Hazard 6* P 3 B 0 T 3* Risk Cannot be excluded
The toxicity is not tested on blue-green algae (cyanobacteria) , thats why environmental risk can not be calculated. . When selecting the algal test for antibiotics the European Medicines Agency, EMA recommends test on blue-green algae (cyanobacteria).
Studies have shown that even low concentrations of antibiotics in the environment may trigger antibiotic resistance and therefore measures should be taken to ensure that as little as possible ends up in our environment.
- European Medicines Agency, EMA: Committee for Medicinal Products for Human Use (CHMP). Guideline on the Environmental Risk Assessment of Medicinal Products for Human Use. 1 June 2006.
- Gullberg E, Cao S, Berg OG, Ilbäck C, Sandegren L, Hughes D et al. Selection of resistant bacteria at very low antibiotic concentrations. PLoS Pathog. 2011;7:e1002158.
Author: Health and Medical Care Administration, Region Stockholm