the organic compounds inwardly them decompose, making them no longer effectice surrounded by treating disease. some antibiotics, especialy those that require refrigeration, have a short shelf energy. its important that you buy new antibiotics after the expiration date;not because they become unhygienic, but because they no longer work.
I don't think they are insanitary, I think that they won't work if expired. Check next to your local pharmacy, they can tell you over the phone. Hope this help! :D
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