Unused Medicines Lying at Home? Get Rid of These 17 Expired Medicines Immediately; They Are Like a ‘Loaded Weapon on Your Coffee Table’

Expired medicines danger CDSCO flush list
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That forgotten strip of pills in your medicine cabinet isn’t just clutter—it could be a deadly hazard. India’s top drug regulator, the Central Drugs Standard Control Organisation (CDSCO), has issued an urgent warning: expired or unused medications can be fatal if accidentally ingested.

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This isn’t just a routine advisory—it’s a critical call to action for households across India. The CDSCO has identified 17 high-risk drugs that must be flushed immediately if expired, unused, or no longer needed.

Why These Expired Drugs Are a “Poison Bomb”

According to Dr. Dheeraj Menon, a Mumbai-based pharmacologist, keeping these drugs at home is like “storing a loaded weapon on the coffee table.”

  • Diazepam, commonly prescribed for anxiety and seizures, is particularly dangerous. Even when expired, it retains sedative effects and can cause respiratory depression, coma, or death if misused.
  • Fentanyl and tramadol, strong painkillers, can be fatal in a single dose if taken by children, pets, or anyone not prescribed the medication.
  • Expired drugs may degrade into unknown compounds, leading to unpredictable side effects or dangerous interactions with other medicines.

Dr. Ria Sadana, a Bengaluru-based neurosurgeon, warns: “A single expired tablet tossed in the trash can cause a medical emergency. There are global cases where toddlers ingested just one pill and slipped into a coma.”

Here is the full list of the 17 Drugs that you should never keep after their expiry:

Source: Government of India Directorate General of Health Services Central Drugs Standard Control Organisation

Why Flushing These 17 Drugs is Necessary (Despite Environmental Concerns)

Environmentalists usually discourage flushing medicines to prevent water contamination and antibiotic resistance. However, the CDSCO makes an exception for these 17 high-risk drugs due to their immediate danger at home.

“For this specific list, flushing is the safest immediate option,” says Dr. Menon. “These aren’t just expired drugs—they are potential poison.”

How to Safely Flush Expired Medications:

  1. Drop the tablet or capsule into the toilet (do not crush it).
  2. Flush immediately.
  3. Wash your hands thoroughly.

What to Do With Other Expired Medicines (Not on the Flush List)

For non-listed drugs, do not flush them. Instead:

  • Store them in a sealed container.
  • Drop them off at an approved drug take-back center.

The CDSCO is pushing for state-level drug take-back programs to prevent pharmaceutical pollution, following alarming findings of drug residues in the Yamuna River and Delhi’s groundwater.

Final Warning: Check Your Medicine Cabinet Today

If you have any of the 17 high-risk drugs—especially diazepam, fentanyl, or tramadolflush them now. For other expired medicines, dispose of them responsibly at a take-back facility.

Your vigilance could save a life.