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Natural Ingredients Can Still Irritate Skin — and Often Do

How Drop works · 5 minDrop Skincare · How we cite → · Updated

'Natural' tells you almost nothing about how skin tolerates an ingredient. Here is which natural ingredients are common irritants and why labels mislead.

The framing problem

'Natural' on a skincare label means almost nothing reliable about how your skin will respond to a product. There is no FDA definition. There is no industry-wide standard. Plenty of synthetic ingredients are well-tolerated by reactive skin; plenty of botanical extracts are among the most common allergens in dermatology contact-allergy panels.

The more useful question is not is it natural but what is the specific molecule, and how does skin tend to respond to it? That is the methodology we apply, and it produces a different list than the 'clean beauty' label predicts.

From this articleCheck these against each other →No sign-in, cited answer. Nothing is for sale on that page.

A short list of natural ingredients that commonly irritate

This is not a banned list. These ingredients have legitimate uses and many users tolerate them. They are simply common causes of contact allergy on patch testing, though not the only ones 1.

Essential oils, broadly

Essential oils are concentrated plant extracts. The compounds that give them scent — linalool, limonene, citronellol, geraniol, eugenol — are well-documented contact allergens 2. The EU's scientific committee counts 28 essential oils and other natural extracts as established contact allergens 2.

Specifically watched:

  • Lavender oil. One of the most-marketed 'calming' essential oils. Linalool, one of its two main scent chemicals, oxidizes in air into a common patch-test allergen 3. The irony is real.
  • Tea tree oil. Frequently marketed for acne and as 'natural' anti-microbial. It is a documented cause of allergic contact dermatitis, and oxidation makes it more allergenic 4. Most reported reactions came from putting the pure oil on skin 4.
  • Citrus oils (bergamot, lemon, lime, orange). Many citrus oils contain furocoumarins (psoralens) that can cause phototoxic reactions — a sunburn-like response on areas exposed to sun after application 5. Bergamot oil, one of the most used in cosmetics, is high in one of them, bergapten 6.
  • Peppermint oil. Its cooling, from menthol, is something users often read as 'working.' That cooling is a signal from a cold-sensing channel on nerve cells, not a sign anything is being repaired 7. Menthol and peppermint oil can also cause allergy themselves; both are on the EU committee's list of established contact allergens 7.
  • Cinnamon and clove oils. Both are on the EU committee's list of established contact allergens, clove oil in a higher band of reported cases 8. Cinnamal, cinnamon's main compound, is one of its 12 fragrance chemicals of special concern 8.

Plant extracts beyond essential oils

  • Witch hazel is often praised as a natural toner; many commercial witch hazel toners also contain denatured alcohol, which is what tends to strip the barrier on reactive users.
  • Citrus juice / extract. Lemon juice as a 'natural toner' is a recurring social-media suggestion and a recurring dermatology consult. Its juice can carry the furocoumarins that burn skin in sunlight 6.
  • Arnica. A member of the Asteraceae (daisy) family, whose shared sesquiterpene lactones are a documented contact-allergen class 9.
  • Propolis. Bee-derived and a known contact allergen: 1.2 to 6.6% of people patch-tested for dermatitis react to it 10.
  • Aloe vera. Generally well-tolerated, but gel-sourced products can contain preservatives, fragrances, or denatured alcohol that drive irritation rather than the aloe itself.

Other natural-coded irritants

  • Mint family compounds (menthol, camphor) — cooling effect; not skin benefit.
  • Lemongrass and citral-containing extracts — citral is a documented sensitizer 2.
  • Sodium chloride in concentrated 'sea salt' scrubs — the coarse particles can be physically abrasive on the skin surface for some users.

Why the framing exists in the first place

The 'natural is safer' frame has a few sources:

  • A real concern about specific synthetic ingredients (some now-banned, some still in use) that prompted the modern clean-beauty movement.
  • A marketing layer that conflated 'fewer synthetic preservatives' with 'safer for skin' without checking the substitution math.
  • A cultural narrative that pre-industrial = healthier, which holds up unevenly when applied to chemistry.

None of that means synthetic preservatives are uniformly fine or that every plant extract is suspect. Both deductions are too coarse. The real granularity is at the individual molecule level, which is what an ingredient list lets you check.

