REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot180510.32687/1561-5936-2025-29-3-221-226Original ArticleLegal and ethical aspects of the management of medicines that have been left unused: the problem of medicines that consumers have bought but not used in the competencies of pharmacy professionalsShalenkovaEkaterina Vladimirovnashalencova@yandex.ruSpitskayaIrina Vyacheslavovnaspickaya_i@pimunn.netShitovaAlina Evgenievnaalina.shitovaa@gmail.comPrivolzhsky Research Medical University, Nizhny Novgorod, Russia15122025322122617102025Copyright © 2025,2025This article analyzes the legal and ethical issues of disposal of medicines that are no longer needed: the instructions for use contain a direct reference of the patient to the pharmacist with the question of what to do with such remnants. The legal status of medicines purchased by end users but unused remains uncertain, which complicates the process of their disposal. In this context, the study includes the results of a survey of pharmacy professionals showing that most of them, like ordinary consumers, throw away medicines with household waste without taking measures to prevent their unauthorized use. The author proposes new terms for medicines in the hands of end-users intended for “throwing away” and emphasizes the need for pharmacy organizations to be actively involved in promoting safe disposal. Special emphasis is placed on the potential and competencies of pharmaceutical workers and pharmacy chains in ensuring the environmental safety of such medicines; the legal status of medicines unclaimed by the patient is analyzed; legal issues of the practice of their destruction are considered. There is a lack of programs at the federal level for the collection and disposal of drug waste in the form of unclaimed medicines from the population, as well as the lack of a legal framework regulating the participation of pharmacies and pharmaceutical workers in this process. There is a lack of awareness of citizens about the rules of safe disposal of unneeded medicines, as well as the lack of effective mechanisms for the collection and recycling of such waste. It is shown that most people are not aware of existing recycling programs, although many are willing to use them if the conditions are convenient. The importance of involving the public — both patients and pharmaceutical industry specialists — in environmental responsibility issues related to the handling of unclaimed drug waste is emphasized: the participation of pharmacy chains in such initiatives can not only enhance their image, but also contribute to the socio-economic development of the region. It is necessary to develop comprehensive approaches to solving the problem, including improvement of legislation, formation of appropriate competence among pharmaceutical workers, raising public awareness about the handling of unclaimed medicines, and introduction of special collection points from the public.Unclaimed medicines, disposal of unclaimed medicines, household medicinal waste from the public, environmental liability of pharmacy chains, pharmacistsНевостребованные лекарственные препараты, утилизация невостребованных лекарственных препаратов, домашние лекарственные отходы от населения, экологическая ответственность аптечных сетей, фармацевтические работники1.Korshunov IV. Sustainable development in the strategies of regions: selected approaches and solutions. Regional economics. 2023;19(1):15—28 (In Russ.).2.Minina YuI, Khorina IV. Economics and management in social and economic systems. Bulletin of the Samara Municipal Institute of Management. 2023;(2):7—15 (In Russ.).3.Novoseltseva AP, Mikhailichenko NA, Taranova IV. Sustainable development of regional socio-economic systems in modern conditions. Questions of economics and law. 2024;187(1):48—52 (In Russ.). DOI: 10.14451/2.187.484.Urazmukhametov DE. Factors of stability of regional economic systems in the conditions of global transformations. Economics and business: theory and practice. 2024;115(9—2):152—154 (In Russ.).5.Tatuev AA. Pochinok NB. The service sector: the system challenges ahead. Social policy and sociology. 2021;138(1):22—34 (In Russ.).6.Volkova O. A. Social human health as a resource of demographic development of the Eurasian economic community: sociological aspect. Problems of social hygiene, public health and history of medicine. 2025;33(1):5—10 (In Russ.). DOI: 10.32687/0869-866X-2025-33-1-5-107.Kozyrev SV, Korablev VV, Yakutseni PP. New factor of ecological risk: medicinal substances in the environment and drinking water. Global Energy. 2012;159(4):195—201 (In Russ.).8.Sadykova AA., Gaibadullina AR. A new factor of environmental risk — medicinal substances in the environment. Cultural and natural heritage — a key resource of socio-economic development: proceedings of the International Forum. Part 1. Ekaterinburg: Publishing house of UMC UPI; 2022 (In Russ.).9.What to do with unnecessary and expired medicines? Official website of the company ‘Ecostroyresurs’. Available from: https://ecostr.ru/novosti/chto-delat-s-nenuzhnymi-i-prosrochennymi-lekarstvami/ [Accessed 21th March 2025] (In Russ.).10.Pharmacy chains came up with an initiative to collect expired medicines. RBC Group of Companies. Available from: https://chr.plus.rbc.ru/news/671107dd7a8aa98375cd0160 [Accessed 21th March 2025] (In Russ.).11.Pogontseva E. In Krasnoyarsk ‘Gubernskie apteki’ collected a tonne of expired medicines. Electronic resourse ‘Aptekar’. Available from: https://pharmvestnik.ru/content/news/Krasnoyarskaya-set-zapustila-proekt-po-utilizacii-prosrochennyh-lekarstv.html [Accessed 21th March 2025] (In Russ.).