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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 22 of 22. This is the beginning of the thread.
Posted by willyee on August 14, 2005, at 14:50:22
With all the very serious question im seeing right now,im glad to have a question that SHOULD be a little easier to anser.....
I have a medication in the fridge,nardil to be exact,has an exper of 9/2005 which is in a few weeks.
Thing is the product isnt but a month or so old in its entirity,so im wondering if the exper date is more for a shelf life purpose,or does it mean thats it!
To be more cleare,will the medication still be active after that date,or is the exper date exactly what it means,kuput!
Posted by blueberry on August 14, 2005, at 15:43:06
In reply to Pretty easy question, posted by willyee on August 14, 2005, at 14:50:22
I have a bad habit of hanging onto unused medications that I didn't like or gave me side effects I couldn't handle, and then years later I dust them off and give them a second try. The problem is that by that time, they have long ago expired.
I have taken paxil expired over a year, zoloft expired over 2 years, adrafinil expired over 5 years, and picamilon expired over 5 years, amisulpride over 3 years, desipramine after 5 years, lithium after 7 years. They all felt fully potent to me. And the second time around was no different than the first. I think over time they supposedly lose some potency, but if so, I never felt that. I asked a doctor about this once and he said that meds are good a long time after expiration.
I'm not sure what the official scientific or economic reason is for the expiration dates, but I can say from experience that meds I've tried long after expiration felt fully potent to me, with no different side effects or adverse effects than I got when they weren't expired.
Posted by willyee on August 14, 2005, at 16:17:31
In reply to Re: Pretty easy question, posted by blueberry on August 14, 2005, at 15:43:06
Thanks,i too have never been too concerned with exper dates.The only reason i am in this particular case is the med requires refridgeration to begin with,which makes me think there is some issue with its bio availability.
I surly at the least wont toss it without trying,thanks a lot
Posted by Emily Elizabeth on August 14, 2005, at 17:24:21
In reply to Re: Pretty easy question, posted by willyee on August 14, 2005, at 16:17:31
I remember a discussion in the past abt the best way to get rid of old meds. What was the verdict? Is the regular trash okay?
EE
Posted by Sarah T. on August 14, 2005, at 17:49:04
In reply to Pretty easy question, posted by willyee on August 14, 2005, at 14:50:22
I think most drugs just lose their potency over time, but there are a few that actually "go bad." I believe the antibiotic Doxycycline is one of those that you should definitely throw away if it's past the expiration date. You should discard all old antibiotics. Actually, I guess we really shouldn't have old antibiotics around the house because we're supposed to finish the course when they're prescribed whether we feel better or not.
Posted by Sarah T. on August 14, 2005, at 18:25:22
In reply to follow up easy question, posted by Emily Elizabeth on August 14, 2005, at 17:24:21
Hi Emily,
If you have good plumbing in your house, I think it's best to flush old meds down the toilet, especially if any of the meds are restricted meds. Even if they're not restricted, you never know what happens to your trash once it's on the curb. Anyone (person or animal) can get into it and get sick. Also, I think it's best to remove the labels from the med bottles and destroy them.
Posted by Declan on August 14, 2005, at 20:19:36
In reply to Re: Pretty easy question, posted by willyee on August 14, 2005, at 16:17:31
You're not going to throw the Nardil out because it's expired, are you Willy? Some chemicals decay quickly and others last forever. The expiry date, what does it really tell you? There would be references somewhere about the stability of Nardil, no idea where.
Declan
Posted by Declan on August 14, 2005, at 20:22:18
In reply to Re: discarding old meds » Emily Elizabeth, posted by Sarah T. on August 14, 2005, at 18:25:22
Was there something about fish or frogs being affected by SSRIs? Sounds a bit odd but I've heard it somewhere.
Declan
Posted by willyee on August 14, 2005, at 22:04:25
In reply to Re: Pretty easy question, posted by Declan on August 14, 2005, at 20:19:36
With the money i shelled out,not a chance.I started taking it today actualy.
Posted by Phillipa on August 14, 2005, at 22:10:44
In reply to Re: discarding old meds » Sarah T., posted by Declan on August 14, 2005, at 20:22:18
I asked Ed about the luvox I had kept and I think I've read that as long as their kept in a cool dry place and tightly sealed they're okay. Willyee I don't know about the nardil. But guess what I took a detour yesterday from Washington DC to Chesapeake. Got off Witch Duck Rd and followed to Centerville Tnpke. Took left and just as you cross over into Chesapeake from VA Beach you see on your right Mill Pond Forrest. Go to the end of the road and take a right My house was l408 tan and brick with an inground pool in the back. It looked so small. But you're right it has grown up. Too bad i didn't get a chance to drive by the Beach. Thought of you and your friend Dr. parker. And when did he change from using lithium to effexor? Sorry to get off topic. Love Phillipa , J
Posted by gardenergirl on August 15, 2005, at 1:47:26
In reply to Re: Pretty easy question, posted by willyee on August 14, 2005, at 22:04:25
Hi willyee,
Remind me why your Nardil needs refridgeration? Is it a different formula than the Pfizer kind?gg
Posted by Jedi on August 15, 2005, at 2:33:57
In reply to Re: Pretty easy question » willyee, posted by gardenergirl on August 15, 2005, at 1:47:26
> Hi willyee,
> Remind me why your Nardil needs refridgeration? Is it a different formula than the Pfizer kind?