What better-tolerated ingredients look like

If your skin is reactive and you want a routine that reliably calms rather than provokes:

  • Niacinamide — a form of vitamin B3, observed to be well tolerated in clinical studies 11.
  • Ceramides — lipids skin makes itself. In one maker's test, a ceramide cream raised hydration and cut water loss for a day 12.
  • Panthenol — provitamin B5.
  • Glycerin — helps skin hold water, and a review reports it protects against irritating substances 13.
  • Squalane — saturated, stable; either plant-derived or synthetic, both work the same.
  • Hyaluronic acid — humectant, well-tolerated.
  • Allantoin — soothing, very low irritation.
  • Centella asiatica / cica — plant-derived but with strong tolerability evidence.

Notice the mix: some plant-derived, some synthetic, some bio-identical. The 'natural' framing does not predict which ones are kinder to skin.

How we approach this in Drop

Drop flags ingredients based on what the evidence says about how skin tolerates them — not based on whether they sound natural or synthetic. A fragranced 'natural' face oil will flag for fragrance and essential oil content. A well-formulated synthetic ceramide moisturizer will not flag for tolerability and will get a friendlier read for barrier-disrupted skin.

We also do not pretend the synthetic side is uniformly fine. Denatured alcohol, harsh sulfates, and certain methylisothiazolinone preservatives are flagged on the synthetic side, and they belong there for the same reason lavender oil belongs on the natural side — the molecule, not the marketing.

Bottom line

The natural / synthetic split is a marketing axis, not a skin-tolerance axis. Lavender, peppermint, and lemon and orange peel oils are on the EU scientific committee's list of established contact allergens, and tea tree oil holds a compound that oxidizes into one 1,2. Niacinamide, ceramides, panthenol, glycerin, and other well-tolerated ingredients are a mix of plant-derived, bio-identical, and lab-synthesized. Reading the ingredient list and looking at the molecules is the move; reading the marketing copy is not.

