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Adverse effects of cosmetic ingredients Potential sensitising ingredients Fragrance Preservatives Penetrating enhancing substances Colouring agents
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POTENTIAL SENSITISING INGREDIENTS
Many
individuals suffer one or more of a wide variety of sensitive reactions
to certain ingredients of cosmetic products. These reactions may range
from mild erythema to allergic contact dermatitis. In a recent American dermatological inquest in to the causes of cosmetic allergic reactions, the analysis of 538 reactions from all over the country was studied. The single most causative agent was found to be fragrance. The chart below identifies the causative agents in frequency of irritation.
There are many factors involved in the sensitization to a specific cosmetic product, all of which have to be taken into account when seeking a potential allergen. The major factors are:
*The popularity and the composition of the product. * The concentrations of its individual ingredients. * The use of penetration enhancing substances. * The application site. * The condition of the skin. * The contact time. * The frequency of application * The cumulative effects
All of these factors must be explored by the therapist during the consultation procedure when assessing a potential allergic reaction.
"Non sensitising" products
Marketing terms such as hypo-allergenic, dermatologically tested, allergy screened and fragrance free are vague and unspecific. There are no industry standards of measurement and no legal definition of any of these commonly used statements, and consequently they are open to individual interpretation. There are many substances that are known sensitisers, and a truly "hypo-allergenic" product would not contain any of these ingredients. It is left to the therapist to determine if the products she recommends and uses contains acceptable levels of potential irritants.
The skin care market of the 90s is one of ever-increasing complexity and sophistication, with consumers of these products also becoming more sophisticated. They are becoming more knowledgeable and demanding, and are increasingly critical in their evaluation of newly released skin care lines or the performance of existing products.
In the following sections, we will examine potential sensitisers and help you to address the questions consumers may ask about their purpose and safety.
Fragrance
Where fragrance is concerned, consumers often ask: If fragrance causes so many problems, why use a fragrance? The fragrance of a product for many individuals, is a major consideration when purchasing or using a product, and as a result of this, the fragrance industry has become one of complexity, secrecy and prosperity.
Over 200 individual ingredients may be used in the production of a fragrance, and those ingredients, whether allergic or non allergic, are closely guarded. In fact, labelling regulations recognise this and require only the word fragrance to be used on packaging.
There are three primary reasons for using fragrance in cosmetics:
* To mask the base odour. * To support product claims. * To make the product more aesthetically pleasing.
Many of the ingredients contained in skin care products have an inherent odour. These include materials such as lanolin, alcohol, animal and vegetable proteins, vegetable oils and some natural extracts. When these ingredients are blended to make a completed product, the resulting base odour may be unpleasant and render the product unappealing. Fragrances are created to blend with, and mask these base odours, to produce a product much more pleasing to use.
It should be noted that the use of higher grade of purity in base ingredients will reduce their odour intensity. As a consequence, products manufactured with lower grade raw materials will generally require more fragrance to mask unpleasant odours, and are likely to be more sensitising.
The addition of fragrance to formulations also help to support the perceived claims of the products, as the olfactory senses play a significant role in the perception of well being. Lower levels of a soft floral blend in a skin cream for example, will enhance the perception of greater smoothing and moisturising properties. The use of green, light floral, ozone and or citrus notes in a fragrance will enhance the consumers perception of refreshing, natural skin toning. Product image provides a guide-line for the fragrance chosen, it must also support any special attributes and therapeutic properties the skin care line is offering.
Fragrant emollient esters, such as essential oils are often used in hypo-allergenic cosmetics, but are often sensitising because of their photo-reaction when worn in the sun. Fragrant oils, as well as the parts, extracts and resins of some plants may cause an adverse reaction to anyone allergic to fragrances.
Preservatives
All cosmetic formulations require preservatives to protect them frommicroorganisms, even though they are potentially sensitising compounds. Logically, the more preservatives in the product, the more likely the formula will cause a sensitivity effect.
Why use presevatives? Because of the potential infection of cosmetic ingredients by microorganisms, preservatives must be added to cosmetic formulations. Contamination of formulations can lead to the separation of emulsions, product discolouration, the formation of gasses and odours, as well as the infection of the skin of the user. Customer usage and storage of cosmetics and skin care is often lax, care is not taken in replacing lids and fingers are often used to remove the cream or foundation from the container. Storage could be the bottom of a handbag, the glovebox of the car or in a damp bathroom cupboard, these habits create a potential breeding ground for bacteria of all kinds. A variety of infections including yeasts, fungi and bacteria, including pseudomonas, staphylococci and streptococcus have been identified in cosmetic preparations. In addition many problems with preservative failure in cosmetics have been related to expiry of usable shelf life and extreme temperature variation during storage.
The presence of preservatives in cosmetic products is obviously necessary, however, many preservatives have the potential to cause allergic reactions on sensitive skins. At the present time, parabens, (methylparaben, ethylparaben and butylparaben etc) are the most commonly found cosmetic preservatives. Given the prevalence of parabens, there are relatively few allergic reactions (typically 3.6% of all adverse reactions) to these substances, and almost all problems occur on lipid dry, cracked or inflamed skins.
Quaternium-15 is a preservative found in many cosmetics. It is a water soluble anti-microbal agent that has proven active against bacteria, but less active against yeasts. It was found to be responsible for over 12% of allergic reactions in the American study. It is a formaldehyde releaser, and may be a major cause of dermatitis from preservatives. People who may be allergic to formaldehyde, can potentially have problems with this ingredient. It has also recently been found that quaternium-15 can react in the body with other chemicals to produce nitrosamines. (known carcinogens) However, it is not known whether enough Q-15 can be absorbed through the skin for the carcinogen producing action to occur. It is the knowledge that Q-15 can react with other chemicals that leads the therapist to the understanding of why it is not good practice to mix brands of cosmetics, or encourage the client to do so. Cosmetic houses know that the substances within their line are compatible, but generally do not know of the compatibility of other skin care lines.
