In this article
- What propylene glycol is
- Why it is used everywhere
- Where you will find it
- The concern: an irritant, an allergen, or both
- What regulators and reviewers say
- The debate
- Who should avoid it, or ask first
- How to spot propylene glycol on a label
- Alternatives: the same job, without this glycol
- Frequently asked questions
Propylene glycol is the ingredient you have almost certainly used today without noticing: it holds moisture in your moisturiser, dissolves the active ingredients in your steroid cream, carries the flavour in a cake, and keeps a deodorant stick from drying out. It is also, unusually, an ingredient whose safety reviewers and whose allergy clinics seem to be describing two different chemicals. The reviewers — the US FDA for food, the Cosmetic Ingredient Review panel for cosmetics — call it generally safe, non-carcinogenic, and safe when formulated to be non-irritating. The clinics keep finding people whose dermatitis clears when propylene glycol is removed and returns when it comes back, and in 2018 the American Contact Dermatitis Society named it Allergen of the Year. Both descriptions are honest, and the gap between them is the story: propylene glycol is a weak irritant and a weak sensitiser at once, its patch tests are unusually hard to read, and whether it matters for you depends on your skin, the concentration, and how often it touches you. For most people it is a non-issue. For a recognisable minority, it is the culprit hiding in half the bathroom cabinet.
What propylene glycol is
Propylene glycol — PG for short, systematically propane-1,2-diol — is a small molecule with two hydroxyl groups on a three-carbon chain, which is what makes it a diol and what gives it its character. It is a colourless, slightly oily, sweet-tasting, almost odourless liquid that dissolves easily in water, and the European cosmetics database COSMILE describes it in exactly those terms, noting that alcohols like it are, next to water, the most important solvents for cosmetic preparations. It does not occur in nature; the FDA's food regulation describes it as manufactured by treating propylene with chlorinated water and then with sodium carbonate solution, or by heating glycerol with sodium hydroxide. That industrial origin is sometimes held against it in marketing — "synthetic" on a label is rarely a compliment — but it is also why the ingredient is so consistent: every batch is the same small molecule, with no plant harvest, no season, and no botanical variability to manage.
The name causes more confusion than the chemistry. Propylene glycol is not ethylene glycol, the toxic automotive antifreeze, and it is not polyethylene glycol (PEG), the family of larger polymers whose manufacturing can leave traces of 1,4-dioxane. Ethylene glycol has two carbons; propylene glycol has three, with an extra methyl group, and that one-carbon difference is the difference between a poison and a food additive. It is also not the same as its own esters: propylene glycol dicaprylate, propylene glycol laurate and their relatives are different ingredients, assessed separately by the Cosmetic Ingredient Review panel, and a product free of propylene glycol may still contain one of its esters. And it is not interchangeable with its glycol relatives — butylene glycol, pentylene glycol, hexylene glycol, caprylyl glycol — which share the diol structure and some of the same jobs, but have their own allergy profiles, as the 2026 Antwerp study showed. Getting the name right matters here more than usual, because "glycol-free" on a label can mean several different things, and only the full ingredient list tells you which one you are buying.
Tip: If a product claims to be "propylene glycol free" but lists pentylene glycol or caprylyl glycol near the top of its ingredient list, it has swapped one glycol for a relative, not removed glycols. That swap helps some people and not others — the Antwerp data on pentylene glycol allergy is the reason to check, not assume.
Why it is used everywhere
Propylene glycol earns its place in a formula by doing several unglamorous jobs at once, and that versatility is why it is so hard to avoid. As a humectant it holds and retains moisture, keeping a cream from drying out in the jar and helping the outer skin layer stay hydrated. As a solvent and solubiliser it dissolves ingredients that would not dissolve in water alone — fragrance components, preservatives, and drug actives — and keeps them evenly distributed through the product. As a viscosity-controlling agent it adjusts how thick or thin a formula feels. And as a vehicle in medicines it carries the active drug to the skin: a steroid cream is, in part, a delivery system, and propylene glycol is one of the commonest delivery vehicles in dermatology, which is why topical corticosteroids are among the commonest sources of propylene glycol allergy in the patch-test literature. COSMILE lists its cosmetic functions as fragrance-functional, humectant, skin-conditioning, solvent and viscosity-controlling, and its occurrences as skin and hair products, tooth, mouth and lip care, sunscreens and deodorants — a list that covers most of a bathroom shelf.