Ingredients here

Sources · 13
  1. 1.Observational evidencePopulation: "Of 32,945 tested patients, 1069 (3.24%) had either APT reaction or ICD associated with SCs", and "Most cases involved the hands and were occupationally related." The ranking: "More than 50 allergens were associated with SCs including quaternium-15 (11.2%), cocamidopropyl betaine (9.5%), methylchloroisothiazolinone/methylisothiazolinone (8.4%), coconut diethanolamide (7.9%), fragrance mix I (7.7%), Myroxylon pereirae (5.9%), 4-chloro-3,5-xylenol (5.8%), amidoamine (5.5%), and formaldehyde (4.4%)." Its conclusion: "Many allergens, especially preservatives and surfactants, were associated with SCs." So this source puts a preservative first and fragrance fifth, in cleansers — it does not show fragrance as the leading cosmetic allergen. Based on the abstract only.Warshaw EM, Goodier MC, DeKoven JG, Maibach HI, et al. (2018). Contact Dermatitis Associated With Skin Cleansers: Retrospective Analysis of North American Contact Dermatitis Group Data 2000-2014. Dermatitis. View source ↗The abstract is four sentences. It describes a clinician's panel, not a ranking: "For the updated series, we have reordered the first 4 panels to approximately mirror the current TRUE Test and removed parthenolide, triclosan, glutaraldehyde, and jasmine." The one line that bears on essential oils: "Polymyxin B, lavender, sodium benzoate, ethylhexylglycerin, and benzoic acid are new additions to the American Contact Dermatitis Society series." It gives no positivity rate, ranks nothing, and describes no at-home patch test. Based on the abstract only.Schalock PC, Dunnick CA, Nedorost S, et al. (2017). American Contact Dermatitis Society Core Allergen Series: 2017 Update. Dermatitis. View source ↗The at-home protocol. AAD patient guidance: "Apply the product to a test spot twice daily for seven to 10 days. Choose a quarter-sized spot on your skin where the product won't be rubbed or washed away, such as the underside of your arm or the bend of your elbow. Use the normal amount and thickness you would use as if you were applying the product regularly."American Academy of Dermatology (2024). How to test skin care products. AAD patient education (aad.org). View source ↗
  2. 2.Expert consensusThe special-concern group: "Of the 54 individual chemicals which are established contact allergens in humans, 12 are considered to be of special concern due to the high number of reported cases", listed as "Cinnamal Cinnamyl Alcohol* Citral Coumarin Eugenol* Farnesol* Geraniol* Hydroxycitronellal Hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC) Isoeugenol* Limonene (oxidised) Linalool* (oxidised)". The basis of the ranking: "absolute numbers of cases of sensitisation, and not the relative frequency of positive patch tests, were used, because relative frequencies depend heavily on the selection of patients for patch testing". Where the 26 came from: "The SCCNFP identified in 1999 a set of 26 fragrance allergens", and "Ingredient labelling of 26 individual fragrance ingredients, identified as allergens in humans, was introduced for cosmetics in 2005." The 1999 split put "d-Limonene 5989-27-5" and "Linalool 78-70-6" under "List B: Fragrance chemicals, which are less frequently reported and thus less documented as consumer allergens." On the fragrance-free label: "fragrance substances used for other purposes, e.g. as preservatives, may expose the “fragrance allergic” patient to the allergen even in a “fragrance free” product". Prevalence: "Around 16% of eczema patients in the European population are sensitised to fragrance ingredients" and "the frequency of contact allergy to fragrance ingredients in the general population in Europe is 1-3%".Scientific Committee on Consumer Safety (SCCS) (2012). Opinion on Fragrance allergens in cosmetic products (SCCS/1459/11). European Commission SCCS. View source ↗On the oxidized terpenes: "specifically, of limonene and linalool hydroperoxides (Lim-OOHs and Lin-OOHs, respectively). These have been demonstrated to be important contact allergens when patch tested (in consecutive patients)", and "limonene and linalool are the fragrance substances most often used in cosmetic and consumer products". It ranks the eight against nothing and does not mention the North American Contact Dermatitis Group.Uter W, Werfel T, Lepoittevin JP, White IR (2020). Contact Allergy — Emerging Allergens and Public Health Impact. International Journal of Environmental Research and Public Health. View source ↗The at-home test: "Apply the product to a test spot twice daily for seven to 10 days." and "Choose a quarter-sized spot on your skin where the product won't be rubbed or washed away, such as the underside of your arm or the bend of your elbow."American Academy of Dermatology (2024). How to test skin care products. AAD patient education (aad.org). View source ↗
