Does Miralax Go Bad

In this brief article, we will answer the question “does Miralax go bad?”, and will be discussing the storage conditions of Miralax and the risks of ingesting the expired medication. Miralax is polyethylene glycol, an active ingredient for the treatment of constipation by inducing osmotic diarrhea.

Does Miralax Go Bad?

Yes, Miralax goes bad, as any other medication. It may lose its original potency and effectiveness over time and may degrade, generating possible toxic compounds. Therefore, the use of Miralax that has expired is not recommended. 

What is the shelf life of Miralax?

The shelf life of Miralax is according to the expiration date printed on the package. Miralax comes in the form of a powder, which should be solubilized in water immediately prior to its intake. The solubilized medication is not stable and should not be stored.

Is it safe to ingest expired Miralax?

No, it is not safe to ingest expired Miralax.

Most medications, if stored under appropriate conditions, remain about 70 to 80 percent potent for as many as two years after their expiration date, even if their container has been opened. The pharmaceutical product shelf life, also referred to as the expiration date, is the time period during which the product is expected to retain its identity, purity, quality, and strength when properly stored as specified in the container label (1). 

However, Miralax, which is polyethylene glycol (PEG), is a labile polymer that is susceptible to degradation with moderate heating, oxidative conditions, microbiological exposure, and auto-oxidation (2). 

Although studies have shown that many drug products retain their shelf life quality characteristics such as potency and efficacy, several years beyond the expiration date if stored properly, the ingestion of expired drugs is not recommended, as there are a number of potential harms that can occur when an expired medication is ingested (5).

The degradation products of PEG have been identified to be water and formaldehyde, the latter of which is a toxic and volatile substance (2).

How Can You Prevent Miralax From Going Bad?

To prevent Miralax from going bad, you should properly store Miralax. Since Miralax is a powder available in bottle form as well as single-serve packets, they must be stored at room temperature away from direct light, humidity, and moisture. 

There are several mechanisms by which a drug product degrades. The chemical pathways include degradation of the active pharmaceutical ingredient by the environmental conditions such as temperature, humidity, oxygen, free radicals, photolytic (by light). Physical changes involve changes in crystallinity, solubility and dissolution of the active ingredient during storage. Therefore, storage conditions are determinant (1). 

Medicine stored in a cool, dry place can last for years without losing its effectiveness. Here are a few essential tips to follow if you want to retain the quality and effectiveness of Miralax (3):

  • Miralax should be stored in a location with humidity no more than 60%, which means that the bathroom and kitchen were inappropriate places for it.
  • Store Miralax at temperatures between 15°C to 30°C (59°F to 86°F).
  • Garages may undergo constant temperature changes that would be unsuitable for the storage of Miralax.
  • Store Miralax in places safe from light and heat.
  • Keep Miralax in places that are safe from the access of children.

How to know if Miralax has gone bad?

To know if Miralax has gone bad, it is necessary to be aware of signs of changes on the properties of the drug, such as color, odor and consistency. According to studies, when PEG is degraded, it may initially appear indistinguishable from fresh PEG (white crystals). After, the degraded PEG developed a strong aldehyde/ ketone odor and it had become a paste (like toothpaste) (4). 

In addition, the color of PEG may increase and become darker due to formaldehyde or other aldehydes released over the course of the degradation. However, these changes are noticed when the degradation has developed considerably. Degradation of medications may occur at levels that are not evident, although possibly presenting risks when ingested. Therefore, it is recommended not to ingest expired medications.

What happens if You Take Expired Miralax?

When you take expired Miralax or any other expired medication, you can experience the insufficient expected effect of the drug or even negative effects. There are a number of potential harms that can occur when an expired medication is ingested. There is a risk that degradation has occurred due to the action of time or that it may have degraded because it was not stored according to the recommendations (1).

In addition to having partially lost its effect, the degraded drug can cause unforeseen and unwanted side effects due to the effect of possible toxic compounds generated. Patients with serious and life-threatening illnesses can be particularly vulnerable to potential hazards from drugs that have undergone degradation.

The degradation of polyethylene glycol generates formaldehyde, which is toxic. Formaldehyde is a carcinogen and mutagenic, as it may alter the individual’s genetic material (6). 

Conclusion

In this brief article, we answered the question “does Miralax go bad?” and discussed the storage conditions of Miralax and the risks of ingesting the expired medication. 

If you have any more questions or comments please let us know.

References

  1. Khan, Saeed R., et al. United States Food and Drug Administration and Department of Defense Shelf‐Life Extension Program of Pharmaceutical Products: Progress and Promise. J Pharmaceut Sci, 2014, 103, 1331-1336.
  2. Payne, Molly E., et al. Mass spectrometry investigation into the oxidative degradation of poly (ethylene glycol). Polym Degrad Stab, 2021, 183, 109388.  
  3. Funk, Olivia G., et al. Medication storage appropriateness in US households. Innov Pharma, 2021, 12. 
  4. Boughen, Louise, John Liggat, and Graham Ellis. Thermal degradation of polyethylene glycol 6000 and its effect on the assay of macroprolactin. Clin biochem, 2010, 43, 750-753.
  5. Expiration dates – Questions and answers. United States Food and Drug Administration.
  6. Morgan, Kevin T. A brief review of formaldehyde carcinogenesis in relation to rat nasal pathology and human health risk assessment. Toxicol pathol, 1997, 25, 291-305.

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