Posters IV - The American Academy of Clinical Toxicology

expiration date, manufacturer/distributor, and identifies each product as a sample, a factory sealed item, or
an item that appears to be a mail-order. We report an uncommon case in which a large number of items
were brought from one household. Although many more items were brought, only the collected controlled
substances are reported here. Case Report: An individual brought the medications of deceased parents to
our take back event in the open bed of a pickup truck. These items were contained in two cardboard boxes
that were approximately 3 ft x 3 ft and 2 ft deep. Items contained prescription labels, thus allowing them
to be identified as prescribed to family members. Identifiers were obscured and not recorded. See Table
for results.
Drug Name Strength # Containers Qty Collected AWP Low-High End Street Value
Diazepam 5mg 18 2,320 $167.04 $2,320 - $46,400
Hydrocodone/APAP 10/325mg 4 520 $363.48 $1,040 - $10,400
Lorcet® 5/500mg 2 2 $3.27 $6 - $18
Lyrica® 75mg 6 84 $226.72 $420 - $1,680
morphine sulfate 30mg 61 10,080 $5,352.48 $80,640 - $302,400
MS Contin® 30mg 3 6 $16.67 $90 - $300
oxycodone/APAP 5/500mg 15 802 $94.64 $802 - $4,010
Temazepam 30mg 2 180 $31.50 $180 - $3,600
111 13,994 $6,255.79 $85,498 - $368,808
Case Discussion: This report reveals a case in which a large number of prescribed medications remained
unused. Many were dispensed by a mail-order pharmacy. If auto-refill processes were involved in this
case of extreme wastefullness, a plausible theory, an investigation into such processes seems warranted.
The controlled substance items brought to this collection event from a single household had an AWP of
over $6,000 with low- and high-end street values of over $85,000 and $368,000. 111 containers holding
13,994 pills came from one household. While we hope this scenario is a rare occurence, this case leads us
to believe that similar cases likely exist. Conclusions: This case reveals an extreme example of
medication waste and displays the importance of collecting and reporting data regarding unused
medications.
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Consumer Sources and Preferences for Health Information and Implications for Poison Center Outreach
Iana Simeonov, Kristina Hamm 1 , Stuart E heard 1
1 University of california San Francisco, San Francisco CA USA
Background: Consumers are increasingly searching online for health information and treatment advice as
well getting and giving advice about health through social media. This change has important implications
for poison center telephone advice services. Objective: To explore consumer behavior and its
implications for poison center services and determine if the this trend offered an entry point for outreach
or promotion opportunities. Methods: Ten focus groups each with 8-10 participants lasting 90 minutes
were fielded in 4 markets in the center's coverage area. Groups consisted of parents from 4 priority market
segments: low–income African-American, Monolingual Latino and Bilingual Latino parents, and an
ethnically-divers median income group. Results: Participants report using a search engine to gather
medical information more frequently than going to a specific website. They were more likely to search