The T-value in the PBT index refers to acute toxicity.
The concentrations found in the waters in Sweden are not expected to pose environmental impact on aquatic animals and plants. However, good studies on environmental effects are lacking.
Ramipril has previously been found in purified wastewater in Stockholm County (2005–2012).
The risk classification insignificant, according to Fass.se, is based on total sold amount (kg) of the substance in Sweden during the year 2015 and the toxicity of the substance.
Author: Health and Medical Care Administration, Region Stockholm