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What are the side effects of color 133?

4 min read

According to the U.S. Food and Drug Administration (FDA), FD&C Blue No. 1 is widely used in foods and generally considered safe, but reports have surfaced of toxicity associated with its use in specific medical contexts. Concerns about the side effects of color 133, or Brilliant Blue FCF, are not limited to rare incidents, as many individuals report allergic responses and other sensitivities to this synthetic dye.

Quick Summary

Color 133, also known as Brilliant Blue FCF or E133, is a synthetic blue dye with potential health concerns. Side effects can include allergic reactions and respiratory issues, especially for sensitive individuals. High doses in animal studies have raised concerns about organ toxicity and genetic damage, prompting regulatory reevaluation in some regions.

Key Points

  • Allergic Reactions: Color 133 can cause allergic reactions, including hives, skin irritation, and is known to trigger asthma attacks in sensitive individuals.

  • Exacerbated Hyperactivity: Some studies and expert opinions suggest that the dye may worsen neurobehavioral problems like hyperactivity and attention disorders in children.

  • Potential for Toxicity: While generally considered safe in low food-grade doses, high-dose animal and in-vitro studies have shown potential for genetic, cellular, and organ damage.

  • Gastrointestinal Effects: Animal studies suggest that the dye can alter the gut microbiome and cause intestinal inflammation, potentially promoting irritable bowel syndrome.

  • Regulatory Scrutiny: The FDA has announced plans to phase out synthetic azo dyes like E133, and some European countries have previously restricted or banned its use.

  • Careful Label Reading: Consumers concerned about potential side effects should carefully read labels for FD&C Blue No. 1, Brilliant Blue FCF, or E133 to avoid it.

In This Article

What is Color 133 (E133 / Brilliant Blue FCF)?

Color 133, chemically known as Brilliant Blue FCF or FD&C Blue No. 1, is a synthetic food coloring widely used to produce vibrant blue and green shades in processed foods. This triarylmethane dye is water-soluble and is added to a variety of products, including soft drinks, confectionery, cereals, and dairy items. It is also found in cosmetics like toothpaste and in some pharmaceuticals. While its primary purpose is aesthetic, its consumption is associated with a range of health concerns, particularly in sensitive populations.

Documented Side Effects

Despite its common use, numerous studies and reports link Color 133 to adverse health reactions, primarily allergic in nature. For example, individuals with pre-existing asthma have reported increased asthmatic attacks after consuming the dye. Other allergic symptoms can include hives, flushing, and skin irritation. Beyond allergies, there is growing concern about its impact on behavior, with some research suggesting it may exacerbate neurobehavioral problems like hyperactivity in certain children. In vitro and animal studies using high doses have raised further questions about its safety, indicating potential damage to genes and cellular processes.

A Closer Look at the Research

Over the years, the safety of Color 133 and other artificial dyes has been under continuous scrutiny. Some key research findings include:

  • Gastrointestinal Issues: Experiments on mice demonstrated that Brilliant Blue FCF can cause intestinal inflammation and may contribute to irritable bowel syndrome by altering the gut microbiome.
  • Neurotoxicity: A 2011 study examined the combined effect of Brilliant Blue FCF and other additives on nerve cells, finding that the neurotoxic effect was multiplied rather than merely added.
  • Genetic Damage: In high-dose, test-tube experiments, the blue dye damaged the genes and disrupted the energy balance of cells.
  • Organ Damage in Rats: A study detailed in a WHO-EMRO journal found that high doses of the dye in rats caused liver, kidney, and testicular damage, characterized by alterations in specific enzymes and hormones.
  • Critical Care Incidents: In a few rare and isolated cases involving critically ill patients with compromised gut integrity, the absorption of high quantities of FD&C Blue No. 1 through enteral feeding was linked to metabolic acidosis and death. The FDA issued a public health advisory on this topic in 2003.

The Regulatory Landscape and Long-Term Considerations

Regulatory bodies worldwide have approached Brilliant Blue FCF with varying levels of caution. While it is approved for use in the EU and the US, some countries like France, Germany, and Norway have previously banned or restricted it. In 2025, the FDA announced plans to phase out the use of synthetic azo dyes, including E133, in US food products by the end of 2026.

Comparison of Color 133 with other common food dyes

Food Dye Common Name Health Concerns Regulatory Status (Varied by Country)
E133 Brilliant Blue FCF Allergic reactions, asthma attacks, potential for hyperactivity, and gut issues. Approved in EU/US (with phase-out planned in US for 2026), banned/restricted in some European countries.
E102 Tartrazine (FD&C Yellow No. 5) Allergic reactions (hives), asthma attacks, hyperactivity, and intolerance, especially in those with aspirin sensitivity. Requires a warning label in the EU; linked to hyperactivity in children.
E124 Ponceau 4R Allergies (hay fever, asthma), potential carcinogen, and negative impact on liver/kidneys. Banned in the US and UK.
E129 Allura Red AC (FD&C Red No. 40) Possible link to hyperactivity in children, contains carcinogenic amine compounds. Requires a warning label in the EU.

Minimizing Exposure to Color 133

For those concerned about potential side effects, minimizing or eliminating intake is the most effective strategy. This involves carefully reading product labels to identify Brilliant Blue FCF, which may also be listed as FD&C Blue No. 1 or E133. Focus on a diet rich in whole, unprocessed foods, and opt for products that use natural colorings instead. Many alternative colorings, such as those derived from plants like beetroot or spirulina, can be used to achieve vibrant colors without synthetic additives. For instance, the use of natural blue pigments like anthocyanins is a growing trend, offering both color and potential health benefits.

Conclusion

The side effects of color 133, while generally considered rare in low-dose consumption, present a legitimate concern for sensitive individuals and warrant broader attention. From allergic reactions and respiratory issues to emerging evidence of potential gut and neurobehavioral impacts, the risks associated with Brilliant Blue FCF cannot be ignored. While it is still approved in many regions, international regulatory shifts and scientific findings on potential toxicity highlight the importance of informed consumer choices. By understanding which products contain this additive and exploring alternatives, individuals can make conscious decisions to prioritize their health and minimize unnecessary chemical exposure. This is particularly relevant for parents, those with sensitivities, and anyone aiming for a cleaner, less processed diet.

For further information on FDA-approved color additives, visit the official website.

Frequently Asked Questions

The primary concern is the risk of allergic reactions, particularly for those with asthma or aspirin sensitivity, who may experience symptoms like hives, skin irritation, and increased respiratory issues.

Some studies and expert opinions have raised concerns about a link between synthetic food dyes, including Brilliant Blue FCF, and behavioral issues like hyperactivity in children.

Yes, in rare cases involving critically ill patients with compromised intestinal integrity, high concentrations of FD&C Blue No. 1 in enteral feedings were linked to metabolic acidosis and death.

On ingredient lists, color 133 can appear as FD&C Blue No. 1, E133 (especially in Europe), or Brilliant Blue FCF.

To avoid color 133, choose foods that use natural colorings derived from plants, such as spirulina, or opt for whole, unprocessed foods that don't require artificial dyes.

Yes, some European countries, including France, Germany, and Norway, have previously had restrictions or bans on the use of color 133.

No, studies show that Brilliant Blue FCF is poorly absorbed by the body, with about 95% of it being excreted naturally through feces.

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.