medications return program and sharps collection program

June 30th, 2019

islandMedications RetuRn PRogRaM and shaRPs collection PRogRaM

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2 0 1 8 a n n ua l R e p o RtMedications RetuRn PRogRaM and shaRPs collection PRogRaM

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Table of ConTenTs

1. ExEcutivE Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2. Program collEction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

FigurE 1: Program collEction - 2015-2018 imrP rESultS . . . . . . . . . . . . . . . . . . . . 2

FigurE 2: Program collEction - 2015-2018 iScP rESultS . . . . . . . . . . . . . . . . . . . . 2

3. Program outlinE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4. collEction SyStEm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

tablE 1: mEdicationS collEction by rEgionS in 2018 . . . . . . . . . . . . . . . . . . . . . . 4

tablE 2: mEdical SharPS collEction by rEgionS in 2018 . . . . . . . . . . . . . . . . . . . 4

5. Public Education matErialS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

6. Pharmacy inFormation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

7. Promotion and outrEach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

hPSa Social mEdia PoStS on Fb. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

inStitutE For SaFE mEdication PracticE canada . . . . . . . . . . . . . . . . . . . . . . . . 6

national droP-oFF month camPaign . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

8. concluSion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

aPPEndix 1: hPSa mEmbErS – mEdicationS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

aPPEndix 2: hPSa mEmbErS – mEdical SharPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

aPPEndix 3: inStitutE For SaFE mEdication PracticE canada . . . . . . . . . . . . 12

aPPEndix 4: national droP-oFF month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

aPPEndix 5: Promo ordEr Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

aPPEndix 6: takE-it-back rack cardS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

aPPEndix 7: inStruction guidE For PharmaciStS . . . . . . . . . . . . . . . . . . . . . . . . 20

aPPEndix 8: hPSa liSt oF collEction SitES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21



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1. exeCuTive summary

the health Products Stewardship association (hPSa) is an industry stewardship organization (iSo) created to manage the end-of-life of health products returned by the public through regulated provincial programs. hPSa proven expertise on promotion, education, material collection and end of life material management are delivered through the island medications return Program (imrP) and the island Sharps collection Program (iScP). hPSa member producers have been engaged, active and supportive and retail pharmacies have supported take-back programs by acting as voluntary collection sites.

this report is submitted on behalf of 160 brand owners selling prescription drugs (rx), non-prescription drugs (otc), natural health products (nhP) and medical sharps in Prince Edward island. those producers are all members of hPSa and are responsible for 100% of the costs of both stewardship programs.

Performance measures results

Quantity collected

In 2018, the following quantities were returned through the IMRP and the ISCP:

The IMRP collected 4,115.8 kg of medications returned by the public for safe disposal.

The ISCP collected 6,577.7 kg of medical sharps returned by the public for safe disposal

Number of collection points

At the end of 2018, all 47 of the Island’s eligible licensed community pharmacies are participating in the program. PEI is the only province in Canada with full participation among eligible retail pharmacies. In 2018, 2 IWMC Waste Watch Drop-Off Centers (WWDC) were registered as collection sites.

See the list of participating collection sites in Appendix 8.


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2. Program ColleCTion

in 2018, the quantity of medications returned was 0.027 kg per capita representing a total of 4,115.8 kg returned for disposal. the quantity of medical sharps returned was 0.043 kg per capita representing a total of 6,577.7 kg returned for disposal. these results are comparable to other stewardship programs administered by hPSa.

Figure 1 is a summary of the imrP collection over the past four years. note that the program launched in the later part of 2015.

Figure 2 is a summary of the iScP collection over the past four years. note that the program launched in the later part of 2015.

Figure 1: Program collection: 2015-2018 imrP results

Figure 2: Program collection: 2015-2018 iScP results

4,500.00

4,000.00

3,500.00

3,000.00

2,500.00

2,000.00

1,500.00

1,000.00

500.00

0.00

2015 2016 2017 2018

7,000.00

6,000.00

5,000.00

4,000.00

3,500.00

2,000.00

1,000.00

0.002015 2016 2017 2017

WE

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4,500.00

4,000.00

3,500.00

3,000.00

2,500.00

2,000.00

1,500.00

1,000.00

500.00

0.00

2015 2016 2017 2018

7,000.00

6,000.00

5,000.00

4,000.00

3,500.00

2,000.00

1,000.00

0.002015 2016 2017 2017

WE

IGH

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.

