Is expired Penicillin harmful?

In this article, we will discuss the safety and efficacy of expired Penicillin formulations. We will also discuss the importance of following drug expiry dates and how an expired medication can affect your treatment goals. 

Is expired Penicillin harmful?

Expired Penicillin may not be harmful or become toxic after its expiration date, but it won’t be beneficial either. Medications, including Penicillin, have expiration dates to ensure their potency and safety (1,2). 

As the medication ages, its chemical composition can change, leading to reduced efficacy. This means that if you take expired Penicillin, it may not be as beneficial in treating your infection compared to when it was within its recommended period.

It’s crucial to follow the expiration date on Penicillin to ensure you are getting the full benefits of the drug when you need it the most. It’s also essential to avoid using medications that have changed in colour, texture, or smell, as these changes may indicate deterioration and reduced effectiveness.

What are the potential risks of taking expired Penicillin? 

Taking expired penicillin can pose several potential risks to your health, even though it may not necessarily become toxic. 

One significant concern is antibiotic resistance (3). When antibiotics like Penicillin are used beyond their expiration date, they may not effectively kill the bacteria causing the infection. Incomplete eradication of bacteria can lead to the development of antibiotic-resistant strains, making future infections more challenging to treat.

Another risk is a therapeutic failure. Expired penicillin might not be as potent as it should be, reducing its ability to combat the infection effectively. As a result, the infection may not improve, and you may experience prolonged illness or symptoms (1).

Using expired penicillin can also worsen the infection. Incomplete treatment of infections can allow bacteria to multiply and spread, potentially leading to more severe or complicated infections that require stronger antibiotics to treat (1).

What to do if you have accidentally taken expired Penicillin?

If you have taken the expired penicillin and are experiencing any unusual symptoms or side effects, contact your healthcare provider immediately. 

Although it is unlikely to experience unusual symptoms after taking expired Penicillin once or twice, people are different and may respond to expired Penicillin differently.

However, it’s essential to avoid taking any more of the expired medication. Your body may not respond to the expired penicillin as effectively, and there is a risk of antibiotic resistance or therapeutic failure.

To ensure your safety and well-being, dispose of the remaining expired penicillin properly. Do not keep it for future use. The use of expired medications should be generally avoided.

How to store Penicillin properly?

To store penicillin properly, always keep the medication in its original packaging, which is designed to protect it from light and moisture. Store the penicillin at room temperature, away from extreme heat or cold (2). 

Avoid exposing the medication to direct sunlight or high humidity, as these conditions can reduce its effectiveness. If your doctor provides specific storage instructions, be sure to follow them carefully.

How to safely dispose of expired Penicillin? 

To dispose of expired penicillin safely, you should not simply throw it in the regular trash or flush it down the toilet. These methods can harm the environment and might lead to accidental ingestion by others (4). 

Instead, take it to a drug take-back program or a designated collection site in your community. Many pharmacies, hospitals, and local government facilities offer such services (5). 

If a take-back option is not available, you can mix the expired penicillin with something undesirable before disposing of it in the regular trash. Remember, proper disposal helps prevent misuse and protects our environment.

Conclusion

In this article, we have discussed the potential risks of taking expired Penicillin and how you should never use any antibiotic past its expiration dates. We have also discussed some proper ways to store Penicillin and ways to dispose of the medication once expired. 

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References

1.-

U.S. Food and Drug Administration. Don’t Be Tempted to Use Expired Medicines [Internet]. Silver Spring (MD): U.S. Food and Drug Administration. Available from: https://www.fda.gov/drugs/special-features/dont-be-tempted-use-expired-medicines.

2.-

LABEL: PENICILLIN V POTASSIUM tablet and PENICILLIN V POTASSIUM powder, for solution. DailyMed [Internet]. Available from: https://dailymed.nlm.nih.gov/dailymed/getFile.cfm?setid=3111ca84-6f8e-45ea-91a1-9cb99c63607e&type=pdf

3.-

Habboush Y, Guzman N. Antibiotic Resistance. 2023 Mar 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 30020649. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513277

4.-

Nepal S, Giri A, Bhandari R, Chand S, Nepal S, Aryal S, Khanal P, Moktan JB, Shastry CS. Poor and Unsatisfactory Disposal of Expired and Unused Pharmaceuticals: A Global Issue. Curr Drug Saf. 2020;15(3):167-172. doi: 10.2174/1574886315666200626164001. PMID: 32589562. https://pubmed.ncbi.nlm.nih.gov/32589562/

5.-

Stoddard KI, Hodge V, Maxey G, Tiwari C, Cready C, Huggett DB. Investigating Research Gaps of Pharmaceutical take back Events: An Analysis of take back Program Participants’ Socioeconomic, Demographic, and Geographic Characteristics and the Public Health Benefits of take back Programs. Environ Manage. 2017 Jun;59(6):871-884. doi: 10.1007/s00267-017-0834-3. Epub 2017 Mar 3. PMID: 28258470. https://pubmed.ncbi.nlm.nih.gov/28258470/