Sustainable medicines use in clinical practice - a clinical pharmacological view on eco-pharmaco-stewardship

Elizabeth Adeyeye (Lead / Corresponding author), Benjamin Jaa Ming New, Fangyue Chen, Spoorthy Kulkarni, Marie Fisk, Jamie J. Coleman

    Research output: Contribution to journalReview articlepeer-review

    5 Citations (Scopus)
    170 Downloads (Pure)


    Climate change continues to pose a dangerous threat to human health. However, not only is health impacted by this crisis, healthcare itself adds to the problem, through significant contributions to greenhouse gas emissions. In the UK, the National Health Service (NHS) is responsible for an estimated 4% of the overall national carbon footprint. Medicines account for a quarter of this and whilst they are vital for health now, through sustainable use they can also positively influence the environmental health of the future. In this review, we explore how clinical pharmacologists and other health care professionals can practice sustainable medicines use or eco-pharmaco-stewardship. We will discuss current and near future environmental practices within the NHS, which we suspect will resonate with other health systems. We will suggest approaches for championing eco-pharmaco-stewardship in drug manufacturing, clinical practice and patient use, to achieve a more a sustainable healthcare system.

    Original languageEnglish
    Pages (from-to)3023-3029
    Number of pages7
    JournalBritish Journal of Clinical Pharmacology
    Issue number7
    Early online date15 Nov 2021
    Publication statusPublished - 13 Jun 2022


    • adherence
    • drug utilisation
    • prescribing
    • public health

    ASJC Scopus subject areas

    • Pharmacology (medical)
    • Pharmacology


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