WE

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.

4,500.00

4,000.00

3,500.00

3,000.00

2,500.00

2,000.00

1,500.00

1,000.00

500.00

0.00

2015 2016 2017 2018

7,000.00

6,000.00

5,000.00

4,000.00

3,500.00

2,000.00

1,000.00

0.002015 2016 2017 2017

WE

IGH

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.

WE

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.

4,500.00

4,000.00

3,500.00

3,000.00

2,500.00

2,000.00

1,500.00

1,000.00

500.00

0.00

2015 2016 2017 2018

7,000.00

6,000.00

5,000.00

4,000.00

3,500.00

2,000.00

1,000.00

0.002015 2016 2017 2017

WE

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.

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.



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3. Program ouTline

the imrP and iScP address the extended producer responsibility (EPr) for all types of medications and medical sharps sold for consumer use in the province of Prince Edward island. these programs are designed to ensure that collection services are available in all regions of the province and that all returned consumer health products are packaged, handled, stored, transported and disposed of in a safe, compliant and environmentally responsible manner. the compliance requirements of both programs are dictated primarily by the Environmental Protection act materials Stewardship and recycling regulations, pursuant to Section 25 of the Environmental Protection act (EPa). this regulation requires producers of medications and medical sharps to provide islanders with access to free and convenient collection locations for the collection and responsible disposal of their unused or expired health products and used medical sharps. the list of members that are participating in the island medications return Program (imrP) and the island Sharps collection Program (iScP) are attached in appendix 1 and appendix 2 respectively.


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IMRP 2018 Q1 Q2 Q3 Q4 tota l

rEgionS collection Sites kg PailS kg PailS kg PailS kg PailS kg PailS

charlottEtown 18 380.8 35 427.5 36 468.4 43 334.8 30 1,611.5 144

grEEn gablES ShorES

3 71.1 6 51.3 5 78.5 6 61.6 7 262.5 24

north caPE coStal rEgion

15 264.1 23 347.7 27 348.3 27 285.8 24 1,245.9 101

Point EaSt coStal drivE

10 229.9 19 172.1 15 132.1 12 239.4 21 773.5 67

rEd Sand ShorE 3 64.8 7 66.8 6 36.9 4 53.9 5 222.4 22

total 49 1,010.7 90 1,065.4 89 1,064.2 92 975.5 87 4,115.8 358

ISCP 2018 Q1 Q2 Q3 Q4 tota l

rEgionS collection Sites kg PailS kg PailS kg PailS kg PailS kg PailS

charlottEtown 18 781.5 90 667.3 68 682.7 61 653.5 56 2,785 275

grEEn gablES ShorES

3 80.4 8 87.2 8 80.9 8 58.6 6 307.1 30

north caPE coStal rEgion

15 420.6 46 561.6 59 424.9 41 554.4 48 1961.5 194

Point EaSt coStal drivE

10 290.3 31 267 28 232.4 19 362.3 27 1,152 105

rEd Sand ShorE 3 121.5 14 69.2 7 78 8 103.4 9 372.1 38

total 49 1,694.3 189 1,652.3 170 1511.6 137 1,732.2 146 6,577.7 642

4. ColleCTion sysTem

the collection sites for the imrP and iScP are community pharmacies. Pharmacies are a logical and safe system for the public to return unused or expired medications and used medical sharps. many have extended hours and offer a convenient place for consumer disposal year-round. Specific information is provided to ensure that pharmacy managers and staff are knowledgeable on the program objectives and the way the program operates. all participating community pharmacies receive information containing specific instructions and guidelines and educational material. For the collection of returned medications and medical sharps, pharmacies can order hPSa pails and containers through an online request for services form. the containers are clearly marked with hPSa’s logo and contact information, as well as a description of what can and cannot be placed in the containers. For the collection of medical sharps, pharmacies can order the hPSa sharps containers. these hPSa branded containers are clearly marked for domestic use only with hPSa’s logo and instruction on how to properly secured containers and tabs for transportation. Pharmacies are also provided with posters detailing how to properly pack and secure returned sharps containers and medication pails for transport (appendix 7).

table 1: Quantity collected by regions in 2017



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5. PubliC eduCaTion maTerials

Consumer InformatIon

consumer information can be ordered via e-mail or fax by pharmacies, associations, members of the public or other interested groups, free of charge. all public materials are available in both French and English. the following information about the imrP and the iScP is available to consumers.