Its second virtue is penetration enhancement, and it is a virtue with a sting. Propylene glycol helps other ingredients pass through the outer skin layer, which is exactly what a formulator wants when the active ingredient needs to reach living skin, and exactly what a sensitive user does not want when the other ingredients include fragrance allergens or preservatives. The advocacy database EWG Skin Deep (labelled here as an advocacy source, not a regulator) lists "enhanced skin absorption" among its concerns for propylene glycol, and the Cosmetic Ingredient Review's own summaries record the same property. This is not a hidden flaw so much as a trade-off stated plainly: a vehicle that delivers drugs well also delivers everything else in the formula a little better. For a person with no sensitivities that is irrelevant. For a person whose dermatitis is driven by a fragrance or preservative in the same cream, the vehicle may be part of why the reaction is worse than the culprit ingredient alone would explain.
Its third job is outside cosmetics entirely, and it explains the antifreeze confusion. Because it lowers the freezing point of water and has markedly lower acute toxicity than ethylene glycol, propylene glycol is the glycol chosen for systems that may contact food, drinking water or people — food-plant cooling, HVAC loops, RV and marine winterising — and for de-icing and heat-transfer fluids generally. The same low acute toxicity is why the FDA could affirm it for food at all. None of that makes a bottle of industrial antifreeze safe to drink: commercial antifreeze formulations contain corrosion inhibitors and other additives, and "lower toxicity than ethylene glycol" is not the same as "non-toxic". But it does explain why the word "antifreeze" on a propylene glycol safety sheet is not, by itself, an argument against its cosmetic use — the molecule is the same, the formulation and the dose are not.
Where you will find it
- Moisturisers, lotions and creams — as humectant and solvent, often high in the ingredient list; the commonest cosmetic source in patch-test series
- Cleansers, toners and facial products — as solvent and viscosity agent, including products marketed for sensitive skin, where its presence surprises buyers
- Deodorants and antiperspirants — as solvent and humectant in sticks and roll-ons, a source that matters because the underarm is occluded skin
- Sunscreens and hair products — as solvent and conditioning agent in products applied over large skin areas
- Toothpastes, mouthwashes and lip care — where it can contribute to lip and mouth dermatitis that is easily mistaken for a flavour allergy
- Topical medicines — steroid creams and ointments, antifungal creams, and other dermatological preparations, where it is the vehicle carrying the drug; topical corticosteroids were the second-commonest source in the North American patch-test series
- Foods, as additive E1520 — as humectant, solvent and carrier for flavours and colours, in confections, frostings, seasonings and flavourings at the FDA's category caps, and in lower amounts across other foods
- Wet wipes, sanitisers and household products — as solvent and humectant, and in some e-liquids as the carrier liquid for nicotine and flavourings
Related: Alcohol Denat & Drying Alcohols: The Toner Ingredient That Splits Skincare — the other alcohol family on this site, and the one propylene glycol is most often confused with: one dries by evaporation, the other holds moisture, and the label distinction matters.
The concern: an irritant, an allergen, or both
The concern with propylene glycol is not that it is acutely poisonous — the safety reviewers agree it is not — but that a minority of people react to it on their skin, and that the reaction is unusually difficult to pin down. The difficulty has three parts, and keeping them separate is what makes the evidence readable.