  3. 3.Observational evidence"Linalool is a common fragrance terpene that, in pure form, is not allergenic or is a very weak allergen. However, linalool autoxidizes on air exposure, and the oxidation products can cause contact allergy." Methods: "Oxidized linalool 6.0% (Lin-OOHs 1%) pet. was tested in 2900 consecutive dermatitis patients in Denmark, the United Kingdom, Singapore, Spain, Sweden, and Australia." Results: "Overall, 6.9% (range 3-13%) of the patients showed positive patch test reactions to oxidized linalool." Conclusions: "In an international setting, oxidized linalool has been shown to be a common allergen." and "Many patients showing positive patch test reactions to oxidized linalool would not have been informed of their fragrance allergy if this specific test had not been performed." The abstract does not mention lavender, bottles or storage. Based on the abstract only.Bråred Christensson J; Andersen KE; Bruze M; Johansen JD; Garcia-Bravo B; Gimenez Arnau A; Goh CL; Nixon R; White IR (2012). Air-oxidized linalool: a frequent cause of fragrance contact allergy. Contact dermatitis. View source ↗The lavender link: "Linalool and linalyl acetate are the main components of lavender oil. They autoxidise on air exposure also when present in the essential oil, and form the same oxidation products found in previous studies of the pure synthetic terpenes." and "Experimental sensitisation studies showed that air exposure of lavender oil increased the sensitisation potency." Table 7-5: "LAVANDULA OFFICINALIS 84776-65-8 ++". Table 7-1: "LINALOOL 78-70-6 ++ (non-ox.) +++ (ox.)", and Table 13-5 lists "Linalool* (oxidised)" among the 12 of special concern. Storage: "Air oxidation of prehaptens can be prevented to a certain extent by measures during handling and storage of the ingredients and final products to avoid air exposure".Scientific Committee on Consumer Safety (SCCS) (2012). Opinion on Fragrance allergens in cosmetic products (SCCS/1459/11). European Commission SCCS. View source ↗
  4. 4.Expert consensus"Of all essential oils, TTO has caused most (published) allergic reactions since the first cases were reported in 1991." "In routine testing, prevalences of positive patch test reactions have ranged from 0.1% to 3.5%." "Nearly 100 allergic patients have been described in case reports and case series." "Fresh TTO is a weak to moderate sensitizer, but oxidation increases its allergenic potency." "The major sensitizers appear to be ascaridole, terpinolene, α-terpinene, 1,2,4-trihydroxymenthane, α-phellandrene, and limonene." "Most reactions are caused by the application of pure oil; cosmetics are the culprits in a minority of cases." "Co-reactivity to turpentine oil is frequent, and there is an overrepresentation of reactions to fragrance mix I, Myroxylon pereirae, colophonium, and other essential oils." Based on the abstract only.de Groot AC; Schmidt E (2016). Tea tree oil: contact allergy and chemical composition. Contact dermatitis. View source ↗
  5. 5.Expert consensusThe abstract is two sentences: "The common culprit plant families of Umbelliferae, Rutaceae, and Moraceae are discussed". It names no single plant or oil. Based on the abstract only.Bowers AG (1999). Phytophotodermatitis. American journal of contact dermatitis : official journal of the American Contact Dermatitis Society. View source ↗Mechanism: "Phytophotodermatitis is primarily induced by furocoumarins or psoralen classes present in plants, which become activated upon exposure to ultraviolet radiation, especially UVA". Citrus: "Citrus bergamia (bergamot) are known to contain furocoumarins" and "fruits from the Rutaceae family, including Citrus limon (lemon), Citrus × aurantifolia (lime), and Citrus aurantium (bitter orange), are sources of furocoumarins". Cosmetics: "the use of fragrances, perfumes, cosmetic products, and dermatological preparations containing volatile oils rich in coumarins derivatives or other photosensitizing compounds can elicit phototoxic reactions", "pigmented streaks along the neck", and "One of the most used and well-known volatile oils in the dermato-cosmetic industry is the volatile oil of bergamot (Citrus bergamia), which has high bergapten content". Course: "These typically manifest within 24–48 h post-exposure" and "the associated hyperpigmentation may persist for 1 to 2 years".Grosu Dumitrescu C, Jîjie AR, Manea HC, Moacă EA, Iftode A, Minda D, Chioibaş R, Dehelean CA, Vlad CS (2024). New Insights Concerning Phytophotodermatitis Induced by Phototoxic Plants. Life (Basel, Switzerland). View source ↗"Furocoumarins (psoralens) in some plant-derived fragrance ingredients caused phototoxic reactions with erythema followed by hyperpigmentation resulting in Berloque dermatitis" and "There are now limits for the amount of furoumarins in fragrance products. Phototoxic reactions still occur but are rare". It gives no limit figure.Scientific Committee on Consumer Safety (SCCS) (2012). Opinion on Fragrance allergens in cosmetic products (SCCS/1459/11). European Commission SCCS. View source ↗