Rack Cards: information on the safe storage and return of consumer health products in the form of a double-sided leaflet entitled “Take-it Back”.

Bookmarks: double-sided bookmarks that display both the medications return Program and Sharps collection Program logos. these simply instruct cus-tomers not to throw out or flush their medications or medical sharps, but rather return them to their near-est pharmacy. a link to hPSa website is provided for further information.

Web Site: the hPSa website provides the public with information on the location of collection sites for the disposal of medications and medical sharps. on the hPSa site, there is a searchable database of pharmacies and an explanation of products accepted for each program.

Mobile App: the mobile app is available for down-load at android and apple stores.

http://www.healthsteward.ca/


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6. PharmaCy informaTion

the following documents regarding the imrP and the iScP are available to pharmacies:

News bulletin: a bi-annual e-news bulletin with in-formation for pharmacies registered in the programs is sent out twice each year.

Service and Supply Request Form: Pharmacies are able to quickly and easily request pick-ups of full medication pails or medical sharp containers using the online form (see appendix 5).

Posters: an information sheet detailing the proper collection and storage of public returns is e-mailed to each pharmacy in electronic format upon registra-tion. these may also be ordered in hard copy format using the promo material order form.

Video: “How To” videos developed for the pharma-cist are available online

2018 medications return Program - a Pharmacist guide

2018 Sharps collection Program - a Pharmacist guide

a sample of material developed for both programs is displayed in appendix 6 and appendix 7.

7. PromoTion and ouTreaCh

HPsa soCIal medIa Posts on fB

hPSa created a Facebook page in 2018 in order to provide a social media platform to share best practi-ces, hPSa videos, events (national drug drop off month), article as well as events from other health network (such as the community Pharmacist net-work or drug Free kids canada).

InstItute for safe medICatIon PraCtICe Canada

in 2018, hPSa worked closely with the institute for Safe medication Practice canada (iSmP) on empow-ering patients, families and healthcare providers with knowledge about risks of unused consumer health products and the disposal options available.

key communication message examples used in 2018 can be found in appendix 3.

•Consumer newsletter on safe medications use

•Safe Storage and Disposal information Card (iSmP canada, canadian Patient Safety institute (cPSi), Patients for Patient Safety canada, can-adian Frailty network, canadian centre on Sub-stance use and addiction, canadian Pharmacists association)

•Opioids for pain after day surgery: Your questions answered (iSmP canada, canadian deprescribing network, canadian Patient Safety institute, Pa-tients for Patient Safety canada, choosing wisely canada, canadian agency for drugs and tech-nologies in health (cadth), canadian Society of hospital Pharmacists, canadian nurses asso-ciation, canadian medical association, canadian association of general Surgeons, north york general hospital).

•Medication Safety (canadian Patient Safety week - hospital community event)

http://healthsteward.ca/pharmacists/







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natIonal droP-off montH CamPaIgn

For a second year in a row, hPSa sponsored a na-tional campaign by drug Free kids canada encour-aging parental action and return all leftovers to their local pharmacy.

the goal of the national drug drop-off month was to highlight the issue of the problematic use of prescription drugs by teens and emphasize the need for canadians to clear their households of any unused and expired prescription drugs as well as over-the-counter (otc) medicines, and to drop them off at their local pharmacy for responsible and safe disposal. appendix 4 provides an overview of the news media and Social media results of the 2018 campaign.

DiD YOu knOw?• 375,000CanadianTeensmisuse

prescription drugs

• 55%saytheygetthemfromhome

• 35%ofCanadiansdisposedrugsingarbageorflushintoilet,down2%from2017.

• 18%ofmedicinesarenowinalockedcabinet,up7%from2017.