>
> ggHi,
Excuse me for butting in but I have never refrigerated Nardil; the old formula or the new.
JediPrescribing Information for Nardil
...
HOW SUPPLIED
Each NARDIL tablet is orange, biconvex, film-coated, and engraved with “P-D 270” and
contains phenelzine sulfate equivalent to 15 mg of phenelzine base.
Storage:
Store between 15° - 30°C (59° - 86°F).
Rx only
Revised May 2005
Distributed by:
p Parke-Davis
Div of Pfizer Inc, NY, NY 10017 2004, Warner-Lambert Co.
Posted by willyee on August 15, 2005, at 21:14:07
In reply to Re: Pretty easy question, posted by Jedi on August 15, 2005, at 2:33:57
> > Hi willyee,
> > Remind me why your Nardil needs refridgeration? Is it a different formula than the Pfizer kind?
> >
> > gg
>
> Hi,
> Excuse me for butting in but I have never refrigerated Nardil; the old formula or the new.
> Jedi
>
> Prescribing Information for Nardil
> ...
> HOW SUPPLIED
> Each NARDIL tablet is orange, biconvex, film-coated, and engraved with “P-D 270” and
> contains phenelzine sulfate equivalent to 15 mg of phenelzine base.
> Storage:
> Store between 15° - 30°C (59° - 86°F).
> Rx only
> Revised May 2005
> Distributed by:
> p Parke-Davis
> Div of Pfizer Inc, NY, NY 10017 2004, Warner-Lambert Co.The one from link pharmcuticals,not pfzifer says on the bottole to do so,have u had this brand?
Posted by Jedi on August 16, 2005, at 1:06:32
In reply to Re: Pretty easy question, posted by willyee on August 15, 2005, at 21:14:07
>The one from link pharmcuticals,not pfzifer says on the bottole to do so,have u had this brand?
Sorry Willee, I didn't even know there was another manufacturer of phenelzine. I read your previous post also, where you mentioned that you got it from Link. Went right by me. Must be that memory side effect. I was off Nardil during the shortage in 2002, probably slept through the whole thing.
Take care,
Jedi
Posted by willyee on August 16, 2005, at 16:09:32
In reply to Phenelzine from Link » willyee, posted by Jedi on August 16, 2005, at 1:06:32
No sweat,im just concerend cause right now as DANGEROUS as nardil is supposed to be as parnate is,well its no more than a sugar pill for me so far,im worried its sub potent at this point,but then again i keep jumping back to parnate like im scared to make the total transition to nardil,maybe parnate is stopping it from working who knows im just a big mess right now i dont think anything legal can break through this barrier of whatever it is i am dealing with .
Posted by tecknohed on August 18, 2005, at 2:36:19
In reply to Pretty easy question, posted by willyee on August 14, 2005, at 14:50:22
I would discard! Why?
It needs to be refridgerated for a reason. Yet some pharmacies DONT refridgerate it! I always ask if its been in the fridge (you can tell buy feeling the bottle to see if its cold), and if it hasn't then I refuse the product.
Whilst taking Nardil, I once DEFINITELY had a sub-potent batch. It was from a pharmacy I had never used before and they had a full bottle in stock, which is pretty uncommon for an MAOI. Within a week my mood had dropped and my anxiety had hightened (and this was during the 'WOW' stage of its effect). One thing I noticed was that it had no smell. Nardil always has a very potent smell (I love that smell!). I got another batch from the usual source and within days felt that 'surge' again.
Just my advice.
Posted by ed_uk on August 18, 2005, at 9:43:27
In reply to Re: Pretty easy question » willyee, posted by tecknohed on August 18, 2005, at 2:36:19
LOL yes, it smells rather nice doesn't it!
~Ed
Posted by Jedi on August 18, 2005, at 10:57:51
In reply to Re: Pretty easy question » tecknohed, posted by ed_uk on August 18, 2005, at 9:43:27
> LOL yes, it smells rather nice doesn't it!
>
> ~EdNow you guys got me curious. I open up my fresh bottle from Pfizer. Smells like plastic. I want some of that refrigerated stuff from Link.
Jedi
Posted by ed_uk on August 18, 2005, at 11:44:31
In reply to Re: Pretty easy question, posted by Jedi on August 18, 2005, at 10:57:51
Perhaps you should come to UK :-)
~ed
Posted by Declan on August 18, 2005, at 17:14:20
In reply to Re: Pretty easy question » Jedi, posted by ed_uk on August 18, 2005, at 11:44:31
Hey, what's it smell like? Please tell me.
Declan
Posted by ed_uk on August 18, 2005, at 18:04:18
In reply to Re: Pretty easy question, posted by Declan on August 18, 2005, at 17:14:20
A bit like a geranium - but slightly metallic!
~ed
Posted by tecknohed on August 18, 2005, at 20:43:56
In reply to Re: discarding old meds » Sarah T., posted by Declan on August 14, 2005, at 20:22:18
> Was there something about fish or frogs being affected by SSRIs? Sounds a bit odd but I've heard it somewhere.
> DeclanThis what you mean?
This is the end of the thread.
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