Potamogeton pusillus proved to be a good tool for active biomonitoring. Macrophyte stress was associated with Cr, Cu, Cd, Pb and Al concentrations. Macrophyte stress was associated with total pharmaceuticals concentration in water. Hg in sediments, Pb, Al, As, B, Hg in water, surpassed environmental guidelines. First report of integrated biomarker response for a macrophytes active biomonitoring.