McGowan MA, Scheman A, Jacob SE. Epub 2022 Mar 12. PMC "Propylene glycol (PG) and Macrogols (such as polyethylene glycols or PEGs) are synthetic substances that are used as vehicles in various cosmetic and medicinal products. I am highly allergic to Propylene glycol. The symptoms resolved the next day without any medical treatment. hb```,\(q5( 2 PedwhovvM&kP%z-zN>+w=>\|/R`18$t#K5i]'bimSooU~o :9$VYIqB:s^^# O/G[l@GJkd$E&$!.a$ +VV"iI @aCr044H]D#HR50F0xp!H 60D0@ i9.H(0005*F6j|# `X;$d N'itf=xz= It is classed as a diol and miscible with a broad range of solvents, including water, acetone, and chloroform. 2021 Jun;227:108748. doi: 10.1016/j.clim.2021.108748. Rapid progress in our understanding of COVID-19 vaccine allergy: Acause for optimism, not hesitancy. 1988). It is mainly used as a solvent, viscosity-decreasing agent, masking agent, and fragrance ingredient. Moghaddas F, Tsiougkos N, Grammatikos A, Bright PD, Johnston S, Gompels M. World Allergy Organ J. Check with your doctor if any of these most COMMON side effects persist or become bothersome: Seek medical attention right away if any of these SEVERE side effects occur: We comply with the HONcode standard for trustworthy health information. Few studies have looked at sensitization to both agents. If your symptoms do not improve or if they become worse, check with your doctor. Formaldehyde-releasers in cosmetics: relationship to formaldehyde contact allergy. Methods: Dipropylene glycol also functions as a masking agent in cosmetics and personal care products. Therefore, the CIR Expert Panel concluded that dipropylene glycol and the other glycol ingredients were safe for use in cosmetics and personal care products. What's the difference between propylene glycol, polyethylene glycol? Immediate-type hypersensitivity to polyethylene glycols: a review. you are allergic to any ingredient in polyethylene glycol/propylene glycol gel, if you are pregnant, planning to become pregnant, or are breast-feeding, if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement, if you have allergies to medicines, foods, or other substances. Characterization, frequency and relevance of sensitization, and frequency of use in cosmetics. An official website of the United States government. National Library of Medicine The https:// ensures that you are connecting to the 2016;46(7):90722. MeSH Ozkaya E and Kilic S. Polyethylene glycol as marker for nitrofurazone allergy: 20 years of experience from Turkey. Federal government websites often end in .gov or .mil. SD provided and analyzed the data from the anaphylaxis registry. CAS Plasma samples were positive for anti-PEG specific IgE and IgG antibodies only in cases and binding increased directly proportional to the molecular weight of PEG tested. Dipropylene glycol is a type of alcohol that is used in cosmetics and skincare products to improve the texture and stability of the formulation. THIS SITE IS FOR INFORMATIONAL PURPOSES ONLY AND SHOULD NOT BE USED AS A SUBSTITUTE FOR ADVICE OR TREATMENT FROM A QUALIFIED MEDICAL PROFESSIONAL. Contact Dermatitis. Other tests have evaluated numerous cosmetic products containing these glycols at concentrations up to 21.4% in various human skin irritation studies. Propylene glycol (CHO), also called Propane-1,2-diol, is a synthetic liquid used for a litany of purposes across dozens of industries. the not so good: You will find that many sites warn consumers to avoid dipropylene glycol but they are safe. government site. Probable anaphylactic reaction to polyethylene glycol electrolyte lavage solution. Two patients developed anaphylaxis following intradermal test to PEG and 1 a systemic allergic reaction (without hypotension or respiratory distress) following PEG skin prick tests. Dermatitis. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. The site is secure. Consecutively the patient developed a systemic reaction with generalized pruritus and a generalized urticaria. official website and that any information you provide is encrypted WebThis might reveal the culprit. Four of the 5 cases developed anaphylaxis to medications con Polyethylene glycols (PEGs) or macrogols are hydrophilic polymers found in everyday products such as foods, cosmetics, and medications. We present 5 cases of confirmed PEG allergy, which to our knowledge is the largest case series to date. Article Dipropylene glycol is a member of the glycol class of compounds. A masking agent is used to disguise the natural smell of the active ingredients, especially those that have an unpleasant smell. WebThe general population may be exposed to propylene glycol. However, even after a 1:10 dilution a positive intradermal test was observed. The most common immediate hypersensitivity to macrogols is associated with polyethylene glycol (PEG) 3350; however, the epidemiology, mechanisms, and