  6. 6.Expert consensusThe abstract is two sentences: "The common culprit plant families of Umbelliferae, Rutaceae, and Moraceae are discussed". It names no single plant. Based on the abstract only.Bowers AG (1999). Phytophotodermatitis. American Journal of Contact Dermatitis. View source ↗A study of people who reacted to the fig tree, not to a cosmetic: "Positive photopatch tests reactions to 8-MOP were obtained in 12 of 47 patients, in 4 of them down to a concentration of 0.0001%." It found "that phytophoto allergic contact dermatitis resulting from furocoumarins is not an exceptional finding", against a background in which furocoumarins "are generally considered to cause phototoxic reactions." Based on the abstract only.Bonamonte D, Foti C, Lionetti N, Rigano L, Angelini G (2010). Photoallergic contact dermatitis to 8-methoxypsoralen in Ficus carica. Contact Dermatitis. View source ↗The plants: "Ficus carica (fig), and Citrus bergamia (bergamot) are known to contain furocoumarins"; "fruits from the Rutaceae family, including Citrus limon (lemon), Citrus × aurantifolia (lime), and Citrus aurantium (bitter orange), are sources of furocoumarins"; "Petroselinum crispum (Parsley) furanocoumarins, myristicin". For fig it names leaves and sap: "The sap of plants such as Heracleum mantegazzianum (giant hogweed), Pastinaca sativa (wild parsnip), and Ficus carica (fig) is particularly potent". Cosmetics: "the use of fragrances, perfumes, cosmetic products, and dermatological preparations containing volatile oils rich in coumarins derivatives or other photosensitizing compounds can elicit phototoxic reactions", "pigmented streaks along the neck", and "the volatile oil of bergamot (Citrus bergamia), which has high bergapten content". Mechanism: "These photosensitizing compounds are known to bind covalently to DNA or generate toxic oxyradicals". Course: "These typically manifest within 24–48 h post-exposure" and "the associated hyperpigmentation may persist for 1 to 2 years". Juice: "splashed marks if the phototoxic reaction is triggered by the juice of citrus fruits".Grosu Dumitrescu C, Jîjie AR, Manea HC, Moacă EA, Iftode A, Minda D, Chioibaş R, Dehelean CA, Vlad CS (2024). New Insights Concerning Phytophotodermatitis Induced by Phototoxic Plants. Life (Basel, Switzerland). View source ↗"Furocoumarins (psoralens) in some plant-derived fragrance ingredients caused phototoxic reactions with erythema followed by hyperpigmentation resulting in Berloque dermatitis" and "There are now limits for the amount of furoumarins in fragrance products. Phototoxic reactions still occur but are rare". It gives no limit figure.Scientific Committee on Consumer Safety (SCCS) (2012). Opinion on Fragrance allergens in cosmetic products (SCCS/1459/11). European Commission SCCS. View source ↗"The Standard is set due to the phototoxic effects of Citrus oils and other furocoumarins containing essential oils." The Bergapten limit is for leave-on use on sun-exposed skin: "This upper concentration level only applies to applications on skin exposed to UV-light, excluding rinse-off products and incidental skin contact products". Its table sets "Category 9 No Restriction", the rinse-off category. It lists "Bergamot oil expressed, Bitter orange oil expressed" and "Lemon oil cold pressed, Lime oil expressed"; parsley appears only as "Parsley leaf oil (20 ppm)", and fig not at all, so for those two the rinse-off reading is Drop's extension of the same mechanism.International Fragrance Association (IFRA) (2020). IFRA Standard: Citrus oils and other furocoumarins containing essential oils (Amendment 49). IFRA Standards. View source ↗"The Standard is set due to the phototoxic effects of Bergamot oil expressed." Its table limits leave-on categories ("Category 1 0.40 %") and sets "Category 9 No Restriction", the rinse-off category. The standard itself does not say rinse-off or wash-off; the category is defined in the IFRA Guidance below.International Fragrance Association (IFRA) (2020). IFRA Standard: Bergamot oil expressed (Amendment 49). IFRA Standards. View source ↗Category 9 is "Rinse off products with body and hand exposure" and includes "Cleanser for face (rinse-off)". The rinse-off exemption is history, not general policy: "Traditionally, phototoxicity considerations for rinse-off products were not applied", and since the 49th Amendment the rationale for "Rinse-off products | Not applicable | Applicable" changed. But "The IFRA policy on Furocoumarins remains unchanged", and both furocoumarin standards above still set no rinse-off limit.International Fragrance Association (IFRA) (2023). Guidance for the Use of IFRA Standards (51st Amendment). IFRA Standards Documentation. View source ↗IFRA calls its revised limit "our second leave-on threshold of 5 ppm for furocoumarins", and says "Both concentration and UVA exposure are critical factors in potential skin effects."International Fragrance Association (IFRA) (2025). Furocoumarins update. IFRA Latest Updates. View source ↗The stricter view, and not support for a rinse-off step-down: it does not limit its concern to leave-on use. "In sun protection and in bronzing products, furocoumarins