First, it irritates as well as sensitises, and the two look alike on a patch test. Propylene glycol is a weak irritant: applied under occlusion (under a patch, under a deodorant stick, under a bandage) it can redden and sting skin without any immune learning involved. It is also, in some people, a true sensitiser: the immune system learns to recognise it and reacts on re-exposure. A patch test that puts a concentrated solution under occlusion for two days can produce a red square for either reason, and dermatologists have argued for decades about how many propylene glycol positives are allergy and how many are irritation misread as allergy. The Mayo Clinic series illustrates the ambiguity in numbers: among 11,738 patients patch tested between 1997 and 2016, 100 (0.85%) tested positive and 41 (0.35%) had reactions judged irritant, with positive rates rising with concentration — 0% at 5%, 0.26% at 10%, 1.86% at 20% — and irritant rates moving in the opposite direction in places. A test that changes its answer with its own concentration is a test that needs an experienced reader, and a home "test" — dabbing a product on your wrist — is not a substitute for one.

Second, the prevalence numbers depend entirely on who was tested and at what concentration. The largest series is the North American Contact Dermatitis Group's retrospective analysis of 23,359 patients patch tested between 1996 and 2006: 810 (3.5%) had allergic patch-test reactions to 30% propylene glycol, of which 12.8% were of definite clinical relevance (a reaction to a personal product containing it) and 88.3% were considered currently relevant in the broader sense, with personal care products the commonest source (53.8%), followed by topical corticosteroids (18.3%) and other topical medicaments (10.1%), and the face the commonest site among patients positive only to propylene glycol (25.9%). Those are patch-test-clinic patients — people referred because they already had dermatitis — not the general public, so 3.5% is not the rate in shoppers. The Australian low figures come from lower test concentrations: the Mayo Clinic's 0.85% at 5–20% and a Skin Health Institute series in Victoria finding 0.31% positive at 5% in petrolatum and 10% in water, with 42.9% of those relevant, point the same way. The newest data, from Antwerp University Hospital, tested 1,979 patients between 2021 and 2024 and found 55 (2.79%) allergic to propylene glycol, with detection rising steeply with concentration — 1.06% at 5% in petrolatum, 0% at 10% in water, 0.66% at 20% in water, 2.19% at 30% in water, and 7.82% at 100% in selectively tested patients — and concluded that 30% in water is more suitable for screening than lower concentrations, with 100% useful in selected cases. Read together, the series do not contradict each other: they describe a dose-response curve, and any article quoting a single percentage without its test concentration is hiding the most important part of the number.
Third, in a small subset, the reaction is not only where the product touches. Systemic contact dermatitis — dermatitis flaring after ingestion or injection of a substance to which the skin is already sensitised — is documented for propylene glycol in case reports, including a woman whose dermatitis cleared when topical propylene glycol products were stopped but flared again after eating foods containing it, with flares at the old patch-test site among the clues. That pattern is uncommon, and it should not be self-diagnosed: most dietary propylene glycol in a sensitised person causes no flare, and most flaring dermatitis has other causes. But it is the reason dermatologists ask about food and medicines, not just cosmetics, when a propylene glycol allergy is confirmed, and the reason a "propylene glycol free" cosmetic routine that still includes propylene-glycol-containing medicines or foods can appear to fail. The same logic applies in reverse to medicines: the European Medicines Agency's excipient guidance requires a skin-irritation warning for topical medicines containing propylene glycol at any concentration, and leaflet warnings for oral and parenteral medicines above dose thresholds (400 mg/kg in adults, 200 mg/kg in children, for the alcohol-like-symptoms warning), with stricter limits for children and neonates, whose livers and kidneys cannot clear it as adults can — the basis for a 2025 restriction on a carbamazepine oral suspension in neonates. Those are medicine rules, not cosmetic rules, and they should not be quoted as cosmetic limits; but they are the clearest statement anywhere that propylene glycol's safety is dose- and age-dependent, not absolute.
Related: Methylisothiazolinone (MI): The Preservative That Became 'Allergen of the Year' — the preservative whose allergy epidemic earned it the same Allergen of the Year title propylene glycol received in 2018, and a useful contrast: MI's problem was allergy at tiny doses, while propylene glycol's is irritation and allergy at ordinary ones, tangled together.
