Indirect photodegradation is one of the primary approaches for the removal of pharmaceutical contaminants from water. This degradation process is dominated by chromophoric dissolved organic matter (CDOM). After illumination, CDOM produces many reactive intermediates, which can react with drug pollutants to achieve indirect photodegradation. In this article, we focused on four different sources of CDOM and factors affecting indirect sulfamethoxazole (SMZ) photolysis. The results show that the indirect photodegradation effect of SMZ is significantly influenced by CDOM. This indirect photodegradation has a dual nature. It promotes the indirect photodegradation of SMZ through the formation of various reactive intermediates and at the same time inhibits the photodegradation of SMZ through light shielding and masking of reactive intermediates. The indirect photodegradation of SMZ is mainly controlled by active intermediates such as CDOM, HO·, and O produced by CDOM; CDOM is the main participant in indirect photodegradation of SMZ. In addition, the pH, salinity, and nitrate ions have a significant effect on the indirect photodegradation of SMZ, while bicarbonate ions have no significant effect on the indirect photodegradation of SMZ.
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