This research examined whether treatment with zero-valent iron in the presence of oxygen is a suitable process for the degradation of pharmaceuticals (antibiotics, cytostatic drugs) and diagnostic agents. It was shown that the concentration of all selected compounds was decreased efficiently by treatment with iron. The compounds exhibited a pseudo-first-order decay with a linear dependence on ln(c/c(0)) on time. The observed reaction rate strongly depended on pH, the amount of added iron, and the stirring speed. The influence of temperature on the reaction rate was small. Comparison of detected transformation products with those obtained after catalytic hydrogenation and treatment with Fenton's reagent revealed that reductive and oxidative processes are responsible for the transformations observed.