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CDSCO lists 17 drugs you should ‘flush down sink or toilet' on expiry and not throw in trash; here's why
CDSCO lists 17 drugs you should ‘flush down sink or toilet' on expiry and not throw in trash; here's why

Indian Express

time10-07-2025

  • Health
  • Indian Express

CDSCO lists 17 drugs you should ‘flush down sink or toilet' on expiry and not throw in trash; here's why

Most of us have a common habit of discarding expired medicines in the dustbin. However, according to the Central Drugs Standard Control Organisation's (CDSCO) latest advisory, flushing certain expired or unused drugs down the toilet should be the norm, rather than throwing them in the dustbin. According to CDSCO, improper disposal of expired, unused drugs may be hazardous to public health, animal health, and the environment. It has also been noted as one of the key factors contributing to the growth of Anti-Microbial Resistance (AMR), as stated in a notification dated May 26, 2025. In the same notification, it listed a 'small number of medicines' that may be especially harmful and, in some cases, fatal if used by someone other than the person for whom the medicine was prescribed. 'Expired, unwanted, or unused medicines should be flushed down the sink or toilet to help prevent danger to people and pets in the home.' Notably, an expired drug refers to a drug which had crossed the expiry date mentioned on the label. Further, unused drugs refer to the medications that have not been used by the individual for whom they were prescribed or purchased. The drug regulator noted that expired drugs may come into contact with scavengers and children if a landfill is insecure. 'Pilfering from a stockpile of waste drugs or during sorting may result in expired drugs being diverted to the market for resale and misuse. Most pharmaceuticals past their expiry date become less efficacious, and a few may develop a different adverse drug reaction profile.' What are the risks if these medicines are thrown away or stored carelessly? To gain a deeper understanding, we consulted an expert. Dr Amit Saraf, director of internal medicine at Jupiter Hospital in Thane, called improper disposal 'a real danger.' 'Some painkillers, anxiety medications, or sedatives can lead to overdose or poisoning if someone takes them by mistake. Over time, improper disposal adds to antimicrobial resistance and environmental pollution. Keeping expired drugs at home also increases the risk of self-medication or misuse,' said Dr Saraf. Agreeing with CDSCO's stance, Dr Saraf said that flushing certain high-risk medicines, like opioids and sedatives, prevents accidental consumption or misuse. 'If they are thrown in the household trash, children, pets, or waste workers might find them. Some of these drugs can be deadly even in a single dose if taken by someone who shouldn't,' said Dr Saraf. What is the purpose of this move? The CDSCO aims to minimise harm to people, animals, and the environment. If these medicines are thrown away improperly, they can end up in landfills, contaminating soil and water. 'Some may also be misused if they get into the wrong hands. The guidance on flushing applies to a list of 17 high-risk drugs that are dangerous without medical supervision,' asserted Dr Saraf. What do doctors think about this advisory? Doctors generally support the move, especially those in public health and pharmacology. 'Safe disposal is part of responsible prescribing. We often instruct patients on how to take medicines, but we seldom explain how to dispose of them. This action raises awareness among healthcare providers and patients about the life cycle of medicines, even after they are no longer used,' said Dr Saraf. DISCLAIMER: This article is based on information from the public domain and/or the experts we spoke to. Always consult your health practitioner before starting any routine.

GRP personnel learn soft skills to handle passenger rush
GRP personnel learn soft skills to handle passenger rush