What regulators and reviewers say
The US Food and Drug Administration's position is the broadest permission in this story, and it is a food permission, not a cosmetic one. Under 21 CFR 184.1666, propylene glycol (C3H8O2, CAS 57-55-6) is affirmed as generally recognised as safe for direct food use, at levels consistent with current good manufacturing practice, with maximum levels as served of 5% for alcoholic beverages, 24% for confections and frostings, 2.5% for frozen dairy products, 97% for seasonings and flavourings, 5% for nuts and nut products, and 2.0% for other food categories. The 97% figure for seasonings and flavourings looks alarming until it is understood: flavourings are concentrates used in drops, and the "as served" level in the finished food is far lower. A GRAS affirmation is also not a cosmetic approval — the FDA does not pre-approve cosmetic ingredients the way it approves food additives — so quoting the food rule as proof that a moisturiser is safe is a category error, even though the underlying toxicology (low acute toxicity, no carcinogenicity signal in the Cosmetic Ingredient Review's summary) points the same way.
The Cosmetic Ingredient Review panel, the US industry's safety-review body, assessed propylene glycol first in 1994, concluding it was safe in cosmetics at concentrations up to 50%, and reopened the assessment in 2010 to acknowledge use at higher concentrations, concluding that propylene glycol, tripropylene glycol and the polypropylene glycols are safe as used in cosmetics when formulated to be non-irritating. That qualifier — "when formulated to be non-irritating" — is doing real work: it is the panel's way of saying the ingredient is safe at the concentrations and in the formulations actually used, provided the formulation does not itself irritate, which is a formulation judgement, not a blanket percentage. The European position, as presented by the industry database COSMILE, is quieter: it lists propylene glycol's functions and occurrences without a percentage restriction note of the kind attached to capped preservatives, and notes that a suspected contact allergy to it can be routinely tested by epicutaneous (patch) testing at a dermatologist. The EU has not banned it, capped it for cosmetics, or required a warning on cosmetic labels — and that absence is itself informative: the European system, which caps or bans ingredients far more readily than the US system, has left propylene glycol alone as a cosmetic ingredient while restricting its cousins and its uses in medicines.
The advocacy database EWG Skin Deep (labelled here as an advocacy source, not a regulator) takes the hazard side of the same evidence: its ingredient page says propylene glycol has been associated with irritant and allergic contact dermatitis and with contact urticaria, with sensitisation effects reported at concentrations as low as 2%, and rates its concerns as low for cancer and developmental toxicity, low-to-moderate for allergies and immunotoxicity, and high for irritation of skin, eyes or lungs, with data availability rated fair — while also noting that it is not currently on EWG's Restricted or Unacceptable lists. As with every EWG profile on this site, the distinction matters: EWG scores hazard (what a substance can do), while the FDA and CIR assess risk (what it does at a real dose in a real product). A "high" irritation rating and a "safe when formulated to be non-irritating" conclusion are not contradictory; they are the same observation — this ingredient irritates — expressed once as a property and once as a conditional permission.
The debate
The case for caution
The case for caution starts from the clinics, not the toxicology. Propylene glycol was named the American Contact Dermatitis Society's Allergen of the Year in 2018 for a reason: it is in a large share of the products dermatitis patients use, including the very steroid creams prescribed to treat their dermatitis, so an allergy to it can masquerade as treatment failure — the cream "stops working" when it is the vehicle, not the drug, causing the problem. The North American series found most reactions currently relevant, with personal care products and topical medicines as the dominant sources, and the Antwerp study found that lower test concentrations miss cases, which means the true prevalence is higher than the older, lower-concentration series suggested. Add the penetration-enhancing property — this vehicle carries other allergens deeper — and the systemic flare pattern in a subset of sensitised people, and the precautionary conclusion writes itself: where a propylene-glycol-free version exists, especially for a steroid cream or a daily leave-on product on the face, there is no good reason to keep exposing reactive skin to it, and the burden of proof should sit with keeping it.
