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What are the side effects of E120 food additive?

4 min read

Made from crushed cochineal insects, E120 is a natural red dye used in various food and cosmetic products. While generally considered safe for most, a small portion of the population can experience significant allergic reactions. This article explores what are the side effects of E120 food additive, from mild skin rashes to life-threatening anaphylaxis.

Quick Summary

The main side effect of E120 food additive, also known as carmine, is the risk of allergic reactions, including hives, asthma, and severe anaphylaxis, in sensitive individuals.

Key Points

  • Allergic Reactions: The main side effect of E120 (carmine) is allergic reactions, which can range from mild skin irritation to severe anaphylaxis.

  • Insect Protein Cause: Allergic responses are triggered by trace proteins from the cochineal insects, not the carminic acid itself.

  • Not Vegan/Vegetarian: E120 is derived from insects, making it unsuitable for vegetarian and vegan diets.

  • Occupational Asthma Risk: Workers who handle the dye powder can develop occupational asthma from inhalation exposure.

  • Explicit Labeling: In many regions, products must explicitly list "carmine" or "cochineal extract," helping sensitive consumers identify the additive.

  • No Hyperactivity Link: Unlike some artificial dyes, E120 has not been definitively linked to hyperactivity or behavioral issues in children.

In This Article

Understanding E120: Carmine and Cochineal

E120, scientifically known as carmine, is a vibrant red food colorant extracted from the dried, crushed bodies of female cochineal insects (Dactylopius coccus). These insects are native to cacti in Central and South America. The coloring agent itself is carminic acid, which the insects produce to deter predators. To produce the dye, insects are harvested, dried, and crushed to extract the acid. This additive is used extensively in a wide range of products to achieve a red, pink, or purple hue. Its use is particularly common in yogurts, ice creams, candies, juices, and various processed meat and cosmetic products.

Allergic and Hypersensitivity Reactions

The most significant and well-documented side effects of E120 are allergic reactions. These reactions are not caused by the carminic acid itself, but by residual protein impurities from the insects that can remain in the final product. An IgE-mediated (Type 1) allergic response can be triggered upon ingestion, inhalation, or skin contact in sensitized individuals.

Common Allergic Symptoms

  • Skin reactions: Hives (urticaria), itching, rashes, and swelling (angioedema) are common responses. Swelling of the face or lips can also occur.
  • Respiratory issues: Inhaling the dye, particularly in occupational settings, can trigger asthmatic symptoms like wheezing, coughing, and shortness of breath. Some individuals may experience asthma attacks upon ingestion as well.
  • Gastrointestinal distress: Vomiting and diarrhea have been reported in some allergic individuals after consuming products containing carmine.

Severe Anaphylactic Reactions

In rare but serious cases, E120 exposure can lead to a severe, life-threatening allergic response known as anaphylaxis. Anaphylactic shock can develop rapidly and requires immediate medical attention. Symptoms can include:

  • Tightness in the throat and chest
  • Difficulty breathing
  • Dizziness or fainting
  • Rapid heartbeat
  • Low blood pressure

Occupational and Environmental Concerns

Beyond food consumption, E120 poses a risk to certain workers. Occupational asthma and allergic reactions have been documented in those who handle or produce carmine dye. This is attributed to the inhalation of fine dye particles. Proper protective equipment, such as respirators, is essential for these workers.

Misconceptions and Dietary Restrictions

Despite being a natural colorant, E120 is not suitable for everyone. Its insect-derived origin makes it incompatible with a vegan or some vegetarian diets. Labeling confusion has historically been an issue, though regulations in places like the U.S. and EU now require carmine or cochineal to be explicitly listed.

It is important to differentiate the effects of E120 from those of other food dyes. While some artificial colors, particularly certain azo dyes, have been linked to hyperactivity in children, regulatory and health organizations have not found a similar connection for E120. A small number of studies have indicated potential links to aluminum in some carmine preparations with neurological effects, but this is not a universally accepted side effect of the dye itself.

Common Foods and Products Containing E120

E120 is used to color a wide variety of items. Consumers should always check the label for ingredients like "carmine," "cochineal extract," "cochineal red," or "E120." Products that may contain it include:

  • Dairy Products: Certain yogurts, ice creams, and cheeses.
  • Confectionery: Candies, gummies, and jellies.
  • Beverages: Fruit juices, soft drinks, and alcoholic cocktails.
  • Processed Foods: Processed meat products (sausages, imitation crab), soups, and baked goods.
  • Cosmetics and Pharmaceuticals: Lipsticks, blushes, eye shadows, and some medications.

E120 vs. Red 40: A Comparison

Feature E120 (Carmine) Red 40 (Allura Red AC)
Source Natural dye derived from crushed cochineal insects Synthetic dye derived from petroleum distillates and coal tars
Primary Risk Allergic reactions caused by insect protein impurities, including anaphylaxis. Allergic reactions possible, but generally considered low risk for severe reactions. Concerns about links to hyperactivity in some children.
Dietary Suitability Not suitable for vegans or vegetarians due to animal origin. Generally considered vegan/vegetarian, as it is a synthetic compound.
Labeling Explicitly listed as carmine, cochineal extract, or E120 in many countries. Listed as Red 40, Allura Red AC, or E129 in Europe.

Conclusion: Navigating E120's Risks

E120 is a safe colorant for the majority of the population, but its insect-based origin carries a well-documented risk of allergic reactions for a susceptible minority. These reactions can range from mild skin rashes to life-threatening anaphylactic shock. Awareness of product labels, which explicitly list carmine or cochineal, is crucial for those with insect allergies or specific dietary restrictions. While not associated with common issues like hyperactivity linked to some synthetic dyes, E120 remains a significant allergen that consumers need to identify to ensure their safety. If you suspect an allergic reaction, it is best to consult with a healthcare professional to confirm and avoid the additive.

This article is intended for informational purposes and is not a substitute for professional medical advice. For more detailed information on food additive safety, refer to official regulatory and scientific sources.

Frequently Asked Questions

E120, also known as carmine or cochineal extract, is a red dye made from the crushed bodies of the female cochineal insect (Dactylopius coccus), which lives on cacti.

E120 can cause a variety of allergic reactions, including skin rashes, hives (urticaria), swelling, asthma attacks, gastrointestinal issues like vomiting and diarrhea, and in severe cases, life-threatening anaphylactic shock.

While most people do not experience adverse effects, E120 is not safe for individuals with insect allergies, as the allergic reaction is triggered by trace insect proteins. It is also not suitable for vegan or vegetarian diets.

In many countries, including the U.S. and EU, manufacturers are required to explicitly list "carmine," "cochineal extract," or "E120" on the ingredient label.

Unlike some synthetic dyes, E120 has not been linked to hyperactivity or behavioral problems in children by food safety authorities like the European Food Safety Authority (EFSA). Any reports often conflate it with other food colors.

If you experience symptoms of an allergic reaction after consuming a product containing E120, you should avoid the additive and consult a healthcare professional for a diagnosis and management plan.

Yes, many manufacturers use alternative red colorants. These include natural plant-based dyes like beetroot red (E162) or anthocyanins (E163), or synthetic options like Red 40 (Allura Red AC).

Yes, allergic reactions to E120 can occur from skin contact, such as from cosmetics containing the dye.

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Medical Disclaimer

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