Labelling of cytotoxic medicines

Symbols

There are two symbols used to identify cytotoxic medicines and waste products.

Figure 1 shows the universally recognised symbol for cytotoxic medicines and their waste products. This symbol represents a cell in the final stage of cell division (telophase).

This symbol is commonly used to identify where cytotoxic precautions are required. It is present on:

• medication packaging
• commercially available cytotoxic waste disposal products such as purple bins and bags.

Figure 2 shows the pictogram the Globally Harmonized System of Classification and Labelling of Chemicals (GHS) uses for health hazards. This includes cytotoxic medicines.

The manufacturer or importing supplier of cytotoxic medicines to the workplace must use this image when labelling a container of cytotoxic medicine.

Safety data sheets

For any cytotoxic medicine, the manufacturer or importing supplier must:

• prepare current advice on safe handling such as a Safety Data Sheet (SDS)
• provide the SDS when supplying cytotoxic medicine.

The SDS must include the:

• health risks
• first aid requirements
• recommended controls for storing and handling cytotoxic medicines.

The employer must obtain a current SDS on or before the first supply of a hazardous substance to the workplace.

For specific guidance and advice on labelling and SDS requirements see: