrations: A useful tool to evaluate the presence of cytostatics in surface waters. In E. Heath, M. Isidori, T. Kosjek, M. Filipič. (Eds.), Fate and Effects of Anticancer drugs in the environment. Springer, Cham. https://doi.org/10.1007/978-3-030-21048-9_2

Hajj, A., Domiati, S., Haddad, C., Sacre, H., Akl, M., Akel, M., Tawil, S., Abramian, S., Zeenny, R. M., Hodeib, F., & Salameh, P. (2022). Assessment of knowledge, attitude, and practice regarding the disposal of expired and unused medications among the Lebanese population. Journal of Pharmaceutical Policy and Practice, 15, 107. https://doi.org/10.1186/s40545-022-00506-z

Ioannou-Ttofa, L., & Fatta-Kassinos, D. (2020). Cytostatic drug residues in wastewater treatment plants: Sources, removal efficiencies, and current challenges. In E. Heath, M. Isidori, T. Kosjek, M. Filipič. (Eds.), Fate and Effects of Anticancer drugs in the environment. Springer, Cham. https://doi.org/10.1007/978-3-030-21048-9_6

Jureczko, M., & Kalka, J. (2020). Cytostatic pharmaceuticals as water contaminants. European Journal of Pharmacology, 866, 172816. https://doi.org/10.1016/j.ejphar.2019.172816

Kusuma, F., Munir, M., Yuda, A., & Hermansyah, A. (2023) Assessment of medicines and potential pharmaceutical wastes management among households in Lamongan, Indonesia. Pharmacy Education, 23(4), 145‒148. https://doi.org/10.46542/pe.2023.234.145148

Leong, S. W., Aziz, Z., & Chik, Z. (2021). Disposal practice and factors associated with unused medicines in Malaysia: A cross-sectional study. BMC Public Health, 21, 1695. https://doi.org/10.1186/s12889-021-11676-x

Liu, M., Yin, H., & Wu, Q. (2019). Occurrence and health risk assessment of pharmaceutical and personal care products (PPCPs) in tap water of Shanghai. Ecotoxicology and Environmental Safety, 183, 109497. https://doi.org/10.1016/j.ecoenv.2019.109497

Lucca, J. M., Alshayban, D., & Alsulaiman, D. (2019). Storage and disposal practice of unused medication among the Saudi families: An endorsement for best practice. Imam Journal of Applied Sciences, 4(1), 1‒6. https://doi.org/10.4103/ijas.ijas_21_18

Shakib, F. A. F., Sadat, N., Ahmed, S., Nipa, N. Y., Rahman, M., & Uddin, M. B. (2022). Unused and expired drug disposal practice and awareness among undergraduate students from pharmacy and other disciplines: Bangladesh perspective. Pharmacy Education, 22(1), 573‒583. https://doi.org/10.46542/pe.2022.221.573583

Vatovec, C., Van Wagoner, E., Evans, C. (2017). Investigating sources of pharmaceutical pollution: Survey of over-the-counter and prescription medication purchasing, use, and disposal practices among university students. Journal of Environmental Management, 198, 348‒352. https://doi.org/10.1016/j.jenvman.2017.04.101

Wee, S. Y., Haron, D. E. M., Aris, A. Z., Yusoff, F. M., & Praveena, S. M. (2020). Active pharmaceutical ingredients in Malaysian drinking water: Consumption, exposure, and human health risk. Environ Geochem Health 42, 3247–3261. https://doi.org/10.1007/s10653-020-00565-8

WHO. (2004). Guidelines for drinking-water quality. World Health Organization. https://www.who.int/publications/i/item/9789241549950

Wilcox, E. (2013). Pharmaceuticals in the environment: Review of current disposal practices for medications and the influence of public perception on environmental risks. http://www.lib.ncsu.edu/resolver/1840.4/8271

Wilkinson, J. L., Boxall, A. B., Kolpin, D. W., Leung, K. M., Lai, R. W., Adell, A. D., Mondon, J., Metian, M., Marchant, R. A., Coors, A., Carriquiriborde, P., Rojo, M., Gordon, C., Cara, M., Moermond, M., Luarte, T., Petrosyan, V., Perikhanyan, Y., Mahon, C. S., & Teta, C. (2022). Pharmaceutical pollution of the world’s rivers. Proceedings of the National Academy of Sciences, 119(8), e2113947119. https://doi.org/10.1073/pnas.2113947119

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Published

23-11-2024

How to Cite

Salime, N. I., Anak Stanley, J. S., Goh, H. P., Long, C. M., Ramli, S., James, R. J., & Choo, C.-Y. (2024). Pharmacy student’s awareness and perception of pharmaceutical disposal and its level in tap water. Pharmacy Education, 24(1), p. 688–694. https://doi.org/10.46542/pe.2024.241.688694

Issue

Vol. 24 No. 1 (2024)

Section

Research Article

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