The case for reassurance
The case for reassurance starts from the denominators. Every patch-test percentage in this article comes from clinics full of people who already had dermatitis and were referred for testing; none of them is the rate in the general population, where propylene glycol allergy is uncommon. A 2023 literature review of predictive tests and clinical evidence concluded that propylene glycol is neither a skin sensitiser nor an allergen — a conclusion the Antwerp authors dispute, but one that reflects a genuine reading of the predictive-test data, in which propylene glycol repeatedly fails to sensitise in the standard animal and human predictive assays that stronger allergens pass. Much of what looks like allergy, on this view, is irritation under occlusion, amplified by testing at 30% or 100% — concentrations no cosmetic uses on intact skin — and the ingredient's long, uneventful history in food and medicines at far higher systemic doses than any cream delivers argues against a hidden systemic danger. On this view, the regulators have it right: permit it, formulate it to be non-irritating, and reserve avoidance for the people with a confirmed, relevant allergy.
The position this site takes follows the test concentration rather than either slogan: propylene glycol at ordinary cosmetic concentrations, on intact skin, in a person with no history of dermatitis, is a minor concern; propylene glycol in a daily leave-on product on the face or hands of a person whose dermatitis has not responded to treatment, or in the steroid cream prescribed for that dermatitis, is a genuine reason to ask for patch testing. The ingredient is not secretly sensitising ordinary users at scale, and it is not harmless because it is in food. It is a useful, mildly irritating vehicle whose risk concentrates exactly where its use concentrates — on the face, on the hands, under occlusion, and in people already seeing a dermatologist — and the sensible response is to match the product to the person: ordinary products for most, a properly read patch test and a genuinely propylene-glycol-free routine (medicines included) for the minority whose skin says otherwise.
Who should avoid it, or ask first
- People with dermatitis that has not responded to a steroid cream — the classic propylene glycol trap: the vehicle in the treatment may be maintaining the condition the drug is meant to treat; ask for patch testing including propylene glycol before concluding the steroid has failed
- People with facial or hand dermatitis of unclear cause — the face and hands were the commonest sites in both the North American and Antwerp series, and cosmetics were the commonest source; a face or hand pattern plus heavy cosmetic use is the profile to test
- People with a confirmed propylene glycol allergy — avoidance needs to cover topical medicines and foods as well as cosmetics, since systemic flares from ingestion are documented in a subset; ask your dermatologist what level of avoidance your case warrants, rather than assuming total avoidance or none
- People with eczema or a damaged skin barrier using leave-on products daily — damaged skin absorbs more and reacts more readily, and leave-on products give the longest contact; rinse-off products are a lower, though not zero, exposure
- Parents and carers of neonates and young infants, for medicines — the European Medicines Agency's thresholds are medicine rules, but they are the reason to check the excipients of any medicine given to a newborn, and to raise propylene glycol content with the prescriber rather than assuming a liquid medicine is inert
- People who react to one glycol and are offered another as a swap — pentylene glycol and caprylyl glycol carry their own allergy rates in the Antwerp data, so a swap needs the same sceptical label check, and ideally a patch test, rather than a marketing claim
How to spot propylene glycol on a label
- Propylene Glycol — the standard INCI name on cosmetics; usually listed in the middle of a long ingredient list, which roughly (not reliably) signals a moderate concentration
- 1,2-Propanediol / Propane-1,2-diol — the systematic chemical names, used on some technical and non-cosmetic labels
- E1520 — the food-additive number, used on food labels in the EU and Australia instead of the name
- Its usual companions — in moisturisers, glycerin, water, fragrance and a preservative such as phenoxyethanol; in steroid creams, the active drug itself plus other vehicle components; in flavourings, it may be the carrier and therefore the bulk of a "flavouring" ingredient that is not itemised further
- What it is not — ethylene glycol (toxic antifreeze, a different molecule), polyethylene glycol / PEG compounds (larger polymers with their own contamination story), propylene glycol esters such as propylene glycol dicaprylate (different ingredients, separately assessed), and butylene, pentylene, hexylene or caprylyl glycol (relatives, not the same ingredient)
Related: Phenoxyethanol: The Everyday Preservative Behind the Baby-Product Debate — the preservative most often found alongside propylene glycol in the same moisturiser, with its own, very different argument about babies, France and the SCCS.
