Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications

Abstract Substance use disorders are a significant public health issue. Options to dispose of controlled medications are limited, increasing the risk of diversion. Providing an alternative for disposal, a chemical denaturant, SafeMedWaste, was designed to destroy controlled substances irreversibly a...

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Autores principales:	Emma Leishman, Yizhong Wang, Reddy Channu, Evan Boyst, Marshall Hartmann, Justin Stas
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6a1f0a39c5944b028eb8be6ed7fb07b1
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spelling	oai:doaj.org-article:6a1f0a39c5944b028eb8be6ed7fb07b12021-12-02T14:12:10ZDevelopment and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications10.1038/s41598-020-80388-w2045-2322https://doaj.org/article/6a1f0a39c5944b028eb8be6ed7fb07b12021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80388-whttps://doaj.org/toc/2045-2322Abstract Substance use disorders are a significant public health issue. Options to dispose of controlled medications are limited, increasing the risk of diversion. Providing an alternative for disposal, a chemical denaturant, SafeMedWaste, was designed to destroy controlled substances irreversibly and safely be placed in non-hazardous landfills. Via HPLC–MS, four formulations of SafeMedWaste were tested with 34 different liquid controlled medications from DEA schedules I–V. Beta testing assessed the efficacy of SafeMedWaste in a clinical setting and on waste generated in a manufacturing setting. Furthermore, a formulation of SafeMedWaste was tested on solid controlled medications. All 34 of the liquid medications tested (e.g., amphetamine, diazepam, fentanyl, ketamine) were fully destroyed in SafeMedWaste within 2–24 h. Analysis of a beta test sample of SafeMedWaste containing fentanyl, midazolam, and morphine waste collected in a hospital showed full denaturation of these drugs in 24 h. Variants of SafeMedWaste were optimized to denature six different controlled substance waste samples from a manufacturing facility. In contrast to side-by-side studies with a charcoal disposal system using the same drugs, SafeMedWaste fully inactivated and destroyed the controlled substances in the waste streams. Another formulation of SafeMedWaste was tested on solid medications, which were fully denatured in 48–72 h. In conclusion, SafeMedWaste irreversibly denatures controlled medications that present a problem in our society.Emma LeishmanYizhong WangReddy ChannuEvan BoystMarshall HartmannJustin StasNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Emma Leishman Yizhong Wang Reddy Channu Evan Boyst Marshall Hartmann Justin Stas Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications
description	Abstract Substance use disorders are a significant public health issue. Options to dispose of controlled medications are limited, increasing the risk of diversion. Providing an alternative for disposal, a chemical denaturant, SafeMedWaste, was designed to destroy controlled substances irreversibly and safely be placed in non-hazardous landfills. Via HPLC–MS, four formulations of SafeMedWaste were tested with 34 different liquid controlled medications from DEA schedules I–V. Beta testing assessed the efficacy of SafeMedWaste in a clinical setting and on waste generated in a manufacturing setting. Furthermore, a formulation of SafeMedWaste was tested on solid controlled medications. All 34 of the liquid medications tested (e.g., amphetamine, diazepam, fentanyl, ketamine) were fully destroyed in SafeMedWaste within 2–24 h. Analysis of a beta test sample of SafeMedWaste containing fentanyl, midazolam, and morphine waste collected in a hospital showed full denaturation of these drugs in 24 h. Variants of SafeMedWaste were optimized to denature six different controlled substance waste samples from a manufacturing facility. In contrast to side-by-side studies with a charcoal disposal system using the same drugs, SafeMedWaste fully inactivated and destroyed the controlled substances in the waste streams. Another formulation of SafeMedWaste was tested on solid medications, which were fully denatured in 48–72 h. In conclusion, SafeMedWaste irreversibly denatures controlled medications that present a problem in our society.
format	article
author	Emma Leishman Yizhong Wang Reddy Channu Evan Boyst Marshall Hartmann Justin Stas
author_facet	Emma Leishman Yizhong Wang Reddy Channu Evan Boyst Marshall Hartmann Justin Stas
author_sort	Emma Leishman
title	Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications
title_short	Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications
title_full	Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications
title_fullStr	Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications
title_full_unstemmed	Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications
title_sort	development and implementation of safemedwaste, a chemical denaturant for non-hazardous disposal of controlled medications
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/6a1f0a39c5944b028eb8be6ed7fb07b1
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Development and implementation of SafeMedWaste, a chemical denaturant for non-hazardous disposal of controlled medications

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