Prenatal exposure to the fluoride containing psychiatric drug fluoxetine and anti-oxidative alterations in the neonatal rat brain

Fluoride is a key ingredient of many psychiatric drugs like fluoxetine (Prozac^®, Fluoxetine^®). Pregnant women frequently use this drug as they suffer from depression and anxiety disorders during this period. Fluoxetine is able to reach the fetus through the placenta and passes to the newborn through milk. In the present study, female Wistar rats were treated with 5, 10, and 20 mg/L fluoxetine (containing 94% fluorides) from pregnancy day 10 to day 20. After delivery, the levels of the enzymatic antioxidants in the brain of their offspring at postnatal day 2 were measured. The results showed that, in all fluoxetine exposed groups compared with the control group, there was a significant decrease (P < 0.01) in the glutathione, catalase, glutathione S-transferases and potassium and a non- significant increase (P > 0.05) in the activity of malondialdehyde and creatine kinase. The results suggest that fluoxetine may be a developmental neurotoxicant due to presence of fluoride hence must be used carefully during pregnancy.     

Photooxidation of the antidepressant drug Fluoxetine (Prozac®) in aqueous media by hybrid catalytic/ozonation processes

This article examines the oxidative disposal of Prozac^® (also known as Fluoxetine, FXT) through several oxidative processes with and without UV irradiation: for example, TiO₂ alone, O₃ alone, and the hybrid methods comprised of O₃ + H₂O₂ (PEROXONE process), TiO₂ + O₃ and TiO₂ + O₃ + H₂O₂ at the laboratory scale. Results show a strong pH dependence of the adsorption of FXT on TiO₂ and the crucial role of adsorption in the whole degradation process. Photolysis of FXT is remarkable only under alkaline pH. The heterogeneous photoassisted process removes 0.11 mM FXT (initial concentration) within ca. 60 min with a concomitant 50% mineralization at pH 11 (TiO₂ loading, 0.050 g L⁻¹). The presence of H₂O₂ enhances the mineralization further to >70%. UV/ozonation leads to the elimination of FXT to a greater extent than does UV/TiO₂: i.e., 100% elimination of FXT is achieved by UV/O₃ in the first 10 min of reaction and almost 97% mineralization is attained under UV irradiation in the presence of H₂O₂. The hybrid configuration UV + TiO₂ + O₃ + H₂O₂ enhances removal of dissolved organic carbon (DOC) in ca. 30 min leaving, however, an important inorganic carbon (IC) content. In all cases, the presence of H₂O₂ improves the elimination of DOC, but not without a detrimental effect on the biodegradability of FXT owing to the low organic carbon content in the final treated effluent, together with significant levels of inorganic byproducts remaining. The photoassisted TiO₂/O₃ hybrid method may prove to be an efficient combination to enhance wastewater treatment of recalcitrant drug pollutants in aquatic environments.