Alternatives: the same job, without this glycol
The honest alternative depends on which job propylene glycol was doing in the product, because it does several. As a humectant, the classic replacement is glycerin (glycerol), which COSMILE lists alongside propylene glycol as the other great cosmetic humectant and solvent: it draws moisture similarly, it has a longer and less contested allergy record, and it is the base of many products marketed as propylene-glycol-free. As a solvent and vehicle in medicines, the replacement is not a consumer choice at all — it is a different formulation of the same drug, which a prescriber or pharmacist must supply, since the drug's absorption depends on its vehicle. As a carrier in flavourings and foods, there is usually no consumer-visible alternative: the flavouring is bought as a concentrate, and the choice is between products, not ingredients. And as a glycol swap, butylene glycol, pentylene glycol and caprylyl glycol are the usual candidates — with the Antwerp caveat attached: pentylene glycol allergy was found in 6.74% of the patients tested for it in that study, and caprylyl glycol reactions were also recorded, so a glycol-for-glycol swap trades one allergy profile for another and should be treated as an experiment to be patch-tested, not a solution to be assumed. The safest framing for a confirmed allergy is not a single substitute ingredient but a routine: products whose full ingredient lists have been checked, medicines whose excipients have been checked with the prescriber, and a dermatologist's clearance for the products used daily on the face and hands. Everything else is marketing.
Frequently asked questions
Is propylene glycol safe?
For most people, at the concentrations used in cosmetics and food, yes — the US FDA affirms it as generally recognised as safe for direct food use, and the Cosmetic Ingredient Review panel concluded it is safe in cosmetics when formulated to be non-irritating. The exception is a minority of people who develop irritant or allergic contact dermatitis from it, most often on the face or hands, and for them the same ingredient at the same concentration is a genuine problem. Safety here is not one verdict for everyone; it is a general permission with a recognised sensitive minority.
Is propylene glycol the same as ethylene glycol antifreeze?
No, and confusing the two is the commonest misunderstanding about this ingredient. Ethylene glycol is the highly toxic automotive antifreeze that can cause kidney failure and death if swallowed. Propylene glycol is a different molecule (propane-1,2-diol, three carbons rather than two) with markedly lower acute toxicity, which is why it, not ethylene glycol, is the glycol used in food, medicines and cosmetics, and in antifreeze for systems that may contact food or drinking water. Sharing the word glycol and a freeze-lowering property does not make them the same chemical.
Why do patch-test results for propylene glycol disagree so much?
Because the answer depends on the test concentration, and propylene glycol is both an irritant and a possible allergen, which makes its patch tests hard to read. At 5% in petrolatum, a Mayo Clinic series found no positives; at 20% it found 1.86%; a North American group testing at 30% found 3.5%; and a 2026 Antwerp study found detection rising from 1.06% at 5% in petrolatum to 2.19% at 30% in water and 7.82% at 100% in selectively tested patients. A low-concentration negative does not rule it out, and a high-concentration positive needs a dermatologist to judge whether it is allergy or irritation.
Is propylene glycol banned anywhere?
Not as a cosmetic ingredient in the EU or the US. The European cosmetics database COSMILE lists it as an ordinary ingredient with humectant, solvent, skin-conditioning and viscosity-controlling functions, without a percentage restriction note of the kind attached to capped preservatives. Its limits live elsewhere: the FDA caps it in foods by category under its generally-recognised-as-safe affirmation, and the European Medicines Agency requires leaflet warnings for medicines containing it above dose thresholds, including a skin-irritation warning for topical medicines at any concentration. A cosmetic ban is not the position anywhere major.
Can propylene glycol allergy flare from eating it?
