Introduction and Explanatory Notes

Every day, millions of health care workers handle drugs in hospitals, clinics, pharmacies, nursing homes and residential care centers. Even though, precaution measures are widely available, there remains a high risk of exposure to these drugs during professional procedures. Such exposure may occur through accidental inhalation, ingestion, absorption and dermal contact of a fraction of these drugs, and can lead to a variety of health problems, such as sensitization, heritable changes, miscarriages, birth defects and cancer.

In order to support your health institution in protecting your staff from harmful exposure to drugs, B. Braun has summarized the available sources into the following list of more than 600 potentially hazardous substances. Each substance is classified by its potential toxic effect to the human body. For easy reference, the substances are clustered by pharmaceutical group and then listed alphabetically within each cluster.

Drug Selection

Toxicity / Allergic Reaction


Pharmacologic-therapeutic Classification (General)


Drug Name or Active Pharmaceutical Ingredient (API) or CAS Number)

Toxicity and/or Allergic Reaction
Carcinogenicity Genotoxicity
Developmental Toxicity Teratogenicity
Reproductive Toxicity Allergic Reaction
Organ Toxicity  

Download the complete list of hazardous drugs [PDF 150 KiB]

(No drug selected)  

Till today, mainly cytostatic drugs have been in focus as hazardous for the health care worker. However, recent publications from (1) International Agency for Research on Cancer (IARC), (2) Office of Environmental Health Hazard Assessment, California Environmental Protection Agency (California), (3) The National Institute for Occupational Safety and Health (NIOSH) and (4) Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege (BGW) show, that there exists an occupational hazard also from other pharmaceutical groups.



The compiled list of substances is only for the convenience of the user and no representation or warranty is made that the information is current, accurate and complete. The list does not name all drugs with special, harmful properties. It should rather be used as a list of substances, which on the basis of existing publications and experience are justifiably suspected to have harmful effects on the human body. The fact, that for certain substances there is no harmful effect mentioned within the list does not necessarily mean that there is no such effect but can be due to the circumstance that there is no existing publication available. The question, if a substance has a harmful effect on the human body must be answered in an individual risk assessment considering the circumstances of its actual use. The compiled list of substances is not intended to take the place of either the written law or regulations.