• In2018,youbroughtback725tonsofmedication

drug Free kids canada


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Several organizations joined hPSa to promote national drug drop-off month, as well as several high-profile individuals endorsing this campaign such as:

“National Drug Drop-off month is an opportunity to remind Canadians of the importance of properly disposing of unused and expired prescription drugs and over-the-counter medicines. By returning these medications to our local pharmacies, we can reduce the risk of these substances being improperly used by teens and other people and keep pharmaceuticals out of our eco-sys-tems. Working together, we can all help address problematic substance use in Canada.”

the honourable ginette Petitpas taylor, minister of health

“Take Action: Protect yourself and others by storing medications more safely, and returning any expired, unused, or unwanted drugs as soon as possible. To learn more or for more options in your community, visit www.medicationsreturn.ca”

ginette vanasse, director general, hPSa

“Every day pharmacies accept unused prescription medication for safe dispos-al and with over 10,000 pharmacies across the country we are conveniently located close to home in each and every community. While Canada’s pharma-cists are there for you every day of the year, we are proud to support National Drug Drop-Off Month this August to highlight the issue, reduce the volume of prescription drugs available for misuse and inform Canadians of the harms as-sociated with improper use of prescrip-tion drug. We all have a role to play and I urge Canadians to take a few minutes this August to clear out their medicine cabinets of unused, unwanted or expired medications and make the short trip to your local pharmacy.”

christine hrudka, chair, canadian Pharmacists association

http://www.medicationsreturn.ca



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8. ConClusion

2018 was a positive year for hPSa and its partners. total national medication collection increased over the previous year reaching 411,905 kgs - 4,116 kg of which were collected in PEi. collections of medical sharps was also up totalling 317,006 kgs - 6,570 kg of which were collected in the province. hPSa is proud to announce that on average, 90 per cent of all registered pharmacies in the regulated provinces participated in the hPSa managed return programs. in PEi, 100% of the total eligible retail pharmacies participated.

most of us may need to dispose of prescribed or over-the-counter medications for various reasons, such change in treatment, dose, clinical condition or product expiry. the ideal method of medication and medical sharp disposal should be easy to perform, should minimize risk for diversion, should not im-pose a financial burden and should be environment-ally sound. taking unused or expired medications or used medical sharps to a community pharmacy for proper disposal meets all of these criteria.

hPSa, with the support of its members and health canada, developed key messages to guide both phar-macists and the public on the safe storage and dispos-al of medications and medical sharps.

while maintaining a primary focus on these safety, health and environment related objectives, hPSa also helped member producers collectively achieve the compliance obligations required by Environment-al Protection Act materials Stewardship and recycling regulations.


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aPPendix 1: hPsa members - mediCaTions

AA Pharma Inc.Indivior Canada Inc.Accord HealthcareJamieson LaboratoriesActelion Pharmaceuticals Canada Inc.Jamp Pharma CorporationAdvanced Orthomolecular Research (AOR)Laboratoires Atlas Inc.Advantage SolutionsLeadiant Biosciences, Inc.Alcon Canada Inc.Les Laboratoires Nicar Inc.Amway Canada CorporationLoblaw Companies Ltd.Astellas Pharma Canada Inc.London Drugs LimitedAuriumLundbeckAuro Pharma IncMannatech IncorporatedAventix Animal HealthMarcan Pharmaceuticals Inc.Bell Lifestyle ProductsMcCarthy & Sons Service (Rafter 8)Bimeda-MTC Animal Health Inc.McKesson CanadaBioforce Canada Inc.McNeil Consumer Healthcare, a Division of Johnson & JohnsonBioSyent Pharma Inc.Mead Johnson Nutrition (Canada) Co.Blistex CorporationMerial Canada Inc.Body Plus Nutritional Products Inc.Methapharm Inc.Boehringer Ingelheim Canada Ltd.Metro Brands, G.P.Boiron Canada