Time of India

time25-06-2025

  • Time of India

GRP personnel learn soft skills to handle passenger rush

1 2 Puri: Govt Railway Police (GRP) personnel were trained on Wednesday in hospitality and soft skills to handle Rath Yatra crowds. They were warned to avoid using harsh language or rude behaviour towards passengers for the Rath Yatra in Puri. With lakhs of devotees and international visitors expected to arrive for Rath Yatra, the GRP has taken a firm stance that its personnel must exhibit discipline, courtesy and service before authority. Over 600 personnel participated in a dedicated behavioural training session held at the Puri Town Hall on Wednesday evening, ahead of the chariot festival. The training aimed to equip the personnel with soft skills to handle the expected surge in passenger footfall with patience, courtesy and professionalism. The session was conducted by behavioural coach Amit Saraf, who spent two hours guiding the personnel through real-life case scenarios, respectful communication techniques and stress management during public interactions. "The world watches Puri during Rath Yatra. We can't afford to let our policing style become a complaint. We've instructed all deployed personnel to treat passengers with humility — no abusive language, no aggression. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Brass Krishna Idols For Prosperity & Protection In Life Luxeartisanship Undo They must offer help and maintain public dignity," said Vivekanand Sharma, SP of GRP. "Our objective is to ensure that every pilgrim feels safe, respected and well-assisted. Behavioural training is a crucial part of crowd management. It empowers our personnel not just to control but to serve with sensitivity," added Sharma. There are 15 GRP police stations across Odisha, with over 700 personnel currently deployed, especially in and around Puri. With an estimated footfall of over 10 lakh devotees for the festival, authorities are bracing for crowd pressure, especially at Puri railway station.

Crohn's Disease: Understanding the Symptoms, Risks, and Insights
Crohn's Disease: Understanding the Symptoms, Risks, and Insights

News18

time18-05-2025

  • Health
  • News18

Crohn's Disease: Understanding the Symptoms, Risks, and Insights

Last Updated: Crohn's disease can affect any part of the digestive system—from the mouth to the anus—but most commonly targets the small intestine and the beginning of the colon Crohn's disease is a chronic inflammatory condition of the gastrointestinal (GI) tract and is part of a group of conditions known as Inflammatory Bowel Disease (IBD). It can affect any part of the digestive system—from the mouth to the anus—but most commonly targets the small intestine and the beginning of the colon. Though the exact cause is not fully understood, Crohn's is believed to result from a combination of genetic predisposition, immune system dysfunction, and environmental triggers. Dr. Amit Saraf, Director, Department of Internal Medicine at Jupiter Hospital, Thane, shares all you need to know: The symptoms of Crohn's disease can vary widely from person to person and often develop gradually. Common signs include persistent diarrhea, abdominal pain and cramping, unintended weight loss, fatigue, and reduced appetite. In some cases, individuals may experience blood in their stool or a low-grade fever. For children and adolescents, Crohn's may also interfere with normal growth and puberty. Because the disease can go through cycles of flare-ups and remission, many people live with mild symptoms for years before seeking medical help, which can delay diagnosis and treatment. Several risk factors are associated with an increased likelihood of developing Crohn's. Genetics play a significant role—those with a family history of IBD are at greater risk. A key biological factor is an abnormal immune response, where the body mistakenly attacks healthy tissues in the GI tract. Crohn's disease most often appears before the age of 30, although it can occur at any age. Smoking is one of the few controllable risk factors and has been linked to both increased risk and severity of the condition. Additionally, people living in urban or industrialized regions appear to have higher rates of Crohn's, possibly due to environmental or dietary influences. Some medications, such as NSAIDs (nonsteroidal anti-inflammatory drugs), may also aggravate symptoms. Beyond the physical symptoms, Crohn's disease presents several lesser-known insights. It is not just a gut disorder—it can affect the eyes, skin, joints, and liver, emphasizing its systemic nature. Contrary to popular belief, stress is not a cause of Crohn's, though it can exacerbate symptoms. Because its symptoms overlap with other digestive disorders like irritable bowel syndrome (IBS), misdiagnosis is common. Additionally, flare-up triggers can vary dramatically between individuals, ranging from certain foods to infections or even emotional stress. Although there is no cure for Crohn's disease, it is manageable. Treatments include anti-inflammatory drugs, immune system modulators, biologic therapies, and, in some cases, surgery. A well-rounded approach—including medication, dietary adjustments, and mental health support—can help patients lead healthy and active lives. Early diagnosis and intervention remain key to improving long-term outcomes. First Published: May 18, 2025, 20:44 IST

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