I haven't found it effective at removing tannins personally. My tanks all contain natural wood and usually carbon, and they all look like weak tea. I use carbon or charcoal (longer lasting) in all my tanks because my water supply comes from an irrigation dam and I have had problems in the past with fertiliser runoff contaminating my tanks... the carbon seems to get rid of it if there is ever a problem so the worst I get it is the odd die off of snails which seem more susceptible. When that happens I load spare power filters with carbon and filter all the water in buckets before it goes into the tanks. Carbon also does get rid of meds, defo, use a large water change and then load the filter with carbon, change after 2 days, then remove the second lot after a week or so... no more medication in your water.