Mint Pharmaceuticals IncBristol-Myers Squibb Mylan Pharmaceuticals ULCCanadian Custom Packaging CompanyNaka Herbs & Vitamins Ltd.Celex Laboratories Inc.Natural Factors Nutritional Products Ltd.CelgeneNature’s Sunshine Products of Canada Ltd.Champion Alstoe Animal Health Inc.Nature’s Way Canada Ltd.Church & Dwight CanadaNestlé Canada Inc.Cipher Pharmaceuticals Inc.New Chapter Inc.Columbia LaboratoriesNorbrook Laboratories Inc.D Drops CompanyNovartis Animal Health Canada IncDuchesnayOmega Alpha Pharmaceuticals Inc.EisaiOrganika Health Products Inc.Exzell PharmaOtsuka Canada Pharmaceuticals Inc.Ferring Inc.Overwaitea Food Group Ltd PartnershipFresenius Kabi Canada Ltd.Pascoe Canada IncGalderma Canada Inc.PF Consumer Healthcare Canada ULC/PF Soin de Sante SRIGeneral Nutrition Centres CanadaPharmaChoiceGeneric Medical Partners Inc.Pharmasave Drugs (National) LtdGenuine HealthPharmascience Inc.

Gilead Sciences Canada Inc.Platinum Naturals LtdGlaxoSmithKline Consumer Healthcare Inc.Procter & Gamble Inc.Groupe Jean Coutu (PJC) Inc.Purdue PharmaHealth First Network Association Inc.Puresource Inc.Herbalife of CanadaPurity Life Health ProductsHPI Health Products/LakotaRanbaxy Pharmaceuticals Canada Inc.RBP Canada Inc.St Francis Herb Farm Inc.Rexall Pharmacy Group LtdTaro Pharmaceuticals Inc.Sanis Health Inc.TOP Nutritionals (Natural Calm Canada)Sanofi Consumers HealthTrillium Health Care ProductsSeaford PharmaceuticalsUniPHARM Wholesale DrugsServier Canada Inc.USANA Health SciencesShaklee Canada Inc.Vertex Pharmaceuticals IncorporatedShire Pharma Canada ULCVetoquinol Canada IncorporateShoppers Drug Mart CentralVirbac Animal Health CanadaSisu Inc.Vita Health Products Inc.Sobeys National (Mississauga)WellSpring Pharmaceutical Canada Corp.Westcoast Naturals



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Abbott Diabetes Care

Janssen Inc.

AbbVie Corporation

Leo Pharma Inc.

Allergan Inc.

LifeScan Canada,

Division of Johnson and Johnson Inc.

Amgen Canada Inc.

Medexus Inc.

Apotex Inc.

Merck Animal Health

AstraZeneca Canada Inc.

Merck Canada Inc.

Auto Control Medical

Novartis Pharmaceutical Canada Inc.

Baxter Canada

Novo Nordisk

Bayer Inc.

Paladin Labs Inc.

BD Medical

Pfizer Canada Inc.

Biogen Canada Inc.

Roche Canada Ltd.

Cardinal Health Medtronic

Roche Diabetes Care,

Division of Hoffmann-Roche

Costco Wholesale Canada Ltd.

Sandoz Canada

Domrex Pharma Inc.

Sanofi-Aventis Canada Inc.

Elanco

SOBI Canada (Swedish Orphan Biovitrum)

Eli Lilly Canada Inc.

Stericycle Inc.

EMD-Serono Canada Inc.

Teva Canada

GlaxoSmithKline Inc.

Tremblay Harrison Inc.

Hospira Healthcare Corporation

UCB Canada Inc.

Intervet Canada Corp

Valeant Canada LP

Wal-Mart Canada Corp.

aPPendix 2: hPsa members – mediCal sharPs


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Ask a healthcare provider if you have questions.

PREVENT MEDICATION ACCIDENTS

1. Store medications out of sight and reach of:

2. Place unused medications in a bag and bring to a pharmacy.

3. For locations that accept returns:

1-844-535-8889

Children and teens Visitors Pets

healthsteward.ca

Download from https://www.ismp-canada.org/download/OpioidStewardship/storage-disposal-information.pdf

aPPendix 3: insTiTuTe for safe mediCaTion PraCTiCe Canada



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38 HOSPITAL NEWS JUNE 2018 www.hospitalnews.com

CANADIAN SOCIETY OF HOSPITAL PHARMACISTS

urgical patients are four times more likely to re-ceive opioids at discharge from hospital than their

non-surgical counterparts. A recent study of post-surgical patients by Brat et al (2018), showed each additional week of opioid prescription is associat-ed with a significant increase in opioid misuse among opioid-naïve patients.

