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Human use of pharmaceutical drugs and personal care products has increased to
extremely high levels. Several kilotons of nonsteroidal anti- inflammatory drugs, such as
ibuprofen, alone are produced annually worldwide (Cleuvers 2003). Pharmaceuticals and
PCPs eventually get washed from the body and enter water systems, ultimately winding
up in the effluent of wastewater treatment plants and aquatic environments. Since
medical substances are developed with the intention of performing some sort of
biological function, they have a tendency to bioaccumulate and induce effects in aquatic
and terrestrial ecosystems (Halling-Sorensen et al. 1998).
Every journal article I reviewed acknowledged that pharmaceuticals and PCPs are being
released into the environment. Not only are these products being released after usage, but
also during manufacturing and disposal of unused or expired drugs (Breton and Boxall
2003). Millions of prescription and nonprescription drugs are purchased and ingested by
or applied on individuals. Ingested drugs are eventually excreted from individua ls
through urine or feces. Buhner (2002) states that high percentages of many
pharmaceuticals can be excreted from the body unmetabolized and enter wastewater as
biologically active substances. A specific example that supports this claim is provided in
a study published in the scientific journal, Chemosphere, by Klaus Kummerer (2001),
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which states that 90% of the drug, propofol found in anesthesia, is excreted
unmetabolized. This is a very high percentage and it illustrates that large amounts of
various unmetabolized pharmaceuticals are being released into wastewater where their
environmental impacts are not well known.
Unmetabolized pharmaceuticals are often the most non-biodegradable substances in the
environment (Stuer-Lauridsen et al. 2000). Their intrinsic medicinal properties give them
the tendency to bioaccumulate in other organisms besides humans and thereby potentially
provoke effects on the biota of aquatic and terrestrial ecosystems (Halling-Sorensen
1998). Many pharmaceuticals are often persistent and lipophilic - able to pass through
cell membranes, which allows them to carry out specific biological functions. Many
pharmaceuticals are relatively stable to avoid being biologically inactivated before
carrying out the ir intended pharmaceutical effects in the body.