shall be below 1 mg/kg", and "the SCCP reemphasise that total concentrations of furocoumarins exceeding 1 ppm in any finished cosmetic product will be of concern with regard to consumer safety." Its main concern is longer-term: "Photo-mutagenicity and photo-carcinogenicity are the main effects of concern in relation to the use of furocoumarins in cosmetics." This is why Drop steps rinse-off use down only to a caution.Scientific Committee on Consumer Products (SCCP) (2005). Opinion on Furocoumarins in cosmetic products (SCCP/0942/05). European Commission SCCP. View source ↗Supporting commentary only, from an essential-oil safety educator: "The risk of phototoxicity from a wash-off product such as soap or bubble bath is considered to be negligible, but phototoxicity can apply to any type of leave-on product such as an oil, gel or lotion." It paraphrases the older IFRA bergamot guideline as "except for bath preparations, soaps and other wash-off products (IFRA 2009)".Tisserand Institute (2023). Phototoxicity: essential oils, sun and safety. Tisserand Institute (web article). View source ↗
  7. 7.Lab / mechanistic evidence"TRPM8 is specifically expressed in a subset of pain- and temperature-sensing neurons." "Cells overexpressing the TRPM8 channel can be activated by cold temperatures and by a cooling agent, menthol." "Our identification of a cold-sensing TRP channel in a distinct subpopulation of sensory neurons implicates an expanded role for this family of ion channels in somatic sensory detection." The abstract tests no product and names no effect of menthol on skin, good or bad. Based on the abstract only.Peier AM; Moqrich A; Hergarden AC; Reeve AJ; Andersson DA; Story GM; Earley TJ; Dragoni I; McIntyre P; Bevan S; Patapoutian A (2002). A TRP channel that senses cold stimuli and menthol. Cell. View source ↗Table 7-1: "MENTHOL 1490-04-6 / 89-78-1 / 2216-51-5 ++". Table 7-5, natural extracts classified as established contact allergens: "MENTHA PIPERITA 8006-90-4; 84082-70-2 ++". Annex I: "Menthol is an ingredient of several essential oils, like peppermint oil, and has been identified as causative allergen in case reports listed above." and "The IVDK 2010 study, 1 of 1147 patients tested with 1% menthol in pet. had a weak positive reaction to menthol".Scientific Committee on Consumer Safety (SCCS) (2012). Opinion on Fragrance allergens in cosmetic products (SCCS/1459/11). European Commission SCCS. View source ↗
  8. 8.Observational evidence"The bark of the cinnamon tree is used as a spice; its flavour is from an essential oil containing mainly cinnamal." "We found six patients with delayed contact allergy to cinnamon. In four patients, cinnamon was the main cause of occupational ACD." "In the latter case, the exposure was shown to be airborne." "Five of the patients reacted to cinnamal separately and in fragrance mix I." Conclusions: "Occupational contact allergy to cinnamon is rare but needs to be considered in workers handling foods. Cinnamal is possibly the main allergen in cinnamon." It says nothing about clove oil or about cosmetics. Based on the abstract only.Ackermann L; Aalto-Korte K; Jolanki R; Alanko K (2009). Occupational allergic contact dermatitis from cinnamon including one case from airborne exposure. Contact dermatitis. View source ↗"Of the 54 individual chemicals which are established contact allergens in humans, 12 are considered to be of special concern due to the high number of reported cases, (> 100, i.e. category +++ or ++++ in Table 7-1)." Table 7-1: "CINNAMAL 104-55-2 +++". Table 7-5, natural extracts classified as established contact allergens: "CINNAMOMUM CASSIA LEAF OIL / CINNAMOMUM ZEYLANICUM BARK OIL 8007-80-5; 84649-98-9 ++ (r.t.)", with "Notes: r.t. Rarely tested.", and "EUGENIA CARYOPHYLLUS LEAF / FLOWER OIL 8000-34-8 +++" (clove) and "EUCALYPTUS SPP. LEAF OIL 92502-70-0; 8000-48-4 ++".Scientific Committee on Consumer Safety (SCCS) (2012). Opinion on Fragrance allergens in cosmetic products (SCCS/1459/11). European Commission SCCS. View source ↗
  9. 9.Observational evidence"The Compositae (Asteraceae) family of plants is currently an important cause of allergic plant contact dermatitis in Europe." "Epidemiological data are available for 2 species only, arnica and German chamomile, the rest of the evidence being anecdotal." "Sesquiterpene lactones are the most important allergens" and "The risk of elicitation of dermatitis by using Compositae-containing products in Compositae-sensitive individuals is by-and-large unknown." It names neither mugwort nor ragweed. Based on the abstract only.Paulsen E (2002). Contact sensitization from Compositae-containing herbal remedies and cosmetics. Contact Dermatitis. View source ↗"Mugwort and birch pollen allergy are frequently associated with IgE-mediated hypersensitivity to celery and spices." "We analyzed 22 sera from patients with the mugwort-birch-celery-spice syndrome for IgE binding to the spices pepper and paprika by immunoblotting." It is a blood-antibody study of pollen and food allergy, not of skin contact. Based on the abstract only.Leitner A, Jensen-Jarolim E, Grimm R, et al. (1998). Allergens in pepper and paprika. Immunologic investigation of the celery-birch-mugwort-spice syndrome. Allergy. View source ↗
