Physicians are encouraged to actively consider the environmental impact of medical interventions. Chief among these considerations is the environmental burden of medication development, production, and disposition. Addressing the environmental consequences of medication prescribing is a critical part of mitigating carbon emissions in healthcare. This matter is often neglected, when compared to the problem of disposition of medical waste. Unquestionably, psychotropics save lives and improve patient function. Yet, they also contribute to a significant environmental footprint.