Showers releasing a pharma cocktail into environment

The morning shower or soak in the tub are significant sources of the hormones, antibiotics and other pharmaceuticals that pollute the environment, say scientists at the National Meeting of the American Chemical Society.

In the past, scientists and pollution control officials assumed that toilets were the main pharma polluting culprit, with active pharmaceutical ingredients (APIs) flushed into sewers and sewage treatment plants. It has been previously established that such pollutants can go right through the disinfection process at those plants, and enter lakes, rivers, and oceans. Scientists have found traces of the active ingredients of birth control pills, antidepressants and scores of other drugs in waterways and drinking water.

“We’ve long assumed that the active ingredients from medications enter the environment primarily as a result of their excretion via urine and feces,” said researcher Dr. Ilene Ruhoy, from Touro University. “However, for the first time, we have identified potential alternative routes for the entry into the environment by way of bathing, showering, and laundering. These routes may be important for certain APIs found in medications that are applied topically, which means to the skin. They include creams, lotions, ointments, gels and skin patches.”

The new source of APIs was identified through a review of previous studies on the metabolism and use of medications. They focused on APIs in medications that are applied to the skin or excreted from the body via sweat glands. These two sources can result in residues being washed off the body and down bathroom drains. These include steroids (such as cortisone and testosterone), acne medicine, antimicrobials, narcotics and other substances.

Ruhoy told the conference that some APIs in topical medications enter the environment in a form that has the potential for having greater impact than those released in feces and urine. While some medications are excreted substantially unchanged, and therefore enter the environment as the parent compound, other APIs, prior to excretion from the body, are largely metabolized, or broken down, in the liver and kidneys. “Topical APIs, from bathing and showering, however, are released unmetabolized and intact, in their full-strength form,” Ruhoy said. “Therefore, their potential as a source of pharmaceutical residues in the environment is increased.”

Ruhoy cited steps by which the potential environmental impact of skin-based pharmaceuticals could be minimized. “Doctors can help by prescribing the lowest possible dose for the shortest period of time necessary. Scientists should continue efforts to develop better drug delivery systems for topical medications so that APIs, for instance, are absorbed faster and more completely,” she said. “Identifying the major pathways in which APIs enter the environment is an important step toward the goal of minimizing their environmental impact.”

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Source: American Chemical Society

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