1. Propylene Glycol (PG)
Propylene Glycol (PG) is a common co-solvent, humectant, and solvent in oral, topical, and injectable (parenteral) products. It is classified by the FDA as Generally Recognized as Safe (GRAS) for use in food.
Safety Profile & Mechanism
- Metabolism: Propylene Glycol is primarily metabolized in the liver (around 55%) into pyruvic acid, lactic acid, and acetic acid, which are then either converted to energy or excreted. The remaining amount is excreted unchanged by the kidneys.
- Toxicity: PG has a relatively low systemic toxicity. Acute toxicity generally requires very high doses.
- Adverse Effects (High Doses): Toxicity, especially with high intravenous or oral doses, is linked to the accumulation of PG or its acidic metabolites. This can lead to:
- Hyperosmolality (increased concentration of solutes in the blood).
- Lactic Acidosis.
- CNS effects (depression, seizures, coma).
- Renal dysfunction (acute renal failure).
Concentration/Dose Limits (Daily Exposure)
Safety limits are highly dependent on the patient's age and health status, especially their metabolic and renal maturity.
| Patient Population | Proposed Safe Daily Limit (EMA/WHO) | Rationale/Concern |
| Adults & Children (Age 5 years) | Up to 500 mg/kg/day | Generally considered safe and well-tolerated. |
| Children (1 month to < 5 years) | 50 mg/kg/day | Due to limited metabolic capacity and increased risk of accumulation. |
| Pre-term & Term Neonates | 1 mg/kg/day | Due to known immaturity of hepatic (liver) and renal (kidney) clearance. |
| Food Additive (WHO) | 25 mg/kg/day (Maximum Permissible Daily Intake) | Applies to general food consumption. |
Crucial Note: For parenteral and oral medicinal products, a warning must be included in the package leaflet if the product contains PG daily doses exceeding 200 mg/kg for children or 400 mg/kg for adults.
2. Parabens (Preservatives)
Parabens (like methylparaben, ethylparaben, propylparaben, and butylparaben) are widely used preservatives in pharmaceuticals, cosmetics, and food due to their strong broad-spectrum antimicrobial efficacy, particularly against fungi.
Safety Profile & Mechanism
- Metabolism: Parabens are readily absorbed through the skin and gut and rapidly metabolized (hydrolyzed) in the liver and skin into para-hydroxybenzoic acid (PHBA), which is then excreted in the urine.
- Toxicity: They have very low acute toxicity.
- Concerns (Endocrine Disruption): The primary concern stems from their ability to weakly mimic estrogen (estrogenic activity). While significantly less potent than natural estrogen, studies have shown that the "long-chain" parabens (Propyl- and Butylparaben) exhibit stronger endocrine-disrupting activity than Methyl- and Ethylparaben.
Concentration Limits (European and Cosmetic Guidelines)
Regulatory bodies often set specific limits for parabens, usually based on the total concentration used:
| Paraben Type & Use | Maximum Concentration Limit | Governing Body/Guideline |
| Single Paraben Ester (e.g., Methylparaben) | Up to 0.4% (expressed as acid) | European Union (EU) Cosmetics Regulation |
| Mixture of Parabens (Total Concentration) | Up to 0.8% (expressed as acid) | European Union (EU) Cosmetics Regulation |
| Propyl- and Butylparaben (EU Specific) | Reduced to 0.19% (for any one or any mixture) | European Union (EU) SCCS Opinion |
