Flunitrazepam
Summary
Hazard 4* P 3 B 0 T 1* Risk Cannot be excluded
There are not many studies of flunitrazepam, but no existing data suggest environmental risk.
Another benzodiazepine, oxazepam has been shown in studies to produce behavioral changes in perch at concentrations found in Swedish waters. These behavioral changes can cause potential effects on the ecological balance. Further research is ongoing.
Flunitrazepam has not been detected in treated wastewater in Stockholm County in the last five years (2012–2016).
References
- Brodin T, Fick J, Jonsson M, Klaminder J. (2013) Dilute Concentrations of a Psychiatric Drug Alter Behavior of Fish from Natural Populations. Science 339(6121): 814-815.
- IVL Swedish Environmental Research Institute Ltd. Fick J, Lindberg RH, Kaj L, Brorström-Lundén E. Results from the Swedish National Screening Programme 2010. Subreport 3, B 2014 Pharmaceuticals.
- IVL Swedish Environmental Research Institute Ltd Fick J, Lindberg RH, Fång J, Magnér J, Kaj L, Brorström-Lundén E. Screening 2014. Analysis of pharmaceuticals and hormones in samples from WWTPs and receiving waters. Rapport C 135.
- Fick J, Lindberg RH, Tysklind M, Larsson DG. Predicted critical environmental concentrations for 500 pharmaceuticals. Regul Toxicol Pharmacol. 2010;58:516-23.
- Goodpoint. Prioritering av läkemedel med miljörisk inom SLL. Stockholm: Goodpoint; 2016. Rapport LS 2016–0634.
- SLL. Sammanställning av läkemedelsprovtagningar - Bearbetning av regional försäljningsstatistik av läkemedel samt datamaterial från Stockholms läns landstings mätprogram för läkemedelssubstanser i vattenmiljö, 2012–2016.
- Fass.se för vårdpersonal
Author: Health and Medical Care Administration, Region Stockholm