FAMILY OF DOCTORS IN ENGLAND HAVE BEEN HAMMERING THIS POINT THAT MEDICINES DON’T EXPIRE. AN 80 YEAR OLD WELL KNOWN DOCTOR, IN MUMBAI, WITH VAST EXPERIENCE INSIST ON SAME POINT. DO MEDICATIONS REALLY EXPIRE ? Some reassuring and very useful info ! By Richard Altschuler
Does the expiration date on a bottle of a medication mean anything? If a bottle of Tylenol, for example, says something like “Do not use after June 1998,” and it is August 2002, should you take the Tylenol? Should you discard it? Can you get hurt if you take it? Will it simply have lost its potency and do you no good?
In other words, are drug manufacturers being honest with us when they put an expiration date on their medications, or is the practice of dating just another drug industry scam, to get us to buy new medications when the old ones that purportedly have “expired” are still perfectly good?
These are the pressing questions I investigated after my mother-in-law recently said to me, “It doesn’t mean anything,” when I pointed out that the Tylenol she was about to take had “expired” 4 years and a few months ago. I was a bit mocking in my pronouncement — feeling superior that I had noticed the chemical corpse in her cabinet — but she was equally adamant in her reply, and is generally very sage about medical issues.
So I gave her a glass of water with the purportedly “dead” drug, of which she took 2 capsules for a pain in the upper back. About a half hour later she reported the pain seemed to have eased up a bit. I said, “You could be having a placebo effect,” not wanting to simply concede she was right about the drug, and also not actually knowing what I was talking about. I was just happy to hear that her pain had eased, even before we had our evening cocktails and hot tub dip (we were in “Leisure World,” near Laguna Beach, California, where the hot tub is bigger than most Manhattan apartments, and “Heaven,” as generally portrayed, would be raucous by comparison).
Upon my return to NYC and high-speed connection, I immediately scoured the medical databases and general literature for the answer to my question about drug expiration labelling. And voila, no sooner than I could say “Screwed again by the pharmaceutical industry,” I had my answer. Here are the simple facts: First, the expiration date, required by law in the United States, beginning in 1979, specifies only the date the manufacturer guarantees the full potency and safety of the drug — it does not mean how long the drug is actually “good” or safe to use.
Second, medical authorities uniformly say it is safe to take drugs past their expiration date — no matter how “expired” the drugs purportedly are. Except for possibly the rarest of exceptions, you won’t get hurt and you certainly won’t get killed. Studies show that expired drugs may lose some of their potency over time, from as little as 5% or less to 50% or more (though usually much less than the latter). Even 10 years after the “expiration date,” most drugs have a good deal of their original potency.
One of the largest studies ever conducted that supports the above points about “expired drug” labelling was done by the US military 15 years ago, according to a feature story in the Wall Street Journal (March 29, 2000), reported by Laurie P. Cohen. The military was sitting on a $1 billion stockpile of drugs and facing the daunting process of destroying and replacing its supply every 2 to 3 years, so it began a testing program to see if it could extend the life of its inventory. The testing, conducted by the US Food and Drug Administration (FDA), ultimately covered more than 100 drugs, prescription and over-the-counter. The results showed, about 90% of them were safe and effective as far as 15 years past their expiration date. In light of these results, a former director of the testing program, Francis Flaherty, said he concluded that expiration dates put on by manufacturers typically have no bearing on whether a drug is usable for longer. Mr. Flaherty noted that a drug maker is required to prove only that a drug is still good on whatever expiration date the company chooses to set. The expiration date doesn’t mean, or even suggest, that the drug will stop being effective after that, nor that it will become harmful. “Manufacturers put expiration dates on for marketing, rather than scientific, reasons,” said Mr. Flaherty, a pharmacist at the FDA until his retirement in 1999. “It’s not profitable for them to have products on a shelf for 10 years. They want turnover.” The FDA cautioned there isn’t enough evidence from the program, which is weighted toward drugs used during combat, to conclude most drugs in consumers’ medicine cabinets are potent beyond the expiration date. Joel Davis, however, a former FDA expiration-date compliance chief, said that with a handful of exceptions — notably nitroglycerin, insulin, and some liquid antibiotics — most drugs are probably as durable as those the agency has tested for the military. “Most drugs degrade very slowly,” he said. “In all likelihood, you can take a product you have at home and keep it for many years.” Consider aspirin. Bayer AG puts 2-year or 3-year dates on aspirin and says that it should be discarded after that. However, Chris Allen, a vice president at the Bayer unit that makes aspirin, said the dating is “pretty conservative”; when Bayer has tested 4-year-old aspirin, it remained 100% effective, he said. So why doesn’t Bayer set a 4-year expiration date? Because the company often changes packaging, and it undertakes “continuous improvement programs,” Mr. Allen said. Each change triggers a need for more expiration-date testing, and testing each time for a 4-year life would be impractical. Bayer has never tested aspirin beyond 4 years, Mr. Allen said. But Jens Carstensen has. Dr. Carstensen, professor emeritus at the University of Wisconsin’s pharmacy school, who wrote what is considered the main text on drug stability, said, “I did a study of different aspirins, and after 5 years, Bayer was still excellent”. Aspirin, if made correctly, is very stable.
The Dangers Of White Bread
The Swiss government has been aware of the dangers of eating white
bread for decades and in order to get its populace to stop eating it,
Switzerland has placed a tax on the purchase of white bread. The tax
money is given to bakers to reduce the price of whole wheat bread to
encourage people to switch.
The Canadian government passed a law prohibiting the “enrichment” of
white bread with synthetic vitamins. Bread must contain the original
vitamins found in the grain, not imitations.
Essentially, white bread is “dead” bread. Frequently, consumers are not
told the truth about this and so called “enriched” flour.
Why is the color of white bread so white when the flour taken from
wheat is not?
It’s because the flour used to make white bread is chemically bleached
just like you bleach your clothes. When you are eating white bread,
you are also eating residual chemical bleach.
Flour mills use different chemical bleaches , all of which are pretty
bad. Here are a few of them: oxide of nitrogen, chlorine, chloride,
nitrosyl and benzoyl peroxide mixed with various chemical salts.
One bleaching agent, chloride oxide, combined with whatever proteins
are still left in the flour, produces alloxan. Alloxon is a poison and
has been used to produce diabetes in laboratory animals. Chlorine oxide
destroys the vital wheat germ oil. It will also shorten the flour’s
Good Nutrition: You Won’t Find It In White Bread
In the process of making flour white, half of the good unsaturated
fatty acids, that are high in food value, are lost in the milling
process alone, and virtually all the vitamin E is lost with the removal
of wheat germ and bran. As a result, the remaining flour in the white
bread you buy, contains only poor quality proteins and fattening
But that is not the whole story as to the loss of nutrients. About 50%
of all calcium, 70% of phosphorus, 80% iron, 98% magnesium, 75%
manganese, 50% potassium, and 65% of copper is destroyed. If that is
not bad enough, about 80% thiamin, 60% of riboflavin, 75% of niacin,
50% of pantothenic acid, and about 50% of Pyridoxine is also lost.
Scientific Study Has Confirmed What The Swiss Have Known For Years
These horrific numbers are the results of a study run by the University
of California, College of Agriculture.
It is obvious, from what we have learned, that white bread should be
avoided. Whole wheat, rye, and grain breads made with whole wheat flour
is a better way.
It is a good idea to always read the labels and never buy foods that
contain artificial flavors, colors, bleached flour, preservatives,
hydrogenated or partially hydrogenated oils.