When disposing of expired or unused medications, which action demonstrates correct practice?

• A. Flush down the toilet
• B. Give to another patient
• C. Leave in the patient’s room
• D. Follow facility policy for disposal (return to pharmacy or take-back program)

Answer: (D)

Disposing of expired or unused medications safely requires a formal process that protects people and the environment. Following facility policy for disposal, such as returning medications to the pharmacy or using a take-back program, is the best approach because it ensures secure handling, proper destruction, and documentation, while also meeting regulatory and environmental guidelines. Flushing medications can introduce active drug substances into water systems and is generally discouraged; giving meds to another patient or leaving them in a patient’s room creates risks of misuse, diversion, or accidental ingestion. Use the designated disposal methods provided by the facility, like return-to-pharmacy programs or community take-back events, to ensure safe and compliant destruction.