“…Warfarine (anticoagulant), clopidrogel (antiplatelet agent), propranolol (beta-blocker), hydrochlorothiazide (diuretic) and fluoxetine (antidepressant) were normally detected at low concentrations, and even so they were generally poorly removed. The concentrations found in the WWTP effluents were similar to those reported by Prieto-Rodríguez et al [31] in downstream effluents from the secondary biological treatment of a municipal WWTP (Spain), except for azithromycin and clarithromycin, which were approximately ten fold lower in that report. Another study reporting several pharmaceuticals from different therapeutic classes and some pesticides in the outlet of a secondary clarifier of WWTP located also in Spain, reported levels of concentrations similar to the present report for some compounds (e.g., ibuprofen, metoprolol, propranolol, sulfamethoxazole), whereas diclofenac, bezafibrate and carbamazepine were quantified at lower concentrations [16].…”