Abstract

Summary Background Chlorhexidine may cause type I and type IV allergy. Some chlorhexidine-allergic individuals have been exposed in the healthcare setting as patients or healthcare workers, but for others the source of sensitization is unknown. Chlorhexidine may be used as a preservative or an antimicrobial agent in cosmetic products at a concentration up to 0.3%, as set by the European Cosmetics Directive (now Regulations). Objectives To identify cosmetic product types containing chlorhexidine, and to measure the concentration of chlorhexidine in selected products. Methods Between February 2013 and April 2013, we checked for chlorhexidine in cosmetic products in 14 supermarkets, one hairdressing salon and one beauty and retail store in Copenhagen, Denmark by reading the ingredient labels. The chlorhexidine concentration was measured in 10 selected products by high-performance liquid chromatography (HPLC) with an ultraviolet (UV) detector. Results Chlorhexidine was found in 80 of 2251 checked products (3.6%) in the following categories: hair products (57/760), creams (9/324), face washes (4/24), wet wipes (4/63), skin tonics (3/22), make-up removers (2/25), and mouth washes (1/17). Chlorhexidine concentrations were 0.01–0.15%. Conclusions We found chlorhexidine in various cosmetic product types, predominantly aimed at females, and in hair products. The measured chlorhexidine concentrations were all within the permitted limit. The relevance for allergic sensitization should be further explored.

Highlights

  • Chlorhexidine may cause both type I and type IV allergy, but the mode of sensitization is unknown

  • According to the European Cosmetic Directive, chlorhexidine is allowed in cosmetic products in a concentration of up to 0.3%

  • The aim of this study was to identify which types of cosmetic products that contain chlorhexidine, and to measure their concentration of chlorhexidine

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Summary

Introduction

Chlorhexidine may cause both type I and type IV allergy, but the mode of sensitization is unknown. It is a widely used disinfectant in the health care setting as well as an ingredient in cosmetic products, but the extent of use is unknown. According to the European Cosmetic Directive, chlorhexidine is allowed in cosmetic products in a concentration of up to 0.3%. The aim of this study was to identify which types of cosmetic products that contain chlorhexidine, and to measure their concentration of chlorhexidine. Creams, had a concentration above the allowed 0.3% (0.43% and 1.54%, respectively)

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