Research Indicates Strong Preference for Sustainable Medicines Among Users

Sat 23rd Aug, 2025

A recent study conducted by Utrecht University has revealed that a significant number of patients prefer environmentally sustainable medicines, even if these options are pricier or less convenient. This finding underscores the need for increased awareness regarding the environmental impact of pharmaceuticals.

The research, published in the British Journal of Clinical Pharmacology, indicates that over half of the surveyed individuals would choose environmentally friendly medications, even when faced with higher costs or reduced convenience. Despite this inclination, the study notes a widespread lack of knowledge among participants regarding the ecological effects of various medicines.

Pharmacist and lead researcher Milad Sadreghaemy expressed surprise at the disconnect between people's general sustainability practices and their choices in medication. Many individuals who prioritize sustainability in their daily lives do not extend this consideration to their health care choices. The study aimed to bridge this gap and promote awareness of the environmental ramifications associated with pharmaceutical consumption.

Participants were presented with pairs of fictional medications that shared similar effectiveness and side effects but varied in price, convenience, and ecological impact. A notable portion of the participants consistently opted for the more sustainable medicine, despite the drawbacks. However, only a small fraction reported having a solid understanding of the environmental consequences of their medication choices.

Sadreghaemy highlighted the risks associated with certain medications, using the example of diclofenac, a commonly prescribed pain reliever in the Netherlands. He noted that diclofenac can contaminate surface water and pose a threat to aquatic life. Additionally, the improper disposal of antibiotics and cancer medications can lead to antibiotic resistance, which presents a serious public health risk.

Interestingly, the study revealed that individuals' preferences for medications do not always align with their broader sustainable behaviors. For instance, someone who typically buys organic products may still choose a less eco-friendly medication. Conversely, individuals who might not prioritize sustainability in other areas may actively seek out greener medicinal options.

This disparity suggests that health communication strategies need to be more individualized. Effective messaging should consider different motivations, as patients respond variably to sustainability messages. For example, individuals concerned about costs might be more open to discussions about minimizing waste, which can further benefit the environment.

Another key takeaway from the study is that most patients are willing to return unused medications to pharmacies. However, in reality, many individuals still resort to flushing or discarding these drugs improperly. Researchers advocate for clearer labeling on medication packaging, suggesting that a simple message encouraging returns could significantly reduce waste.

Sadreghaemy views this research as a vital initial step toward fostering a more sustainable healthcare system. By increasing public awareness about the environmental effects of medicines, individuals can make more informed choices. He believes that healthcare can evolve to be both more environmentally friendly and economically viable through smarter usage of medications and improved production practices.

The study utilized a discrete choice experiment to assess the preferences of thousands of medicine users, primarily older adults participating in the Dutch Pharmacy Monitoring Panel (AMP). Future research plans include engaging younger demographics, such as students and young adults, to further understand their perspectives on sustainable medicine.


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