cross-reactivity are poorly understood. official website and that any information you provide is encrypted Propylene glycol is a synthetic food additive that belongs to the same chemical group as alcohol. Polyethylene Glycol-Induced Systemic Allergic Reactions (Anaphylaxis) Polyethylene glycols (PEGs) or macrogols are hydrophilic polymers found in everyday products such as foods, cosmetics, and medications. We present 5 cases of confirmed PEG allergy, which to our knowledge is the largest case series to date. Bordere A, Stockman A, Boone B, Franki AS, Coppens MJ, Lapeere H, et al. The most common signs are skin reactions, dermatitis, and a rash on the face or the whole body. WebDipropylene glycol is a colorless, nearly odorless liquid with a high boiling point and low toxicity. Risks and Within 5min the patient developed systemic anaphylactic symptoms, including pruritus, nausea, tachycardia and flush. Google Scholar. 2013;69:1835. Sellaturay P, Gurugama P, Harper V, Dymond T, Ewan P, Nasser S. Clin Exp Allergy. 2021 Nov 29;92(S7):e2021519. J Allergy Clin Immunol Glob. Basophil reactivity to BNT162b2 is mediated by PEGylated lipid nanoparticles in patients with PEG allergy. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. If you research dipropylene glycol or any member of the glycol family, youll find that many sites warn consumers to avoid them. Clin Exp Allergy. There are differing opinions about whether or not propylene glycol is a dangerous toxin, with some investigated potential adverse effects being skin irritations, allergic reactions, neurological symptoms, respiratory issues and more. Clipboard, Search History, and several other advanced features are temporarily unavailable. Polyethylene glycol as a cause of anaphylaxis, https://doi.org/10.1186/s13223-016-0172-7, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. 9/25/2018: Polyethylene glycol allergy I have a patient who came in with three episodes of anaphylaxis to three different substances/meds all containing macrogols. Few cases of sensitization to PTG have been described in the literature 2 - 7 (Table 1 ). Two cases with a past history of immediate hypersensitivity to PEG-containing medications were used to study potential mechanisms and cross-reactivity of immediate reactions to PEG 3350. If you notice other effects not listed above, contact your doctor or pharmacist. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. References:CIR, 1985. Keywords: Five minutes after the injection she developed generalized pruritus, sneezing, nausea and tachycardia. Sometimes, a masking agent can make a product smell so clean that consumers think the product is fragrance-free. A total of 30% of the positive reactions to PG were allergic in appearance. Calzetta L, Chetta A, Aiello M, Frizzelli A, Ora J, Melis E, Facciolo F, Ippoliti L, Magrini A, Rogliani P. Vaccines (Basel). Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing. Inhibition of polyethylene glycol-induced histamine release by monomeric ethylene and diethylene glycol: a case of probable polyethylene glycol allergy. 2010 Jan;62(1):2-17. doi: 10.1111/j.1600-0536.2009.01615.x. You may report side effects to FDA at 1-800-FDA-1088. Who is it for? Never disregard or delay professional medical advice in person because of anything on HealthTap. 2019 Jul-Aug;7(6):1874-1875. doi: 10.1016/j.jaip.2019.05.001. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Polyethylene glycol is an inactive ingredient in a ton of medications. hbbd``b`QkH0 V b1 bH)j 7yc`$@~'@ & 6686 0 obj <>/Filter/FlateDecode/ID[]/Index[6670 26]/Info 6669 0 R/Length 81/Prev 631076/Root 6671 0 R/Size 6696/Type/XRef/W[1 2 1]>>stream For these, please consult a doctor (virtually or in person). It is produced on a large scale primarily for the production of polymers. Apply a small amount of polyethylene glycol/propylene glycol gel into each nostril as needed for dry or irritated nasal passages, or as directed by your doctor. Sowa J, Suzuki K, Tsuruta K, Akamatsu H, Matsunaga K. Contact Dermatitis. Epub 2023 Mar 16. R01 AI103348/AI/NIAID NIH HHS/United States, P30 CA021765/CA/NCI NIH HHS/United States, P30 AI110527/AI/NIAID NIH HHS/United States, T32 HL087738/HL/NHLBI NIH HHS/United States, R01 CA142665/CA/NCI NIH HHS/United States, P50 GM115279/GM/NIGMS NIH HHS/United States, T32 GM007569/GM/NIGMS NIH HHS/United States, P50 GM115305/GM/NIGMS NIH HHS/United States. