What You Can Do

  • Follow “Kloka Listan” (Stockholm County Council's “Wise List” of recommended drugs for common diseases). Always take cost-effectiveness and environmental impact into account when comparing medications that are equally safe and suitable for the purpose.

  • Prescribe starter packs.

  • Prescribe refill packs if available.

  • Encourage patients to return unused medications to the pharmacy.

  • Inform patients of the importance of also returning used estrogen patches to the pharmacy and avoiding flushing them down the toilet, since most of the estrogen remains in the patch after use.


  • Do not prescribe more medications than can be used; if in doubt, repeating the prescription is preferable.

  • Review and regularly reassess the patient's total consumption of medication in order to reduce waste.

  • Learn more about which drugs have a large environmental impact by using this website and by asking for information from the pharmaceutical companies' representatives. See also the reading tips in chapter Impact of pharmaceuticals on the environment

Last updated: 2007-04-02