What is to be done if Effervescent or Gassing medications were inadvertently added and the bottle appears swollen?

DO NOT OPEN. Consult supervisor immediately. Take all necessary steps to safely transfer bottle(s) to controlled disposal area. Review list of additives to ensure gas causing items or combinations of gas causing items are not replicated. With regard to pharmaceutical waste disposal, and other regulated activities associated with pharmaceuticals, always follow applicable federal, state, local, and tribal laws and regulations.