**5. Hazardous pharmaceutical waste**

Hazardous pharmaceutical wastes are a part of HCW generated not only in hospitals and medical centres but also in pharmacy. They comprise contaminated, spilt, unused and expired pharmaceutical products, as well as drugs and vaccines, and in addition discarded items used in the handling such as bottles, vials and connect tubing.

An important item of this category is all the drugs and equipment used for the mixing and administration of cytotoxic drugs. Cytotoxic drugs are used in chemotherapy treatment for cancer.
