https://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/EnsuringSafeUseofMedicine/SafeDisposalofMedicines/ucm186188.htm
4: Does flushing the medicines on this list down the toilet or sink pose a risk to human health or the environment? How have considerations about medicines in the environment informed FDAs recommendations about the disposal of medicines from the home?
FDA is aware of reports of very low but measurable levels of medicines in surface waters such as rivers and streams, and to a lesser extent in drinking water. Disposal of these select few medicines by flushing would contribute only a small fraction of the total amount of medicine found in our surface and drinking water. The majority of medicines found in water are a result of the bodys natural routes of drug elimination (in urine or feces).
Based on the available data, FDA believes that the known risk of harm to humans from accidental exposure to these medicines far outweighs any potential risk to humans or the environment from flushing them.
To date, scientists have found no evidence of harmful effects to human health from medicines in the environment. In addition, to better understand the human health and ecological risks from medicines in our water, FDA works with other agencies, including the U.S. Environmental Protection Agency (EPA). Still, to reduce overall medicine levels in our waters, FDA recommends that consumers first consider disposing of these drugs as quickly as possible through medicine take-back programs or DEA-authorized collectors before flushing down the sink or toilet.