A patient resource, “Opioids for pain after surgery: Your questions answered” was developed collabora-tively with, and endorsed by, Patients for Patient Safety Canada, the Cana-dian Patient Safety Institute (CPSI), the Canadian Society of Hospital Pharmacists (CSHP), the Canadi-an Deprescribing Network, Choos-

ing Wisely Canada, the Canadian Agency for Drugs and Technologies in Health (CADTH), the Canadian Nurses Association (CNA), the Ca-nadian Medical Association (CMA), the Canadian Association of Gen-eral Surgeons, and the Institute for Safe Medication Practices Canada (ISMP Canada). This resource was developed in accordance with recent guidelines and preferred practices. The handout, which builds on the movement ‘5 Questions to Ask about Your Medications’, was launched by Choosing Wisely Canada through the Opioid Wisely Campaign.

The aim is to equip patients with important messages in plain language about opioid use after surgery. Some

key messages include: use the lowest possible dose for the shortest possible time; opioids are usually required for less than one week after surgery; and ask about the use of other methods to reduce pain including non-opioid pain medications.

The resource also advises patients to securely store medications and to return any unused medications to a communi-ty pharmacy. Improper storage or dis-posal of opioids has resulted in acciden-tal poisonings, medication errors, and inappropriate use. The Health Product

Stewardship Association (www.health-steward.ca) can be contacted for more information about locations that accept unused medication returns.

Opioids for pain after surgery: Your Questions Answered is available:

In English: https://www.ismp-cana-da.org/download/OpioidStewardship/OpioidsAfterSurgery-EN.pdf

In French: https://www.ismp-cana-da.org/download/OpioidStewardship/OpioidsAfterSurgery-FR.pdf

For more information about use of opi-oids, visit www.opioidstewardship.ca ■H

Opioids for pain after surgery:

S

THIS RESOURCE WAS DEVELOPED IN ACCORDANCE WITH RECENT GUIDELINES AND PREFERRED PRACTICES

Your questions answered – resource for patients

Pharmacy Capital Contract to Meet New NAPRA Standards

For more information, please contact:Rafael PerezDirector, Capital [email protected]

HealthPRO is now accepting commitments from members for its Biosafety Cabinets and Hoods Contract.

Ranging from Biosafety Cabinets,Laminar Flow Hoods and Compounding Isolators, including Class I, II and III protection levels for use in a variety of controlled environments, pharmaciesand cleanrooms.

This article was submitted by Alice Watt and Sylvia Hyland, Pharmacists, Institute for Safe Medication Practices Canada (ISMP Canada).

Opioids for pain after surgery: Your questions answered

1. Changes?

2. Continue?

3. Proper Use?

4. Monitor?

5. Follow-Up?

To find out more, visit: OpioidStewardship.ca and DeprescribingNetwork.ca

You have been prescribed an opioid. Opioids reduce pain but will not take away all your pain. Ask your prescriber about other methods of reducing pain including using ice, stretching, physiotherapy, or non-opioid drugs like acetaminophen or ibuprofen. Know your pain control plan and work closely with your prescriber if your pain does not improve.

Opioids are usually required for less than 1 week after surgery. As you continue to recover from your surgery, your pain should get better day by day. As you get better, you will need less opioids. Consult your healthcare provider about how and when to reduce your dose.

Use the lowest possible dose for the shortest possible time. Overdose and addiction can occur with opioids. Avoid alcohol and sleeping pills (e.g. benzodiazepines like lorazepam) while taking opioids. Do not drive while taking opioids.

Side e�ects include: sedation, constipation, nausea and dizziness. Contact your healthcare provider if you have severe dizziness or inability to stay awake.

Ask your prescriber when your pain should get better. If your pain is not improving as expected, talk to your healthcare provider.

