{"id":337,"date":"2022-06-20T14:00:30","date_gmt":"2022-06-20T12:00:30","guid":{"rendered":"https:\/\/cpcms.fr\/guide-stage-initiation\/?post_type=ht_kb&#038;p=337"},"modified":"2025-06-06T15:14:44","modified_gmt":"2025-06-06T13:14:44","slug":"environnement-mnu-et-dasri","status":"publish","type":"ht_kb","link":"https:\/\/cpcms.fr\/guide-stage-initiation\/knowledge-base\/environnement-mnu-et-dasri\/","title":{"rendered":"Environnement: MNU et DASRI"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\"><strong>MNU (M\u00e9dicaments non utilis\u00e9s)<\/strong>: CYCLAMED <\/h1>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-150x150.png\" alt=\"\" class=\"wp-image-392\" srcset=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-150x150.png 150w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-300x300.png 300w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-1024x1024.png 1024w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-768x768.png 768w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-50x50.png 50w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-60x60.png 60w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed-100x100.png 100w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/Logo-Cyclamed.png 1080w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/figure>\n\n\n\n<p>C\u2019est <a href=\"https:\/\/www.cyclamed.org\/\">l\u2019\u00e9co-organisme CYCLAMED<\/a> qui est agr\u00e9\u00e9 par l\u2019Etat pour cette fili\u00e8re REP (responsabilit\u00e9 \u00e9largie des producteurs).&nbsp;&nbsp;<\/p>\n\n\n\n<p>Les officines de pharmacie sont tenues de collecter gratuitement les <strong>m\u00e9dicaments \u00e0 usage humain non utilis\u00e9s <\/strong>(p\u00e9rim\u00e9s ou non), contenus le cas \u00e9ch\u00e9ant dans leurs conditionnements, qui leur sont apport\u00e9s par les particuliers.<\/p>\n\n\n\n<p>Toute distribution et toute mise \u00e0 disposition des MNU sont interdites (notamment \u00e0 usage humanitaire) depuis le 1er janvier 2009\u00a0 par d\u00e9cision des pouvoirs publics suivant les recommandations de l\u2019OMS.<\/p>\n\n\n\n<p>Ces m\u00e9dicaments font l&rsquo;objet d&rsquo;une valorisation \u00e9nerg\u00e9tique (incin\u00e9ration).<\/p>\n\n\n\n<p>NB: La destruction des MNU class\u00e9s comme stup\u00e9fiants rel\u00e8ve d&rsquo;autres dispositions: <a href=\"http:\/\/www.meddispar.fr\/Substances-veneneuses\/Medicaments-stupefiants-et-assimiles\/Destruction#nav-buttons\" target=\"_blank\" rel=\"noreferrer noopener\">Destruction des m\u00e9dicaments stup\u00e9fiants \u00e0 l&rsquo;officine<\/a><\/p>\n\n\n\n<p><strong>En pratique<\/strong>: Les officines sont approvisionn\u00e9es en cartons par les grossistes r\u00e9partiteurs. Les cartons sont stock\u00e9s dans un espace d\u00e9di\u00e9 de l&rsquo;officine auquel le public n&rsquo;a pas acc\u00e8s (cf. <a rel=\"noreferrer noopener\" href=\"https:\/\/cpcms.fr\/guide-stage-initiation\/knowledge-base\/generalites-sur-lexercice-officinal\/\" data-type=\"ht_kb\" data-id=\"139\" target=\"_blank\">Locaux de l&rsquo;officine<\/a>). Les cartons pleins sont remis aux grossistes qui les transmettent ensuite aux op\u00e9rateurs de l&rsquo;\u00e9co-organisme.<\/p>\n\n\n\n<figure class=\"wp-block-image size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"221\" src=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-300x221.jpg\" alt=\"\" class=\"wp-image-391\" srcset=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-300x221.jpg 300w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-1024x754.jpg 1024w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-768x566.jpg 768w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-50x37.jpg 50w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-1536x1132.jpg 1536w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-2048x1509.jpg 2048w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-60x44.jpg 60w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/VISUEL-3-100x74.jpg 100w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption class=\"wp-element-caption\">Carton CYCLAMED distribu\u00e9 dans les officines<\/figcaption><\/figure>\n\n\n\n<p>Sources: <a rel=\"noreferrer noopener\" href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000018652359\/2022-06-20\" target=\"_blank\">L 4211-2 <\/a>et <a rel=\"noreferrer noopener\" href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000042962917\/\" target=\"_blank\">R 4211-23<\/a> et <a rel=\"noreferrer noopener\" href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000042962910\/2022-06-20\" target=\"_blank\">R 4211-24 <\/a>du CSP<\/p>\n\n\n\n<h1 class=\"wp-block-heading\" id=\"dasri-dechets-dactivite-de-soins-a-risque-infectieux\"><strong>DASRI perforants de<\/strong><a href=\"https:\/\/www.legifrance.gouv.fr\/codes\/section_lc\/LEGITEXT000006072665\/LEGISCTA000022958533\/#LEGISCTA000033170688\" target=\"_blank\" rel=\"noreferrer noopener\"><strong> patients en autotraitement (DASRI PAT) et des utilisateurs d&rsquo;autotests<\/strong><\/a> : DASTRI<\/h1>\n\n\n\n<figure class=\"wp-block-image size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"164\" src=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-300x164.jpg\" alt=\"\" class=\"wp-image-394\" srcset=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-300x164.jpg 300w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-1024x560.jpg 1024w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-768x420.jpg 768w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-50x27.jpg 50w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-1536x840.jpg 1536w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-2048x1120.jpg 2048w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-60x33.jpg 60w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/dastri_logo_cmjn-100x55.jpg 100w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/figure>\n\n\n\n<p>C\u2019est l\u2019\u00e9co-organisme <a href=\"https:\/\/www.dastri.fr\/\">DASTRI<\/a> qui est agr\u00e9\u00e9 par l\u2019Etat pour cette fili\u00e8re REP (responsabilit\u00e9 \u00e9largie du producteur)..