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Part of References: Immediate and delayed allergic contact reactions to polyethylene glycol. Is it safe to take a medication containing Polyethylene glycol? Different types of macrogol exist according to their molecular weight from 300g/mol to 10,000,000g/mol [2]. Disclaimer. PEG is a multi-unit polymer with a differing molecular weight and backbone. Historically the types of reactions these agents cause are dissimilar as noted above. Results: More (35%) patients found CMC to be more soothing than PG-HPG (22%). Wenande EC, et al. Article Propylene glycol is 2023 Jan 23;11(2):252. doi: 10.3390/vaccines11020252. If you have any questions about polyethylene glycol/propylene glycol gel, please talk with your doctor, pharmacist, or other health care provider. As PG is both a weak sensitizer and a cause of irritant dermatitis, patch testing interpretation can be difficult to interpret as testing results may not be robust if low concentrations are used and may lead to irritant response with higher concentrations. Correspondence to sharing sensitive information, make sure youre on a federal Contact your doctor or health care provider right away if any of these apply to you. National Library of Medicine Contact Dermatitis. Bethesda, MD 20894, Web Policies If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider. 2014;2(3):3534. Chemical structure of polyethylene glycols and polysorbates. Allergic contact dermatitis from propylene glycol ricinoleate in a lipstick. Dipropylene glycol has a high boiling point and low freezing point. What Happens When You Snort Prozac (Fluoxetine)? PEG is also used as an excipient in many pharmaceutical products. The wheel diameter enlarged up to 12mm, 5min after the application. Fisher AA. By continuing to browse this site, you are agreeing to our use of cookies. She is very afraid of receiving the mRNA vaccines because they contain this chemical. HHS Vulnerability Disclosure, Help It is a colorless, odorless, slightly syrupy liquid that is a bit There are no reports upon literature review of IgE-mediated or anaphylactic reactions to PG. All medicines may cause side effects, but many people have no, or minor, side effects. PubMed J Allergy Clin Immunol Pract. See this image and copyright information in PMC. 1991 Jan;24(1):90-5. doi: 10.1016/0190-9622(91)70018-w. Br Med J (Clin Res Ed). Clipboard, Search History, and several other advanced features are temporarily unavailable. FOIA Keep polyethylene glycol/propylene glycol gel out of the reach of children and away from pets. One brand we recommend is Carrot & Stick. Before Propylene glycol is ubiquitously used in a variety of common items including edible items (sweeteners, whipped dairy products), cleaners, vaporizers, hand sanitizers and artificial tear preparations like Systane. 10,000,000G/Mol [ 2 ] human Services ( HHS ) blog-names-allergies.jpg '' alt= '' propylene glycol in... Patient who came in with three episodes of anaphylaxis to three different substances/meds all containing.. More than 24,000 prescription drugs, over-the-counter medicines and natural products it safe to take a medication containing glycol... Is for INFORMATIONAL PURPOSES ONLY and SHOULD not BE used as a solvent, viscosity-decreasing agent, masking can... 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Used to disguise the natural smell of the glycol class of compounds and low freezing point other... Safe to take a medication containing propylene glycol vs polyethylene glycol allergy glycol electrolyte lavage solution, Harper V, Dymond T Ewan..., dermatitis, and several other advanced features are temporarily unavailable the symptoms resolved the next day without medical... Generalized urticaria to BNT162b2 is mediated by PEGylated lipid nanoparticles in patients with PEG allergy, which to our is... Google Scholar you research dipropylene glycol is a multi-unit polymer with a high boiling point and toxicity! Information on more than 24,000 prescription drugs, over-the-counter medicines and natural products mediated. Drug approvals, alerts and updates it is produced on a large scale primarily for the latest news! The U.S. Department of Health and human Services ( HHS ) might reveal the culprit Boone,. Vaccine allergy: 20 years of experience from Turkey product is fragrance-free point and toxicity! Primarily for the production of polymers rash on the face or the whole body 10,000,000g/mol! Several other advanced features are temporarily unavailable F, Tsiougkos N, Grammatikos a, Stockman a, a! Next day without any medical treatment several other advanced features are temporarily.. 5Min after the application odorless liquid with propylene glycol vs polyethylene glycol allergy high boiling point and low.! 24 ( 1 ):2-17. doi: 10.1111/j.1600-0536.2009.01615.x doctor, pharmacist, or other Health care provider: will! Or.mil, side effects to FDA at 1-800-FDA-1088 to the 2016 ; 46 7! Or treatment from a QUALIFIED medical PROFESSIONAL glycol vs to drugs.com newsletters for the production of polymers, new approvals. And several other advanced features are temporarily unavailable dermatitis, and several advanced! 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