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DOn’T THrOw iT OuT– Tweetedover866timesand likedonFacebookover1,452



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aPPendix 4: naTional droP off monTh

news medIa results July 15 – sept 15

TOTAL Reach 7,943,650

News OuTLeT ReAch

National Post 2M

Yahoo News Cda 1M

Vancouver Sun 909K

Ottawa Citizen 679K

The Province (BC) 411K

Calgary Herald 398K

Hamilton Spectator 322K

London Free Press 186K

Windsor Star 174K

Saskatoon Star Phoenix 109K

Regina Leader Post 99K

Chinese Cdn Papers 90K

Infotel News 57K

Blackburn News 53K

St Catherine's Standard 43K

Peterborough Examiner 23K

Niagara Falls Review 19K

Metroland Media Group (INCLUDES)

approx 150K

soCIal medIa results July 15 – sept 15

Total 194 Mentions - 450% increase in social mentions hIGhesT ReAch (5K +)

ORGANIsATION

ReAch (1000’s)

sOcIAL PLATfORM

GovCanHealth 220 Twitter Several tweets

Victoria Police 56 Twitter

Saskatoon Police 53 Twitter

Saskatoon Police Service 46 Facebook

GouvCdnSanté 22 Twitter

Abbotsford Police 17 Twitter

OPP Central 12 Twitter

Cdn Pharmacist Association 12 Twitter Several tweets

Cdn Pharmacist Association 12 Facebook Several tweets

Ordre des Pharmaciens 8 Facebook

Melanie Korach 8 Twitter

Sudbury Police 7 Twitter Several tweets

Brandon Police 7 Twitter

Canadian Assoc of Chiefs of Police 7 Twitter

Lasalle Police 6 Twitter Several tweets

Canadian Public Health Assoc 5 Twitter

Sub total 498


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SafeMedicationUse.ca Newsletter – www.safemedicationuse.ca©2018 Institute for Safe Medication Practices Canada. All Rights Reserved.

A COMPONENT OF THEBROUGHT TO YOU BY

Medication safety bulletins contribute to Global Patient Safety Alerts. This newsletter was developed in collaboration with Best Medicines Coalition and Patients for Patient Safety Canada.Recommendations are shared with healthcare providers, through the ISMP Canada Safety Bulletin, so that changes can be made together.This newsletter shares information about safe medication practices, is noncommercial, and is therefore exempt from Canadian anti-spam legislation.

Careful storage and disposal of medications is important to prevent accidents in the home. Leftover medications that are within easy reach can be dangerous to children and pets. Medications that are not securely stored may be accessed by family members or visitors and cause harm. Even a single dose of some medications can cause serious harm or death.

There may be many reasons why medications are kept in a person’s home, including:

• Medications are simply “put away” after an illness • Medications are thought to be needed in the future• Family members don’t know what to do with medications

that are left over after a loved one dies

SafeMedicationUse.ca has the following recommendations for consumers to safely store and dispose of medications:

• Store your medications out of sight in a cabinet that is out of the reach of children and pets. Ideally, opioids should be stored in a locked cabinet or box.

• Regularly check for unneeded and expired medications. • Return unneeded and expired medications to a safe

disposal location. Most pharmacies have programs to safely destroy medication and keep it out of the environment. Check with your pharmacy or go to www.healthsteward.ca and type in your postal code for a list of participating locations that accept medication returns. You can also call 1-844-535-8889 for more information.

Read some additional tips about safe medication storage and disposal: • Safe Disposal of Medications – https://safemedicationuse.ca/newsletter/newsletter_disposal.html• Opioids – Be an Informed Consumer – https://safemedicationuse.ca/newsletter/question-opioids.html

Have Unused Medications Overstayed Their Welcome?

Volume 9 • Issue 8 • September 19, 2018



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aPPendix 5: Promo order form


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You Can Return:• Allprescriptionmedications•Over-the-counterdrugs•Naturalhealthproducts• Inhalers

It is important to check your home regularly for medications that are expired or no longer needed. Disposing of them properly can prevent misuse, accidental ingestion, and protect the environment in the process.

Visit www.healthsteward.ca to find your nearest participating pharmacy.

Responsibly return unused and expired medication.

Responsibly return unused and expired medication.

TAKE IT BACK!TAKE IT BACK!TAKE IT BACK! HAVE YOUR OLD MEDICATIONS OVERSTAYED THEIR WELCOME?

1

Safely store medications in your home.

2

Check for unused and expired medications.

3Empty all pills into a bag or container, but keep liquids,

creams and inhalers in their original packaging. Remove any personal identification. Recycle all other packaging.

4

Take it back to a participating pharmacy.