<\/p>\n\n\n\n<p>Les DASRI sont des d\u00e9chets d&rsquo;activit\u00e9 de soins \u00e0 risque infectieux (d\u00e9chets dangereux).<\/p>\n\n\n\n<p>Les DASRIe sont des DASRI \u00e9lectroniques.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Remise des boites \u00e0 aiguilles aux patients:<\/strong><\/h2>\n\n\n\n<p>Les officines remettent sans frais \u00e0 chaque patient en auto-traitement et \u00e0 chaque utilisateur d&rsquo;autotests utilisant des dispositifs m\u00e9dicaux perforants une boite \u00e0 aiguilles adapt\u00e9e au type de DASRI (y compris certains DASRIe).<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"251\" height=\"300\" data-id=\"396\" src=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-251x300.png\" alt=\"\" class=\"wp-image-396\" srcset=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-251x300.png 251w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-856x1024.png 856w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-768x919.png 768w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-42x50.png 42w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-1284x1536.png 1284w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-1712x2048.png 1712w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-50x60.png 50w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI-84x100.png 84w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/BAA_DASTRI.png 1786w\" sizes=\"(max-width: 251px) 100vw, 251px\" \/><figcaption class=\"wp-element-caption\">BAA DASRI PAT<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"182\" height=\"300\" data-id=\"397\" src=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1-182x300.png\" alt=\"\" class=\"wp-image-397\" srcset=\"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1-182x300.png 182w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1-620x1024.png 620w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1-768x1269.png 768w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1-30x50.png 30w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1-36x60.png 36w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1-61x100.png 61w, https:\/\/cpcms.fr\/guide-stage-initiation\/wp-content\/uploads\/2023\/07\/petite-boite-eDASRI-PAT-2-1.png 850w\" sizes=\"(max-width: 182px) 100vw, 182px\" \/><figcaption class=\"wp-element-caption\">BAA DASRIe<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Point de collecte des boites pleines :<\/strong><\/h2>\n\n\n\n<p>La r\u00e9partition des points de collecte sur le territoire est g\u00e9r\u00e9e par DASTRI.&nbsp;<br>Leur&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/www.dastri.fr\/nous-collectons\/\" target=\"_blank\">g\u00e9olocalisation est disponible sur leur site<\/a>.<br>La majorit\u00e9 sont des officines. Les boites pleines sont stock\u00e9es dans un espace d\u00e9di\u00e9 de l&rsquo;officine auquel le public n&rsquo;a pas acc\u00e8s (cf. <a rel=\"noreferrer noopener\" href=\"https:\/\/cpcms.fr\/guide-stage-initiation\/knowledge-base\/generalites-sur-lexercice-officinal\/\" data-type=\"ht_kb\" data-id=\"139\" target=\"_blank\">Locaux de l&rsquo;officine)<\/a>.<\/p>\n\n\n\n<p>Sources: <a rel=\"noreferrer noopener\" href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000041599281\/\" target=\"_blank\">Articles L4211-2-1<\/a>, Articles <a rel=\"noreferrer noopener\" href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000044038634\" target=\"_blank\">R1335-8-2<\/a>, <a rel=\"noreferrer noopener\" href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000033170675\" target=\"_blank\">R1335-8-3<\/a> et <a href=\"https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000033170669\/2022-04-26\/\" target=\"_blank\" rel=\"noreferrer noopener\">R 1335-8-5<\/a> du CSP<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Le pharmacien d&rsquo;officine doit, pour des raisons de sant\u00e9 publique et de s\u00e9curit\u00e9 environnementale, participer \u00e0 la collecte des MNU et de certains DASRI des patients en auto-traitement.<\/p>\n","protected":false},"author":2,"comment_status":"open","ping_status":"closed","template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false},"ht-kb-category":[2],"ht-kb-tag":[96,95,120,97,99,98,94],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/ht-kb\/337"}],"collection":[{"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/ht-kb"}],"about":[{"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/types\/ht_kb"}],"author":[{"embeddable":true,"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/comments?post=337"}],"version-history":[{"count":18,"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/ht-kb\/337\/revisions"}],"predecessor-version":[{"id":473,"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/ht-kb\/337\/revisions\/473"}],"wp:attachment":[{"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/media?parent=337"}],"wp:term":[{"taxonomy":"ht_kb_category","embeddable":true,"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/ht-kb-category?post=337"},{"taxonomy":"ht_kb_tag","embeddable":true,"href":"https:\/\/cpcms.fr\/guide-stage-initiation\/wp-json\/wp\/v2\/ht-kb-tag?post=337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}