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Good Information

Pura Vida

Well-Known Member
Messages
755
Location
CANADA YYC
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Good Information


This is valuable information. I have always wondered about the old aspirins that
are collecting in the medicine cabinet. My thoughts were that they were okay
as there is little to change their chemical constituency while sitting in a sealed
bottle - other than the air which was let in when the container was opened. I
did think that the strength might degrade over time (not being a chemist I did
not really know why this would be, but just assumed it to happen).
This is an insightful read. Something that the internet is really worthwhile in
having.
I am not surprised that the expiry date is more about profits {greed} (i.e suckering
you and me into throwing out perfectly good things and buying more of the same
thing - albeit in a different package so that it appears new and improved when
it is the same old thing)
The email which I received:
I have done reading on drugs before, to check re dates, but did not realize they are good this far past the date.,now I shall not toss out any!

Subject: Expiration Date on Medicine Bottle. - A MUST READ - very interesting
WHAT DOES EXPIRATION DATE ON A BOTTLE OF MEDICATION MEAN TO YOU?

A very interesting read:
Does the expiration date on a bottle of a medication mean anything?
If a bottle of Tylenol, for example, says something like "Do not use after June 1998," and it is August 2002, should you take the Tylenol? Should you discard it? Can you get hurt if you take it?

Will it simply have lost its potency and do you no good?

In other words, are drug manufacturers being honest with us when they put an expiration date on their medications, or is the practice of dating just another drug industry scam, to get us to buy new medications when the old ones that purportedly have "expired" are still perfectly good?

These are the pressing questions I investigated after my mother-in-law recently said to me, "It doesn't mean anything," when I pointed out that the Tylenol she was about to take had "expired" 4 years and a few months ago. I was a bit mocking in my pronouncement -- feeling superior that I had noticed the chemical corpse in her cabinet -- but she was equally adamant in her reply, and is generally very sage about medical issues.

So I gave her a glass of water with the purportedly "dead" drug, of which she took 2 capsules for a pain in the upper back. About a half hour later she reported the pain seemed to have eased up a bit.

I said, "You could be having a placebo effect," not wanting to simply concede she was right about the drug, and also not actually knowing what I was talking about.
I was just happy to hear that her pain had eased, even before we had our evening cocktails and hot tub dip (we were in "Leisure World," near Laguna Beach, California, where the hot tub is bigger than most Manhattan apartments, and "Heaven," as generally portrayed, would be raucous by comparison).

Upon my return to NYC and high-speed connection, I immediately scoured the medical data bases and general literature for the answer to my question about drug expiration labeling.

And voila, no sooner than I could say "Screwed again by the pharmaceutical industry," I had my answer.

Here are the simple facts:
First, the expiration date, required by law in the United States, beginning in 1979, specifies only the date the manufacturer guarantees the full potency and safety of the drug -- it does not mean how long the drug is actually "good" or safe to use.

Second, medical authorities uniformly say it is safe to take drugs past their expiration date –no matter how "expired" the drugs purportedly are. Except for possibly the rarest of exceptions, you won't get hurt and you certainly won't get killed.

Studies show that expired drugs may lose some of their potency over time, from as little as 5% or less to 50% or more (though usually much less than the latter). Even 10 years after the "expiration date," most drugs have a good deal of their original potency.






One of the largest studies ever conducted that supports the above points about "expired drug" labeling was done by the US military 15 years ago, according to a feature story in the Wall Street Journal (March 29, 2000), reported by Laurie P. Cohen.

The military was sitting on a $1 billion stockpile of drugs and facing the daunting process of destroying and replacing its supply every 2 to 3 years, so it began a testing program to see if it could extend the life of its inventory.

The testing, conducted by the US Food and Drug Administration (FDA), ultimately covered more than 100 drugs, prescription and over-the-counter.

The results showed, about 90% of them were safe and effective as long as 15 years past their expiration date.

In light of these results, a former director of the testing program, Francis Flaherty, said he concluded that expiration dates put on by manufacturers typically have no bearing on whether a drug is usable for longer.

Mr. Flaherty noted that a drug maker is required to prove only that a drug is still good on whatever expiration date the company chooses to set. The expiration date doesn't mean, or even suggest, that the drug will stop being effective after that, nor that it will become harmful.




"Manufacturers put expiration dates on for marketing, rather than scientific, reasons, " said Mr. Flaherty, a pharmacist at the FDA until his retirement in 1999.

"It's not profitable for them to have products on a shelf for 10 years. They want turnover."

The FDA cautioned there isn't enough evidence from the program, which is weighted toward drugs used during combat, to conclude most drugs in consumers' medicine cabinets are potent beyond the expiration date.

Joel Davis, however, a former FDA expiration-date compliance chief, said that with a handful of exceptions -- notably nitroglycerin, insulin, and some antibiotics -- most drugs are probably as durable as those the agency has tested for the military.





"Most drugs degrade very slowly," he said. "In all likelihood, you can take a product you have at home and keep it for many years." Consider aspirin. Bayer AG puts 2-year or 3-year expiration dates on aspirin and says that it should be discarded after that.

However, Chris Allen, a vice president at the Bayer unit that makes aspirin, said the dating is "pretty conservative"; when Bayer tested 4-year-old aspirin, it remained 100% effective, he said. So why doesn't Bayer set a 4-year expiration date? Because the company often changes packaging, and it undertakes "continuous improvement programs," Mr. Allen said. Each change triggers a need for more expiration-date testing, and testing each time for a 4-year life would be impractical. Bayer has never tested aspirin beyond 4 years, Mr. Allen said. But Jens Carstensen has.

Dr. Carstensen, professor emeritus at the University of Wisconsin's pharmacy school, who wrote what is considered the main text on drug stability, said, "I did a study of different aspirins, and after 5 years, Bayer was still excellent.

Aspirin, if made correctly, is very stable.

Okay, I concede. My mother-in-law was right, once again.

And I was wrong, once again, and with a wiseacre attitude to boot. Sorry mom.

Now I think I'll take a swig of the 10-year old, dead package of Alka Seltzer in my medicine chest to ease the nausea I'm feeling from calculating how many billions of dollars the pharmaceutical industry bilks out of unknowing consumers every year who discard perfectly good drugs and buy new ones because they trust the industry's "expiration date labeling."
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Thank you, that is helpful - including the information that insulin is one of the few drugs that really do expire.

Kate
 
Hmmm - but is it worth the risk? At about 25p for a pack of generic aspirin or paracetamol - I would be wary of taking any liquids that are out of date - there may be evaporation that makes the drug more potent. Although this article is American so maybe it's more understandable as they have to pay more than us there being no NHS.
 
Interesting. My better half has been involved in the pharmaceutical industry for 35 years, initially as a lab assistant but for most of the last 30 years as a patent agent (specialising in biotech).
She tells me that pharmaceutical companies spend chunks of their development budget on checking/improving the stability of the drugs that they are developing. Anything in powder is easier to deal with, liquids not so much. Also even certain insulin will be stored in powder form to extend it's shelf life before saline is added and bottled up for delivery to your nearest pharmacy.
 
Personally I don't worry about pills that are in a solid state as I don't see how they can deteriorate rapidly. Suspensions I'm a bit wary of.

I've been using my Humalog RA insulin pen for about 3 months (DON'T COPY THIS AT HOME CHILDREN). It still seems to be working.
 
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