I plan to call my PCP tomorrow to refill it but I had some left over from a spinal infection (which reoccurs) so I took the initial dose today. Its 3 months past its expiry date. I've seen that it can become toxic after expiry but that depends heavily on environmental conditions. I live in a very arid state, dry climate and this has been in a dark drawer. I obviously don't want to take any risks when it comes to my kidneys.