Non-steroidal anti-inflammatory drugs in the environment: Where were we and how far we have come?

Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most well-known pharmaceuticals with a broad scope of properties that are widely used in human and veterinary medicine. Because of their extensive utilization, NSAIDs are commonly identified in the environment as trace emerging contaminants. Regardless of vast experience with these drugs, NSAIDs are full of contradictions that trigger major concerns for environmental researchers. A limited understanding on NSAID's occurrence, distribution and eco-toxicological effects have led to an escalated dilemma in the last decade. Thus, a broad-spectrum study covering all aspects of occurrence, detection and removal is required to meet the fundamental levels of knowledge on the effects of NSAIDs in all exposed environmental aspects. Therefore, this paper focuses on classifying the sources and entry points of residual NSAIDs. Further, detecting and regulating their concentrations in both input streams and receiving environments, along with the removal processes of this specific class of emerging compounds, in the direction of developing a management policy is comprehensively reviewed.