Formaldehyde is a inexpensive and effective preservative that is widely used in cosmetics as a disinfectant, germicide, fungicide and de-foamer. It has been estimated that between 4-8 % of the general population may be sensitized to this popular preservative. More recently, serious questions about the safety of this substance have been raised, to the point that it is prohibited in cosmetics in both Japan and Sweden. Individuals who are allergic to formaldehyde may also have adversity with Imadazolidinyl urea and diazolidinyl urea, as these substances can also release formaldehyde. Persons allergic to formaldehyde may also have problems with 2-bromo-2-nitropropane-1-3 (more commonly known by the brand Bronopol) or DMDM hydratoin, 5-bromo-5-nitro-1,3 dioxane (also known as Bromidox), and tris (hydromethyl) nitromethane.
Sorbic acid is a common cosmetic preservative that occasionally causes allergic reactions, although it was found to be responsible for only 1.1% of allergic reactions in the study. People allergic to sorbic acid may also react to a related ingredient called potassium sorbate.
Two newer cosmetic preservatives that have been used in European products for some time are Methyl-chloroisthiazolinone and Methylisothiazolinone. (Kathon CG) These ingredients have been responsible for numerous allergic reactions, however, when used in lower concentrations they have been found to cause fewer problems.
The newest preservative system found in cosmetics, Euxyl K 400, is a combination of Phenoxyethanol and Methyldibromoglutaronitrile. There has been some documented cases of allergic contact dermatitis related to this substance, but at this time there is insufficient data to determine significant problems.
Listed below are the most common preservatives you may encounter in cosmetic products. Antioxidants, although often listed under a separate title are also preservatives that help protect the formulation from deterioration from contact with oxygen.
Compounds listed in italics are known allergens or sensitisers.
Penetration enhancing substances
Penetration enhancing substances have the ability to significantly alter the lipid barrier function of the stratum corneum, and should be considered a potential source of irritation. The use penetration enhancing substances to assist in the delivery of drugs in to the skin is accepted in prescription medications, as the contact time of the product is strictly controlled. In the case of cosmetic formulations, the uncontrolled and prolonged use of products containing these substances may lead to allergic reactions on individuals with susceptible skins. In the American study, over 10% of the allergic reactions studied where due to penetration enhanced emollients.
Although penetration enhancing substances help the delivery of active ingredients into the skin, other irritating ingredients in the formulation such as fragrances, surfactants and preservatives are also absorbed more readily. Paradoxically, nature designed the lipid barrier of the stratum corneum to repel the potential aggression of such chemicals.
Below are some of the chemical agents reported to enhance the penetration of specific chemicals in to the stratum corneum.
Colouring agents
Coal tar colours in addition to being potential sensitisers, may be comedogenic when applied to certain skin conditions. With this in mind, it is important that any individual who works with cosmetic products understands the source of the colours in the products they use in order to determine whether potential adverse effects to their clients exists.
Why use colour?
* To support product claims. * To make the product more aesthetically pleasing.
Colour is part of everyday life. It will affect all of the senses, sight, touch, taste and even hearing. It can be emotional, exciting, stimulating, calming, soothing. Colour is often how we perceive something to be. Pink will be seen as soft and soothing and in a cosmetic i.e. a cleanser, pink is used for dry mature skin range. A light minty green will be used for an oily skin, and white or blue for the sensitive skin care range. This is marketing, and over many years consumers have been indocrinated into a way of thinking and seeing things found in the cosmetic world.
Even high profile and expensive domestic retail products can contain coal tar based colourings. The belief that price or labelling stating hypoallergenic will ensure a higher quality or refinement of ingredients is no guarantee in the case in colour cosmetics. With the advent of product composition disclosure on packaging, the task of finding out what colourings are present is now far easier.
FD & C colours Colours used in food, drugs and cosmetics are classified by type with a letter code (F,D,C) which indicates the use for which it is approved. These letters will precede the number and description of the colour. An example is FD&C yellow No5. When the letters FD&C precede a colour it means the colour can be used in food, drugs or cosmetics. D&C signify that it can only be used in drugs and cosmetics, and not in food. The code Ext D& C before a colour means that it is certified for use in drugs and cosmetics for external use only, and may not be used on the lips or mucous membranes.
No coal tar based colours are approved for use around the eyes. In fact, no colour additive should be applied around the area of the eye unless specifically approved for that purpose. There are too many colours to individually list, and many colours will have no adverse effects when used correctly. There are however, a number of colours used in food and cosmetics that have been the focus of legal action in the US over the past ten years. The suitability of FD & C Red No3 and D & C colours Red 8, Red 9, Red 19, Red 33, Red 36 and Orange 17, have all been challenged by the US Public Citizens Health Research Group. Successful legal action has prevented some of these colours being permanently listed as safe by the US Food and Drug Administration.
Suitability of products Care must be taken when applying cosmetics that may contain coal tar derived colours, as these products are unsuitable for use on the lips or eye lids. Consider the habit of many women to use make up on areas of the face that it was not originally intended for, examples of this are using lipsticks as a blushers, blushers as eye-shadows and powdered eye-shadows wetted for use as eyeliners on the inside of the lower lid. Long term misuse of products in this manner increase the risk of sensitivity and allergy reactions. Be vigilant and take care when next you buy your colour cosmetics (makeup). |