Making sure your medicine is safe at home

#MedSafetyWeek is an annual campaign organised by the Medicines and Healthcare products Agency (MHRA). This encourages you to report any suspected side effects from medicines, a medical device incident, or if you believe a product isn't working as intended. The MHRA Yellow Card Scheme helps to detect and resolve potential safety issues with medicines and healthcare products.

#MedSafetyWeek 2024 (4-10 November)

What is an expiry date?

The expiry date of a medicine is the latest date that the manufacturer guarantees that the medicine will be as effective - and as safe - as when it was issued. It's a legal requirement for all medicines in the UK to have an expiry date.

Manufacturers tend to pick arbitrary expiry dates which are one or two years after the manufacture of a batch of medicines. They check them on that date to ensure the medicine is stable and works at the dose it's prescribed.

Sealed packaging

Whether or not the package is adequately sealed can change how long it stays safe for. Light, variations in temperature and moisture can affect the stability of a medicine. That's why your medicine cabinet is a fairly good place for many products, because it's dark and does not usually have big temperature fluctuations.

Many medicines come in foil blister packs, which keep moisture and light out. The expiry date guarantees that as long as the blister isn't opened, they will still be effective up to that time.

However, if the packaging that surrounds the medicine - as opposed to the cardboard box it is in - is opened, that expiry date cannot be guaranteed. Likewise, tablets in bottles can never be guaranteed past their expiry date.

Temperature of the medicine

Another key variable is temperature. Some medicines - usually non-tablet forms - need to be kept in the fridge. If you leave them out by mistake, they may be less safe or less effective even before their expiry date is reached.

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Potassium-sparing diuretics

Diuretics are medicines which increase the amount of fluid removed from the body when we pass urine. Potassium-sparing diuretics are one type of diuretic. They are weak diuretics usually prescribed in combination with other types of diuretics. They are used to increase the amount of fluid passed from the body in urine, whilst also preventing too much potassium being lost with it. Side-effects are uncommon when routine low doses are used. Most people are able to take these medicines.

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How expiry dates affect other types of medicines

Any medicine that contains preservatives - eye drops are a common example - may not be safe once it has passed its expiry date. That's because the preservatives are added to avoid harmful bacteria growing in the liquid - which can cause damage to your body, especially in sensitive areas like eyes.

Sometimes, a shortage of supply means the NHS and national drug safety agencies need to check and see whether a medicine is still safe. Importantly, liquids may have two dates - an expiry date if unopened, and a shorter time-frame for use once opened - take notice of both.

What to do with expired medicines

If you have unused medicine that has expired, speak to your pharmacist. Your pharmacist cannot re-issue medicines to other people, even if the packet is unopened, for safety reasons. However, they can often dispose of it safely for you.

If you have any one of a range of long-term conditions such as high blood pressure, raised cholesterol, diabetes, asthma, chronic kidney disease or heart disease, you may be taking several regular medicines. Taking these medicines exactly as prescribed means you'll get maximum benefit and protection from them. And taking steps to manage and organise your medicines properly will make this a lot easier.

Although they aren't strictly medicines, sun creams and lotions have an expiry date for a reason. The protection they provide becomes much less effective over time, especially if they've been opened or left out in the sun. Get rid of sunscreen at the end of every summer season or at least as soon as it reaches its expiry date.

It's good to do a regular clean out of your medicine cabinet. You might want to put a reminder in your diary to do this every six months - or more often if you take multiple medicines. And if you're not sure whether a medicine is safe, do not take it.

Click here for more information about #MedSafetyWeek and the Yellow Card scheme for reporting suspected side effects from your medicines.

With thanks to 'My Weekly' magazine where this article was originally published.