Are Expired Drugs Effective?

spini4

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Georgia executed a murderer on Tuesday with drugs that may have been past their expiration date. The state purchased its supply of sodium thiopental—designed to anesthetize a patient during the lethal-injection procedure—from an obscure, and unlicensed, British company. As if that weren't sufficiently dodgy, the drug, which has a shelf life of just one year when made in the United States, was manufactured in 2006. Are drugs effective past their expiration dates?

Usually, yes. At the behest of the Pentagon, the Food and Drug Administration launched the Shelf Life Extension Program in 1985 to determine whether the military's massive stockpile of expired drugs had become ineffective. The study, first made public by the Wall Street Journal in 2000, showed that 90 percent of drugs maintained stability—that is, their chemical constituents did not degrade or change substantially—well past their expiration dates. Some drugs were good for a decade after expiring.
The Journal's report, in which one expert claimed that conservative dates were an industry trick to increase turnover, has spurred significant Internet skepticism over expiration dates. But before you go tossing back vintage Tylenol, consider a couple of caveats. There was surprising variability in the FDA study. Sometimes different batches of the same drug lost efficacy at very different times for unknown reasons. In addition, the Pentagon stores its multimillion-dollar stockpile of medications under controlled temperature, humidity, and light conditions. Your medicine cabinet doesn't offer an ideal storage environment. And some classes of drugs, like biologics and insulin, are especially likely to spoil. Accordingly, the FDA continues to recommend that you throw away your expired medications.
Unlike food expiration dates, drug expiration dates are regulated by the government. The FDA requires pharmaceutical makers to declare the shelf life of their products after a stability-testing process. Drug makers typically store three batches of the product at 77 degrees Fahrenheit and 60 percent relative humidity, and three other batches at 104 degrees and 75 percent humidity to simulate shipping conditions. In most cases, drugs that survive the process get initial expiration dates between 12 and 24 months from the date of manufacture, depending on how much chemical degradation occurred during testing. Put simply, the expiration date means that the manufacturer has proven that the product will still work at that time. It absolutely does not mean that it will necessarily stop working a day, a month, a year, or five years after that date.

Read more at: http://www.slate.com/id/2282939/
 
Just got this email forwarded to me:

Does the expiration date on a bottle of a medication mean anything?

The John Hopkins medical website says basically the same thing as the article below.

By Richard Altschuler

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 databases 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. So wisdom dictates that if your life
does depend on an expired drug, and you must have 100% or so of its original
strength, you should probably toss it and get a refill, " If your life does
not depend on an expired drug -- such as that for headache, hay fever, or
menstrual cramps -- take it and see what happens.

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 that about 90% of them were safe and
effective as far as 15 years past their original 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 liquid
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 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 has 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 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."
 
No they dont go bad. Dr.s have even told me along ass time ago that this is a way for pharmacuetical companies to make more money.

A percocet should last forever. It's possible though that the labels on the pills will decompose after quite a few years. Suboxone pills turn into powder after along time, but still work I bet.

I had some ear drops that I got a few years back and was going to use them the other day, but they had some black shit floating around. Maybe that's becuase they were exposed to oxyegen. (spelling I know)
 
Take some of this with a grain of salt. Some drugs such as L-Thyroxine (Synthroid, Levoxyl) degrade pretty rapidly. Again, as the article mentioned, the medicine cabinet is not the best place in the world to keep such chemicals. The Medical Letter just put out an article on this subject, and a lot of drugs can last a while. Theophylline retained potency after 30-40 years!
 
Last summer I was at a friends house & he doesnt use opiates at all. His sister had surgery 3 years prior & had left 5/325 percs in the cabinet so he gave them to me. They worked very well & it seemed that they didnt lose any potency.
 
Benzo's loose potency definatley. I had some 2 year out of date Wyeth 10 mg Diazepam n they felt more like 6mgish . I went 2 my chemist and he confirmed this. I guess some preparations loose potency quicker.
On the other hand i've had out of date Codeine n they were fine.
I think it might depend on what other non active substances are in the Drug
 
Isn't this why we ship expired medications to third world countries? Because some medications, despite their expiration date, don't really ever go bad? We do the same with some prepared/packaged foods, I believe.
 
Isn't this why we ship expired medications to third world countries? Because some medications, despite their expiration date, don't really ever go bad? We do the same with some prepared/packaged foods, I believe.



What countries do expired oxy 80's go to? LoL!
 
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.

Lmao regardless of whether expired meds are safe, no one should take acetaminophen before their "evening cocktails."
 
^^

I dont take acetaminophen ever the benefits don't out weight the risks to me
 
Though I don't recommend it, it is technically OK to max out at 2000 mg/day of APAP if you drink (provided your liver isn't already damaged). I figure that booze works well enough as a pain killer, so why bother with Tylenol?
 
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