Medicines Recommended for Disposal by Flushing

Listed by Medicine and Active Ingredient

There is a small number of medicines that may be especially harmful and, in some cases, fatal with just one dose if they are used by someone other than the person for whom the medicine was prescribed. This list from FDA tells you what expired, unwanted, or unused medicines you should flush down the sink or toilet to help prevent danger to people and pets in the home. Medicine Abstral, tablets (sublingual) Actiq, oral transmucosal lozenge * Avinza, capsules (extended release) Daytrana, transdermal patch system Demerol, tablets * Demerol, oral solution * Diastat/Diastat AcuDial, rectal gel Dilaudid, tablets * Dilaudid, oral liquid * Dolophine Hydrochloride, tablets * Duragesic, patch (extended release) * Embeda, capsules (extended release) Exalgo, tablets (extended release) Fentora, tablets (buccal) Kadian, capsules (extended release) Methadone Hydrochloride, oral solution * Methadose, tablets * Morphine Sulfate, tablets (immediate release) * Morphine Sulfate, oral solution * MS Contin, tablets (extended release) * Nucynta ER, tablets (extended release) Onsolis, soluble film (buccal) Opana, tablets (immediate release) Opana ER, tablets (extended release) Oxecta, tablets (immediate release) Oxycodone Hydrochloride, capsules Oxycodone Hydrochloride, oral solution Oxycontin, tablets (extended release) * Percocet, tablets * Percodan, tablets * Xyrem, oral solution Active Ingredient Fentanyl Fentanyl Citrate Morphine Sulfate Methylphenidate Meperidine Hydrochloride Meperidine Hydrochloride Diazepam Hydromorphone Hydrochloride Hydromorphone Hydrochloride Methadone Hydrochloride Fentanyl Morphine Sulfate; Naltrexone Hydrochloride Hydromorphone Hydrochloride Fentanyl Citrate Morphine Sulfate Methadone Hydrochloride Methadone Hydrochloride Morphine Sulfate Morphine Sulfate Morphine Sulfate Tapentadol Fentanyl Citrate Oxymorphone Hydrochloride Oxymorphone Hydrochloride Oxycodone Hydrochloride Oxycodone Hydrochloride Oxycodone Hydrochloride Oxycodone Hydrochloride Acetaminophen; Oxycodone Hydrochloride Aspirin; Oxycodone Hydrochloride Sodium Oxybate
February 2013

*These medicines have generic versions available or are only available in generic formulations.

FDA continually evaluates medicines for safety risks and will update the list as needed. Please visit the Disposal of Unused Medicines: What You Should Know page at www.fda.gov for more information.

Medicines Recommended for Disposal by Flushing

Listed by Active Ingredient and Medicine
There is a small number of medicines that may be especially harmful and, in some cases, fatal with just one dose if they are used by someone other than the person for whom the medicine was prescribed. This list from FDA tells you what expired, unwanted, or unused medicines you should flush down the sink or toilet to help prevent danger to people and pets in the home. Active Ingredient Acetaminophen; Oxycodone Hydrochloride Aspirin; Oxycodone Hydrochloride Diazepam Fentanyl Fentanyl Citrate Medicine Percocet, tablets * Percodan, tablets * Diastat/Diastat AcuDial, rectal gel Abstral, tablets (sublingual) Duragesic, patch (extended release) * Actiq, oral transmucosal lozenge * Fentora, tablets (buccal) Onsolis, soluble film (buccal) Dilaudid, tablets * Dilaudid, oral liquid * Exalgo, tablets (extended release) Demerol, tablets * Demerol, oral solution * Dolophine Hydrochloride, tablets * Methadone Hydrochloride, oral solution * Methadose, tablets * Daytrana, transdermal patch system Avinza, capsules (extended release) Kadian, capsules (extended release) Morphine Sulfate, tablets (immediate release) * Morphine Sulfate, oral solution * MS Contin, tablets (extended release) * Embeda, capsules (extended release) Oxecta, tablets (immediate release) Oxycodone Hydrochloride, capsules Oxycodone Hydrochloride, oral solution Oxycontin, tablets (extended release) * Opana, tablets (immediate release) Opana ER, tablets (extended release) Xyrem, oral solution Nucynta ER, tablets (extended release)
February 2013

Hydromorphone Hydrochloride

Meperidine Hydrochloride Methadone Hydrochloride

Methylphenidate Morphine Sulfate

Morphine Sulfate; Naltrexone Hydrochloride Oxycodone Hydrochloride

Oxymorphone Hydrochloride Sodium Oxybate Tapentadol

*These medicines have generic versions available or are only available in generic formulations. FDA continually evaluates medicines for safety risks and will update the list as needed. Please visit the Disposal of Unused Medicines: What You Should Know page at www.fda.gov for more information.