Pharmaceuticals that should never be used and should always be considered as pharmaceutical waste are:
• all expired pharmaceuticals;
• all unsealed syrups or eye drops (expired or unexpired);
• all cold chain damaged unexpired pharmaceuticals that should have been stored in a cold chain but were not (for example: insulin, polypeptide hormones, gamma globulins and vaccines);
• all bulk or loose tablets and capsules. If unexpired these should only be used when the container is still sealed, properly labelled or still within the original unbroken blister packs;
• all unsealed tubes of creams, ointments, etc. (expired or unexpired).
Special disposal is needed for the following:
• controlled substances; e.g. narcotics, psychotropic substances;
• anti-infective drugs;
• cytotoxic-anti-cancer drugs, toxic drugs;
• antiseptics and disinfectants.
For more information refer to Sections 4.4, 4.5, 4.6 and 4.7.
All other pharmaceuticals should be sorted by dosage form:
solids, semi-solids and powders
• tablets, capsules, granules, powders for injection, mixtures, creams, lotions, gels, suppositories, etc.;
• solutions, suspensions, syrups, etc.;
• including propellant-driven sprays and inhalers.