Key Laboratory of Theoretical Chemistry of Environment, Ministry of Education; School of Chemistry, South China Normal University, Guangzhou 510006, PR China.
PG and Research Department of Zoology, Sri Vasavi College, Erode, Tamil Nadu 638 316, India.
J Hazard Mater. 2021 Oct 5;419:126135. doi: 10.1016/j.jhazmat.2021.126135. Epub 2021 May 18.
Diclofenac is an anti-inflammatory drug used as an analgesic. It is often detected in various environmental sources around the world and is considered as one of the emerging contaminants (ECs). This paper reviews the distribution of diclofenac at high concentrations in diverse environments and its adverse ecological impact. Recent studies observed strong evidence of the hazardous effect of diclofenac on mammals, including humans. Diclofenac could cause gastrointestinal complications, neurotoxicity, cardiotoxicity, hepatotoxicity, nephrotoxicity, hematotoxicity, genotoxicity, teratogenicity, bone fractures, and skin allergy in mammals even at a low concentration. Collectively, this comprehensive review relates the mode of toxicity, level of exposure, and route of administration as a unique approach for addressing the destructive consequence of diclofenac in mammalian systems. Finally, the mitigation strategy to eradicate the diclofenac toxicity through green remediation is critically discussed. This review will undoubtedly shed light on the toxic effects of pseudo-persistent diclofenac on mammals as well as frame stringent guidelines against its common usage.
双氯芬酸是一种用作镇痛药的抗炎药。它经常在世界各地的各种环境源中被检测到,被认为是新兴污染物 (ECs) 之一。本文综述了双氯芬酸在不同环境中高浓度分布及其对生态的不良影响。最近的研究观察到双氯芬酸对哺乳动物,包括人类,具有很强的危害性。双氯芬酸即使在低浓度下也会导致哺乳动物的胃肠道并发症、神经毒性、心脏毒性、肝毒性、肾毒性、血液毒性、遗传毒性、致畸性、骨折和皮肤过敏。总的来说,本综述通过毒性模式、暴露水平和给药途径的独特方法,阐述了双氯芬酸在哺乳动物系统中的破坏性后果。最后,还批判性地讨论了通过绿色修复消除双氯芬酸毒性的缓解策略。本综述无疑将阐明假持久性双氯芬酸对哺乳动物的毒性作用,并制定严格的准则禁止其普遍使用。