HPSA IS FUNDED BY THE HEALTH PRODUCTS INDUSTRY

For more information, visit:healthsteward.ca or e-mail [email protected]

Call Our Toll-Free Number: 1-844-535-8889

aPPendix 6: Take-iT-baCk raCk Cards



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aPPendix 7: insTruCTion guide for PharmaCisTs



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aPPendix 8: hPsa lisT of ColleCTion siTes

Pharmacy name aDDress cIty

Alberton Pharmacy 483 Main St, PO Box 600 Alberton

Bob’s Pharmacy (Guardian) 248 Phillip St (tignish Medical Centre), PO Box 118

Tignish

Hunter River Pharmacy 4276 Hopedale Rd, PO Box 38

Hunter River

Lawtons Drug #372 199 Grafton St Charlottetown

Main Street Pharmasave 175 Main St, PO Box 430 Souris

Murphy’s Morell Pharmacy 25 Sunset Cres, PO Box 160

Morell

Murphy’s Cornwall Pharmacy 4 Meadowbank Rd, PO Box 437

Cornwall

Murphy’s Parkdale Pharmacy 24 St. Peters Rd, PO Box 22092

Charlottetown

Sherwood Drug Mart 19 Brackley Point Road Charlottetown

Sobeys Pharmacy #870 400 University Ave Charlottetown

Sobeys Pharmacy #628 39 Babineau Ave Charlottetown

Sobeys Pharmacy #721 76-87 Main St, PO Box 310 Montague

Sobeys Pharmacy #621 9 Kinlock Rd Startford

Murphy’s Startford Pharmacy 13 Stratford Rd Startford

Loblaws Pharmacy #376 465 University Ave Charlottetown

Loblaws Pharmacy #314 535 Granville St Summerside

Loblaws Pharmacy #386 680 University Ave Charlottetown

Loblaws Pharmacy #388 509 Main St Montague

The Medicine Shoppe #187 54 Central St Summerside

Murphy’s Tyne Valley Pharmacy 7033 Rte. #12, PO Box 40 Tyne Valley

Walmart #3162 80 Buchanan Dr Charlottetown

Walmart #3644 511 Granville St Summerside

Murphy’s West Royalty Pharmacy 591 North River Rd Charlottetown

Shoppers Drug Mart #102 120-172 Queen Street, Confederation Court Mall

Charlottetown

Lawtons Drug #882 475 Granville St Summerside

The Medicine Shoppe #232 500 Main St, PO Box 698 O’Leary

Pharmacy name aDDress cIty

Lawtons Drug #880 161 Saint Peters Rd, PO Box 20152

Charlottetown

Sobeys Pharmacy #868 475 Granville St Summerside

Shoppers Drug Mart #100 403 University Ave Charlottetown

Murphy’s Kensington Pharmacy 56 Broadway St, PO Box 32060

Kensington

Murphy’s Wellington Pharmacy 16 Ponside Dr Wellington

O’Leary Guardian Drugs 536 Main St, PO Box 489 O’Leary

Shoppers Drug Mart #105 454 Granville ST Summerside

Lawtons Drugs #826 220 Water St Charlottetown

Lawtons Drugs #2557 407 MacIntyre Avenue Montague

Murphy’s Rustico Pharmacy 7379 Cavendish Rd, PO Box 344

North Rustico

Shoppers Drug Mart #101 675 University Ave Charlottetown

Murphy’s Summerside Pharmacy 243 Harbourside Dr Summerside

South Shore Pharmacy 3 – 20424 Trans Canada Hwy- Rte 1, PO Box 70

Crapaud

Bioscript Pharmacy 1B- 1 Garfield St Summerside

Medicine Shoppe Pharmacy #327 152 Poplar St, PO Box 8 Alberton

Souris Remedy’s Rx 51 Main St, PO Box 68 Souris

Pharmasave #823 25 Meadowbank Rd (Cornwall Plaza), PO Box 189

Cornwall

Murphy’s East Royalty Pharmacy 266 St. Peters Rd Charlotte-town

Murphy’s Queen Street Pharmacy 420 Queen Street Charlotte-town

Montague Pharmasave 521 Main St Montague

Murphy’s Central Street Pharmacy

434 Central Street Summerside

GreenIsle WWDC 8 Superior Cres Charlottetown

Dingwells Mills WWDC 100 Selkirk Rd, Rte #309 St. Peters Bay

medications return program and sharps collection program

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