“…Both under laboratory and field conditions, impacts of pharmaceutical drugs on marine bivalves have been reported, from molecular changes to the organism level (Fabbri and Franzellitti, 2016;Martínez-Morcillo et al, 2020). Mortality and changes in growth, reproduction, and behavior alterations, at the individual level, as well as changes on physiological, cellular and molecular responses (e.g., immunological, antioxidant, detoxification, neurological and metabolism parameters) at the sub-individual level, were observed in marine bivalves exposed to pharmaceutical drugs under field (e.g., Martínez-Morcillo et al, 2020) but mainly laboratory conditions (Balbi et al, 2021(Balbi et al, , 2018Fabbri and Franzellitti, 2016;Freitas et al, 2019;Gonzalez-Rey and Bebianno, 2014;Honkoop et al, 1999;Lacaze et al, 2015;Martin-Diaz et al, 2009;Solé et al, 2010). Pharmaceuticals as carbamazepine (CBZ, antiepileptic drug) and cetirizine (CTZ, antihistaminic drug) have been found in the ng/L range in the marine environment, although higher concentrations (µg/L range) were determined in freshwater ecosystems (e.g., Bahlmann et al, 2014Bahlmann et al, , 2012Bahlmann et al, , 2009Brumovskỳ et al, 2016;Calisto et al, 2011;Čelić et al, 2019;Ebele et al, 2017;Nödler et al, 2014;Rehrl et al, 2020).…”