In a small subset of people with confirmed skin allergy to it, yes — this is called systemic contact dermatitis, and case reports describe dermatitis flaring after ingestion of foods containing propylene glycol, even after topical products were stopped. It is not the usual pattern: most people who react to propylene glycol react where a product touches them. If your dermatitis keeps flaring despite complete avoidance of propylene-glycol products, and especially if it flares at an old patch-test site, that is the pattern to raise with your dermatologist rather than diagnosing it yourself.
What can I use instead of products containing propylene glycol?
Look for products built on glycerin (glycerol), which is the classic humectant alternative, or on other glycols such as butylene glycol — but read the swap with the same scepticism. The 2026 Antwerp study found allergy to pentylene glycol in 6.74% of patients tested for it, and reactions to caprylyl glycol as well, so switching from one glycol to a close relative does not guarantee a reaction-free product. The reliable check is the same as for every ingredient on this site: the full ingredient list, and, if you have a confirmed allergy, a product your dermatologist has already cleared.
Checked against 21 CFR 184.1666, the Cosmetic Ingredient Review amended assessment, Warshaw et al. 2009, the Mayo Clinic patch-test series, Kanokrungsee et al. 2026, and the EWG Skin Deep database (an advocacy source) · Last updated 2026-11-04 · How we assess ingredients
Sources (11)
- Cosmetics Europe (COSMILE) — Propylene Glycol ingredient page: names (Propylene Glycol; 1,2-Propanediol, 1,2-Dihydroxypropane); functions (fragrance-functional, humectant, skin-conditioning, solvent, viscosity-controlling); occurrence in cosmetics (skin and hair products, tooth, mouth and lip care, sunscreens, deodorants) and other products (food additive E 1520, wet wipes, medical ointments, tablets, capsules, nose sprays, gargling solutions, technical cooling lubricants, de-icing agents, brake fluids); background (divalent alcohol, colourless, slightly oily, sweetly tasting, almost odourless liquid, easily dissolved in water; used like glycerine in skin creams, facial toners, toothpastes and deodorants mainly as solvent, solubiliser and/or humectant); notes that a suspected contact allergy can be routinely tested in the epicutaneous test at the dermatologist
- 21 CFR 184.1666 — Propylene glycol (e-CFR via Cornell LII): C3H8O2, CAS 57-55-6, known as 1,2-propanediol, does not occur in nature; affirmed as generally recognised as safe for direct food use at levels not exceeding current good manufacturing practice, with maximum levels as served of 5% for alcoholic beverages, 24% for confections and frostings, 2.5% for frozen dairy products, 97% for seasonings and flavourings, 5% for nuts and nut products, and 2.0% for all other food categories
- Cosmetic Ingredient Review Expert Panel — Draft Final Amended Report on Propylene Glycol, PPGs, and Tripropylene Glycol (June 2010 meeting book): the Panel reopened the 1994 assessment (safe up to 50%) to acknowledge use at higher concentrations, and concluded that propylene glycol, all PPGs in the International Cosmetic Ingredient Dictionary and Handbook, and tripropylene glycol are safe as used when formulated to be non-irritating; the published assessment summarises propylene glycol as generally nontoxic and noncarcinogenic, with an absence of dermal sensitisation at use concentrations in clinical studies but remaining irritation concerns
- Warshaw EM, Botto NC, Maibach HI, et al. — Positive patch-test reactions to propylene glycol: a retrospective cross-sectional analysis from the North American Contact Dermatitis Group, 1996 to 2006. Dermatitis, 2009;20(1):14–20: of 23,359 patients, 810 (3.5%) had allergic patch-test reactions to 30% propylene glycol; 12.8% of definite clinical relevance, 88.3% currently relevant; common sources personal care products (53.8%), topical corticosteroids (18.3%), other topical medicaments (10.1%); in patients positive only to propylene glycol (n = 135), the face was most commonly affected (25.9%)