  10. 10.Observational evidence"In vitro and in vivo assays demonstrated the modulatory action of propolis on murine peritoneal macrophages" and "Propolis inhibitory effects on lymphoproliferation may be associated to its anti-inflammatory property." It reports no study on skin. Based on the abstract only.Sforcin JM (2007). Propolis and the immune system: a review. Journal of Ethnopharmacology. View source ↗"Propolis is commonly used in cosmetic and medicinal preparations because of its antiseptic, antiinflammatory, and anesthetic properties." "However, 1.2 to 6.6% of patients who are patch-tested for dermatitis are sensitive to propolis." It lists "lip balms, cosmetics, lotions and ointments, shampoos, conditioners, and toothpastes." and advises: "Dermatologists should consider patch testing with propolis in users of such remedies." Based on the abstract only.Walgrave SE, Warshaw EM, Glesne LA (2005). Allergic contact dermatitis from propolis. Dermatitis. View source ↗
  11. 11.RCT-level evidenceBackground: "In multiple chronic clinical studies, topical niacinamide (vitamin B3) has been observed to be well tolerated by skin and to provide a broad array of improvements in the appearance of aging facial skin". Methods: "Female white subjects (N = 50) with clinical signs of facial photoaging (fine lines and wrinkles, poor texture, and hyperpigmented spots) applied 5% niacinamide to half of the face and its vehicle control to the other half twice daily for 12 weeks (double blind, left-right randomized)." Results: "reductions in fine lines and wrinkles, hyperpigmented spots, red blotchiness, and skin sallowness (yellowing). In addition, elasticity (as measured via cutometry) was improved." Based on the abstract only.Bissett DL; Oblong JE; Berge CA (2005). Niacinamide: A B vitamin that improves aging facial skin appearance. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. View source ↗
  12. 12.Observational evidenceDesign: "Corneometry was performed at baseline, 2, 4, 6 and 24 hours following a single application of Ceramide cream to healthy skin, and compared to three reference moisturizers available over-the-counter, and placebo." and "The aim of this pilot study was to assess the effect of a newly formulated moisturizer (referred to as Ceramide cream) on skin hydration as measured by corneometry in individuals with normal skin". Results: "The placebo cream did not significantly increase skin hydration at any time point." and "At 24 hours post-application, skin hydration measured for Ceramide cream was significantly greater (P<0.05) than that measured for all three of the reference moisturizers tested." One comparator was "CeraVe® Moisturizing Lotion (referred to as Reference Product 3", which Table 1 lists with "Ceramide 1, Ceramide 3, Ceramide 6-II, Cholesterol". Water loss, in a group of ten: "Two hours post-application, TEWL significantly decreased by ~25% compared to baseline." and "A further limitation is that the effect of the reference products on TEWL was not determined". Safety: "non-sensitizing to the skin of both adults and children and non-irritating to the skin, eyes and related eye area". What else is in the cream: Table 1 lists "Glycerin, Sodium PCA", "Dimethicone, Petroleum" and "Niacinamide, Lactic acid" beside "Ceramide NP, Ceramide EOP, Cholesterol", and the placebo "did not include the skin active ingredients". Disclosure: "FS, TMB and KAG are employed by Ego Pharmaceuticals, Pty Ltd."Spada F; Barnes TM; Greive KA (2018). Skin hydration is significantly increased by a cream formulated to mimic the skin's own natural moisturizing systems. Clinical, cosmetic and investigational dermatology. View source ↗
  13. 13.Lab / mechanistic evidence"endogenous glycerol plays a role in skin hydration, cutaneous elasticity and epidermal barrier repair." "The diverse actions of the polyol glycerol on the epidermis include improvement of stratum corneum hydration, skin barrier function and skin mechanical properties, inhibition of the stratum corneum lipid phase transition, protection against irritating stimuli, enhancement of desmosomal degradation, and acceleration of wound-healing processes." "Topical application of glycerol-containing products improves skin properties in diseases characterized by xerosis and impaired epidermal barrier function, such as atopic dermatitis." "The increase of epidermal hydration by glycerol is critical in skin conditions aggravated by dry and cold environmental conditions, e.g. winter xerosis." The abstract does not say how well tolerated glycerol is. Based on the abstract only.Fluhr JW; Darlenski R; Surber C (2008). Glycerol and the skin: holistic approach to its origin and functions. The British journal of dermatology. View source ↗

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