This study investigates the removal of antiretroviral drugs (ARVs), Nevirapine (NVP) and Efavirenz (EFV), from drinking water through chlorination, focusing on the influence of pH, temperature, chlorine concentration, and ARV initial concentration on the degradation kinetics and trihalomethane (THM) formation. At 25 °C and an initial concentration of 100 μg/L, the degradation trends for both ARVs were examined across varying pH levels. EFV exhibited greater pH sensitivity, with removal increasing from 37 % at pH 5.5 to 68 % at pH 8, while NVP removal increased only from 40 % at pH 5.5 to 48 % at pH 8. Temperature also played an essential role, as the removal of both ARVs increased with rising temperature, indicating an endothermic reaction. Higher chlorine concentrations resulted in increased removal, >90 % at 5 mg/L for both ARVs. Kinetic analysis revealed second-order behaviour, with higher rate constants observed at pH 5.5–7 for NVP and pH 7–8 for EFV. The intrinsic chlorination rate constants for both ARVs were estimated. The calculated half-lives indicated slow removal. The study also assessed contact time for NVP and EFV in a plug-flow reactor (PFR) and continuous stirred tank reactor model (CSTR). Also considering hydraulic residence time (HRT) rather than reaction time to assess the average amount of time that the ARVs spent in the selected reactors. The HRT for a CSTR was lower than the PFR, and the estimated HRT for a CSTR was a feasible value. The minimum HRT came out to 1.56 h (pH 7.5 and a temperature of 25 °C) for NVP and 1.07 h (pH 7 and a temperature of 25 °C) for EFV. Finally, THM formation was observed, with chloroform, dibromochloromethane and bromoform detected. Among the three THMs, the most significant change occurred between 4 and 6 h, with chloroform levels increasing from 31.59 μg/L to 63.49 μg/L. This study underscores the influence of operational parameters on ARV removal via chlorination. Highlighting pH sensitivity, temperature control, precise chlorine dosage, and environmental concerns such as trihalomethane formation ensures effective disinfection while minimizing negative impacts on both water quality and the environment. Emphasizing the importance of a comprehensive approach to ARV removal in water treatment processes is a proactive measure that integrates considerations of environmental impact, public health, regulatory compliance, and long-term sustainability into the design and operation of water treatment facilities.
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