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GREENER Pharmaceuticals for More Sustainable Healthcare
Caroline T A Moermond1, Neele Puhlmann2, A Ross Brown3
1Centre for Safety of Substances and Products (VSP), National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA Bilthoven, The Netherlands.
Medicines impact the environment; a GREENER approach is needed to develop safer drugs. This involves reducing environmental exposure and avoiding harmful substances while prioritizing patient health.
Area of Science:
- Environmental Chemistry
- Pharmaceutical Science
- Green Chemistry
Background:
- Pharmaceuticals, essential for human health, pose environmental risks post-consumption.
- Medicinal residues in excreta enter wastewater, impacting aquatic and terrestrial ecosystems.
Purpose of the Study:
- To advocate for a GREENER (Green, Healthy, Environmentally Responsible, and Efficacious) approach in drug development.
- To identify environmental criteria for active pharmaceutical ingredients (APIs).
- To explore the integration of these criteria into drug discovery and development.
Main Methods:
- Defining environmental criteria: effect reduction (non-target effects, undesirable moieties), exposure reduction (emissions, biodegradability), and absence of persistent, bioaccumulative, and toxic (PBT) substances.
- Assessing the feasibility of incorporating these criteria into drug design.
- Identifying necessary tools and assays for evaluating environmental impact.
Main Results:
- The GREENER approach prioritizes patient safety and efficacy alongside environmental protection.
- Key criteria include minimizing non-target effects, enhancing biodegradability, and avoiding PBT substances.
- Discussion on the practical implementation of these criteria in early-stage drug development.
Conclusions:
- An integrated GREENER approach is crucial for sustainable pharmaceutical innovation.
- Adopting these environmental criteria can accelerate the development of safer medicines.
- This framework supports a paradigm shift towards environmentally conscious drug discovery.
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