The presence of pharmaceuticals in the aquatic ecosystem has received great attention from the scientific community in the last decades, due to their potential impact on living organisms. This paper presents a short review of the results of investigations performed by INCD-ECOIND concerning the occurrence of 32 pharmaceutical compounds belonging to important therapeutic classes and 2 disinfectants along the Danube River and its tributaries. Grab water samples were collected from multiple points along the River (10 sites) and from 2 locations for each of the tributaries Jiu, Olt and Argeș, upstream and downstream of large cities. All samples were quantified via solid phase extraction, followed by liquid chromatography-tandem mass spectrometry (LC-MS/MS). Results of these studies show that various pharmaceutical compounds are present in the dissolved water phase of the Danube River and its tributaries in low to moderate amounts with variation due to season and location.