“…Even at low concentrations (they are released from ng L -1 to mg L -1 ) they can cause adverse effects to aquatic organisms like endocrine disruption or growth affections, because their mode of action and their properties are not designed to treat these organisms [6] , [9] , [10] , [11] , [13] , [14] . Among all the pharmaceuticals detected in water sources, the presence of analgesics and anti-inflammatories, (paracetamol, ibuprofen, ketoprofen or dexamethasone), antibiotics (amoxicillin, azithromycin, or sulfamethoxazole) or psychiatric drugs (sertraline, clonazepam or fluoxetine) is worth highlighting [15] , [16] , [17] , [18] , [19] , [20] . In this way, hospital wastewater (HWW) effluents can contain very high concentrations of some pharmaceuticals.…”