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Increasingly, healthcare practitioners need to be concerned not only with the type and dose of the medication prescribed to dental patients, but also to how waste is managed. This article discusses the results of a literature review on the harm both to the environment and population health caused by pharmaceutical waste and looks at potential ways of mitigating this worldwide problem.
CPD/Clinical Relevance: The dental team needs to consider how they manage not only general clinical waste but their specific responsibility for pharmaceutical waste
Article
Dental professionals have a duty to do no harm, but there is a lack of consideration by the dental team given to the harm caused by pharmaceutical waste (PW) and related poor waste management practices. Dentists prescribe a considerable amount of medication. From 2017 to 2020 for example, dentists in England prescribed 13,235,561 items, with dentists responsible for prescribing 10% of antimicrobials.1,2,3,4
There has been no calculation of how much waste occurs within dental prescribing. Within broader healthcare, the pharmaceutical industry produced $900 billion in prescription medicines globally. Within England, the NHS alone reports that annual management of pharmaceutical waste costs £300 million annually.1,2 An estimated 1.27 million kg of prescription medications are left unused by consumers in the US annually.3
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