- Lalla SC, Nguyen H, Chaudhry H, Killian J — Patch Testing to Propylene Glycol: The Mayo Clinic Experience. Dermatitis (retrospective review, January 1997 – December 2016): 11,738 patients patch tested to 5%, 10% or 20% propylene glycol; 100 (0.85%) positive, 41 (0.35%) irritant reactions; positive rates 0%, 0.26% and 1.86% at 5%, 10% and 20% respectively, increasing with concentration; irritant rates 0.95%, 0.24% and 0.5%
- Kanokrungsee S, Dendooven E, Aerts O — Contact Allergy and Allergic Contact Dermatitis From Propylene Glycol and Related Glycols: Cosmetic Skin Sensitisers After All? Contact Dermatitis, 2026;95(5):450–460: retrospective analysis of 1,979 patients patch tested at Antwerp University Hospital, January 2021 – December 2024; 55 patients (2.79%) allergic to propylene glycol; detection 5% petrolatum 1.06%, 10% aqueous 0%, 20% aqueous 0.66%, 30% aqueous 2.19%, 100% 7.82% (selectively tested); pentylene glycol allergy 6.74% (6/89), caprylyl glycol 0.77% (5% petrolatum) and 0.12% (1% petrolatum); cosmetics the commonest source (67.3%), followed by topical pharmaceuticals (41.8%); dermatitis mainly face and hands; cross-reactivity limited, most evident among structurally similar short-chain glycols
- Propylene glycol, skin sensitisation and allergic contact dermatitis: a scientific and regulatory conundrum (2023 literature review): reviews predictive skin-sensitisation tests and clinical evidence for allergic contact dermatitis; concludes from the literature that propylene glycol is neither a skin sensitiser nor an allergen, while noting the regulatory conundrum posed by clinical reports of allergic contact dermatitis; also records that the Cosmetic Ingredient Review panel concluded propylene glycol is safe for use in cosmetics at concentrations up to 50% in its earlier assessment
- European Medicines Agency — Propylene glycol used as an excipient (EMA/CHMP/334655/2013, report supporting the questions and answers on propylene glycol in medicines): records the excipient-labelling thresholds for parenteral and oral medicines — package-leaflet warning "May cause alcohol-like symptoms" above 400 mg/kg in adults and 200 mg/kg in children — and the Dutch maximum tolerable daily dosages for cough medicines on the same figures; the report also discusses reduced clearance in preterm neonates, and the current annex requires a skin-irritation warning for topical medicines at any concentration
- EWG Skin Deep cosmetics database (advocacy source) — Propylene Glycol ingredient page: data availability Fair; states propylene glycol has been associated with irritant and allergic contact dermatitis and contact urticaria, with sensitisation effects reported at concentrations as low as 2%; concerns rated low for cancer and developmental/reproductive toxicity, low-to-moderate for allergies/immunotoxicity, low for use restrictions, low-to-moderate for non-reproductive organ system toxicity, and high for irritation (skin, eyes or lungs); lists "enhanced skin absorption" among concerns; notes the ingredient is not currently on EWG's Restricted or Unacceptable Lists
- Systemic Contact Dermatitis from Propylene Glycol (case report): a patient with pruritic eczematous plaques whose dermatitis cleared after discontinuation of topical products containing propylene glycol and other identified allergens, but who noted flares following ingestion of foods containing propylene glycol; discusses recurrent dermatitis despite complete topical avoidance and flares at the patch-test site as clues to systemic contact dermatitis, and notes that even weak patch reactions to propylene glycol persisting to a day-7 reading should be considered potentially relevant
- Propylene Glycol in Contact Dermatitis: A Systematic Review: notes propylene glycol was named the American Contact Dermatitis Society's Allergen of the Year for 2018; describes it as both a weak sensitiser and an irritant, confounding positive patch-test interpretation; records that propylene glycol is used at concentrations up to 99% in cosmetics and up to 73% in leave-on products, and that lower patch-test concentrations may miss cases, supporting consideration of 100% propylene glycol in selected patients
