Removal of Metformin from Wastewater: A Review on Physical, Chemical and Biological Processes

Metformin (MET) is a widely prescribed pharmaceutical compound used for the management of glucose levels and body weight. However, it is only partially metabolized in the human body, and a significant fraction is excreted unchanged, leading to its frequent detection in aquatic environments. Consequently, the removal of MET from wastewater has become a matter of increasing concern due to its potential impact on aquatic ecosystems. Furthermore, as a nitrogen-containing compound, MET has been extensively employed as a model pollutant to evaluate the performance of physical and chemical treatment technologies for pharmaceutical contaminants. This review aims to critically assess and summarize the efficiency and key limitations of various processes applied for MET removal. The reviewed approaches include physical–chemical treatments such as adsorption; biological treatments (activated sludge, biofiltration and phytoremediation), which rely on microbial metabolic activities or plant uptake to degrade or sequester metformin; and advanced oxidation processes (AOPs), such as ozonation, photolysis, photocatalysis, Fenton, and photo-Fenton systems. The efficiency of MET removal and mineralization is strongly dependent on the treatment method employed. Among the evaluated processes, the photo-Fenton reaction emerges as one of the most promising technologies, achieving high removal efficiencies under both ultraviolet (UV) and visible (Vis) irradiation.