Skip to main content

Main menu

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums

User menu

  • My alerts

Search

  • Advanced search
The College of Family Physicians of Canada
  • Other Publications
    • http://www.cfpc.ca/Canadianfamilyphysician/
    • https://www.cfpc.ca/Login/
    • Careers and Locums
  • My alerts
The College of Family Physicians of Canada

Advanced Search

  • Home
  • Articles
    • Current
    • Published Ahead of Print
    • Archive
    • Supplemental Issues
    • Collections - French
    • Collections - English
  • Info for
    • Authors & Reviewers
    • Submit a Manuscript
    • Advertisers
    • Careers & Locums
    • Subscribers
    • Permissions
  • About CFP
    • About CFP
    • About the CFPC
    • Editorial Advisory Board
    • Terms of Use
    • Contact Us
  • Feedback
    • Feedback
    • Rapid Responses
    • Most Read
    • Most Cited
    • Email Alerts
  • Blogs
    • Latest Blogs
    • Blog Guidelines
    • Directives pour les blogues
  • Mainpro+ Credits
    • About Mainpro+
    • Member Login
    • Instructions
  • RSS feeds
  • Follow cfp Template on Twitter
  • LinkedIn
  • Instagram
DiscussionCommentary

The environmental elephant in the office: medications

Emma McDermott, Roland Halil, W. Scott Nash, Rebecca J. Douglass, Anthony Train, Elizaveta Zvereva, Sujane Kandasamy, Danish Zahid and Myles Sergeant
Canadian Family Physician April 2025; 71 (4) 233-237; DOI: https://doi.org/10.46747/cfp.7104233
Emma McDermott
Second-year resident in Public Health and Preventative Medicine with Integrated Family Medicine at McMaster University in Hamilton, Ont.
MD MGA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Roland Halil
Clinical pharmacist with the Bruyère Academic Family Health Team and Associate Professor in the Department of Family Medicine with a cross appointment in the School of Pharmaceutical Sciences at the University of Ottawa in Ontario.
PharmD ACPR PharmBSc(Hon)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
W. Scott Nash
Family physician with the Hamilton Family Health Team in Dundas, Ont, and Assistant Clinical Professor in the Department of Family Medicine at McMaster University.
MD CCFP(COE) FCFP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rebecca J. Douglass
Family physician in Hamilton and Adjunct Assistant Clinical Professor in the Department of Family Medicine at McMaster University.
MD CCFP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Anthony Train
Family physician and Assistant Professor in the Department of Family Medicine at Queen’s University in Kingston, Ont.
MBChB MSc CCFP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elizaveta Zvereva
Project coordinator and research assistant for the Green Initiative at the Hamilton Family Health Team.
BASc MSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sujane Kandasamy
Postdoctoral research fellow at McMaster University and a research assistant for the Green Initiative at the Hamilton Family Health Team.
MSc PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Danish Zahid
Medical student at McMaster University.
BSc
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Myles Sergeant
Family physician in Hamilton, Ont, Assistant Clinical Professor in the Department of Family Medicine in the Faculty of Health Sciences at McMaster University, Executive Director of the Canadian Coalition for Green Health Care, and co-lead of PEACH Health Ontario.
PEng MD FCFP
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: sergeam@mcmaster.ca
  • Article
  • Figures & Data
  • CFPlus
  • eLetters
  • Info & Metrics
  • PDF
Loading
Submit a Response to This Article
Compose eLetter

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Image CAPTCHA
Enter the characters shown in the image.

Vertical Tabs

Jump to comment:

  • RE: The environmental elephant in the office
    Cathy A. MacLean
    Published on: 15 April 2025
  • Published on: (15 April 2025)
    Page navigation anchor for RE: The environmental elephant in the office
    RE: The environmental elephant in the office
    • Cathy A. MacLean, Family Physician, University of Saskatchewan

    I thought many excellent points were raised in this commentary. Thank you to the authors for advocating for action. I thought one area that could also have been raised is around the quantity of meds prescribed and the impact this has on the number of pill bottles used to dispense medications. Single use plastics is another huge environmental concern that needs to be addressed. My frustration which may be confined to Saskatchewan has been plastic pill bottle use for 34 days of many meds and the unwillingness of regulatory bodies and insurance companies to allow more pills at less frequent intervals for chronic disease medications for stable conditions. The multiple trips back and forth to pharmacies to fill meds that will only be dispensed in minuscule amounts and the fact that this is often not coordinated with other medication refills is another environmental impact that needs to be addressed. We need to partner more with our pharmacy colleagues to address these concerns!

    Competing Interests: None declared.
PreviousNext
Back to top

In this issue

Canadian Family Physician: 71 (4)
Canadian Family Physician
Vol. 71, Issue 4
1 Apr 2025
  • Table of Contents
  • About the Cover
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on The College of Family Physicians of Canada.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
The environmental elephant in the office: medications
(Your Name) has sent you a message from The College of Family Physicians of Canada
(Your Name) thought you would like to see the The College of Family Physicians of Canada web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
The environmental elephant in the office: medications
Emma McDermott, Roland Halil, W. Scott Nash, Rebecca J. Douglass, Anthony Train, Elizaveta Zvereva, Sujane Kandasamy, Danish Zahid, Myles Sergeant
Canadian Family Physician Apr 2025, 71 (4) 233-237; DOI: 10.46747/cfp.7104233

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Respond to this article
Share
The environmental elephant in the office: medications
Emma McDermott, Roland Halil, W. Scott Nash, Rebecca J. Douglass, Anthony Train, Elizaveta Zvereva, Sujane Kandasamy, Danish Zahid, Myles Sergeant
Canadian Family Physician Apr 2025, 71 (4) 233-237; DOI: 10.46747/cfp.7104233
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Medication optimization
    • Prescribed legacy medications: specific class examples
    • Over-the-counter medications
    • Solutions in the office: practising good medicine in sustainable medicine
    • Conclusion
    • Acknowledgment
    • Footnotes
    • References
  • Figures & Data
  • CFPlus
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • The more things change, the more they stay the same
  • Journey of a pill
  • L’éléphant environnemental dans la clinique : les médicaments
  • PubMed
  • Google Scholar

Cited By...

  • Plus ca change, plus cest pareil
  • The more things change, the more they stay the same
  • Google Scholar

More in this TOC Section

  • Will blended family physician payment models revive primary care in Canada?
  • Toward an identity and team-based practice rooted in transdisciplinarity
  • Task sharing, community health workers, and Canada’s primary care crisis
Show more Commentary

Similar Articles

Navigate

  • Home
  • Current Issue
  • Archive
  • Collections - English
  • Collections - Française

For Authors

  • Authors and Reviewers
  • Submit a Manuscript
  • Permissions
  • Terms of Use

General Information

  • About CFP
  • About the CFPC
  • Advertisers
  • Careers & Locums
  • Editorial Advisory Board
  • Subscribers

Journal Services

  • Email Alerts
  • Twitter
  • LinkedIn
  • Instagram
  • RSS Feeds

Copyright © 2025 by The College of Family Physicians of Canada

Powered by HighWire