Toma Alexandra, Crişan Ofelia
Department of Pharmaceutical Legislation and Management, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Clujul Med. 2018 Oct;91(4):391-398. doi: 10.15386/cjmed-1129. Epub 2018 Oct 30.
Active pharmaceutical ingredients are present in various sections of the environment, because of both the human and veterinary use of medicinal products. Ways of minimizing the risk of environmental contamination should be observed during all pharmaceutical activities (research, manufacturing, prescribing, dispensing and disposal of medicinal products).
For the present study we searched specific literature on this subject, using the main international databases (Thomson Reuters - Web of Science, SCOPUS and Science Direct).
This narrative review focuses on the main aspects concerning environmental contamination with medicinal products. Consequently, the present study is structured on four different topics: environmental research on medicinal products, minimizing environmental contamination, waste disposal management and towards a greener community pharmacy.
Waste management activities are important for reducing the presence of active pharmaceutical ingredients in the environment. Pharmacists should inform patients on proper pharmaceutical waste disposal and organize collection programs for unused and expired medicines, in order to develop a greener pharmacy for the future.
由于药品在人类和兽医领域的使用，活性药物成分存在于环境的各个部分。在所有制药活动（药品的研发、生产、开方、调配和处置）过程中，都应遵循将环境污染风险降至最低的方法。
在本研究中，我们使用主要的国际数据库（汤森路透 - 科学网、Scopus和科学Direct）搜索了关于该主题的特定文献。
本叙述性综述聚焦于药品环境污染的主要方面。因此，本研究围绕四个不同主题展开：药品的环境研究、减少环境污染、废物处置管理以及迈向更环保的社区药房。
废物管理活动对于减少环境中活性药物成分的存在至关重要。药剂师应告知患者正确处置药品废物的方法，并组织未使用和过期药品的回收计划，以便为未来发展更环保的药房。
