April 22 is National Prescription Drug Take Back Day

The US Department of Justice has set aside April 22 as National Prescription Drug Take Back Day.  Many of us have old, partly used up bottles of prescription medicines in our cabinets. These medicines can be dangerous for children who might get into them, and if expired can be dangerous for anyone to take. Having multiple bottles of unneeded medicine also increases your chances of mixing bottles up and taking the wrong medicine or the wrong dose. Instead of throwing these medicines in the trash or flushing them down the toilet, you can turn them in to an authorized collector who can safely dispose of them. You can visit the National Prescription Drug Take Back Day website to find a collection site near you.

While its best for most medicines to return them to an authorized collector, in the case of some especially dangerous medicines if you can’t turn them in right away when you no longer need them, you should dispose of them immediately by flushing them down the toilet.  This includes medicines that are frequently misused like fentanyl or oxycodone. You can check the Food and Drug Administration (FDA) “flush list” to see if your medicine should be immediately turned over to an authorized collector or flushed when no longer needed.

Authorized collectors are available to take old medicines, including over-the-counter medicines, any time of the year. You can get more information on our fact sheet about leftover medicine.

DEA Public Safety Alert on Xylazine Mixed with Fentanyl

Dangers of Xylazine

The US Drug Enforcement Agency issued a public safety alert today about an increase in the trafficking of fentanyl mixed with xylazine. Xylazine is a veterinary drug used to tranquilize horses, and is not approved for use in humans. In the past few years xylazine has begun to turn up as an additive in many street drugs. It has been found mixed with fentanyl, heroin, cocaine, and other drugs.  It is sometimes sold alone as “tranq”.

Someone who takes xylazine can get groggy and pass out, and can have low blood pressure, slowed heartbeat, and slowed breathing.  This can cause a person to die if they overdose. Xylazine and fentanyl taken together are especially dangerous, since both drugs slow down breathing and can cause someone to stop breathing completely. Overdose with opioids like fentanyl can be reversed with naloxone (Narcan), but naloxone does not work for xylazine overdose. Xylazine can also cause skin ulcers when it is injected. This can cause deep sores that do not heal and sometimes require amputation.

How to Get Help

If you or someone you know has been using xylazine or other drugs, you can call the SAMHSA National Helpline at 1-800-662-HELP (4357) for information on substance abuse and resources to help quit. You can also get information about addiction treatment programs in your area at FindTreatment.gov.

The Virginia Department of Behavioral Health & Developmental Services has information about substance abuse, services for people who use drugs or alcohol and could become pregnant or could become pregnant, and training in how to use naloxone for opioid overdose.

The Virginia Department of Social Services has information for people who want help with substance abuse and are on Medicaid or uninsured.