Oral Cytotoxic in the Auto Carousel

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Tue, 12/23/2025 - 02:36
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Ahmad abdelrahe...
Ahmad abdelraheem nemer obaid's picture
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Joined: 05/20/2020 - 17:29
Oral Cytotoxic in the Auto Carousel

Dear Colleagues,
We have recently implemented automated carousel systems in our inpatient pharmacy.
Based on our review of NIOSH, USP <800, cytotoxic (hazardous) medications require segregated storage, and we could not find any explicit guidance permitting their storage with non-hazardous medications or within the same automated carousel system.
I would appreciate your input on the following:
•Do any international guidelines, standards, or regulatory bodies explicitly allow or address storage of oral cytotoxic medications within automated carousel systems?
•If implemented, what risk-mitigation strategies or design controls were required?
Thank you in advance for sharing your experiences and references.

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