Key takeaways:
Benzene, a known carcinogen, was found in over-the-counter (OTC) benzoyl peroxide products, according to a recent report. An independent lab tested multiple OTC products, and benzene was detected in all of them.
Benzene seems to be formed by the breakdown of benzoyl peroxide over time and increases if the product is stored at high temperatures. So it’s unclear what the risk is if products are stored in the refrigerator or at room temperature and replaced frequently.
At this time, no OTC benzoyl peroxide products have been recalled. A petition was filed with the FDA, but they haven’t responded with any guidance as of yet. If you’re concerned about the risk of benzene in OTC benzoyl peroxide products, talk to your pharmacist or dermatologist for other treatment recommendations.
A recent investigation found benzene in some over-the-counter (OTC) products that contain benzoyl peroxide (a common acne treatment). This has raised concern, as benzene is known to cause cancer. So many people are left wondering: is benzoyl peroxide safe to use? Let’s take a look at what we know and how to protect your safety.
In March, an independent testing lab called Valisure published the results of a study on OTC benzoyl peroxide products. Benzene was detected in all of the products tested. This is a concern because benzene is known to cause cancer.
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While the study results may seem straightforward, there’s a lot of information we still don’t know for sure.
Benzoyl peroxide products in the study were stored at much higher temperatures than what’s typical or recommended. This is a common practice in studies. Storing a product at a high temperature for a short time can give the same results as storing a product at room temperature for a long time. So it’s a way to get information about what happens over a long period of time faster. But in this case, the high temperature increased the benzene levels in the products. So it’s not clear if the benzene levels are as high if the product is kept at the recommended temperature and replaced frequently.
It’s also unclear how risky the benzene exposure from benzoyl peroxide products is. Benzene is known to cause cancer with long-term exposure (at high levels for a year or more). But low levels of benzene are common in outdoor air, from things such as cigarette smoke, vehicle exhaust, and forest fires. It’s also a common ingredient in glue, cleaning products, and paint strippers. This means you’re likely exposed to a small amount of benzene every day. That being said, no amount of benzene is considered safe. But it’s not clear yet how serious the exposure from benzoyl peroxide products is at this time.
Benzene has also been found in other common OTC products, such as hand sanitizer, sunscreen, and dry shampoo. As a result, the FDA issued new guidelines in December 2023 about using ingredients known to contain benzene. It instructed manufacturers to reformulate their products to avoid these ingredients.
But this isn’t the same as the issue with benzoyl peroxide. Previous products were made with inactive ingredients or contaminants that contained benzene. But benzoyl peroxide itself actually breaks down into benzene over time. So it’s not a matter of leaving an ingredient out. It’s finding a way to reformulate these products to make sure that benzene formation isn’t an issue.
Valisure filed a petition with the FDA asking for a recall of OTC and prescription benzoyl peroxide products. But at this time, no action has been taken by the FDA. And the FDA hasn’t provided any guidance as to the safety of these products. Federal petition regulations require a response from the FDA within 180 days (6 months), so we should know more by September 2024 at the latest.
If you’re concerned about benzene in your OTC or prescription benzoyl peroxide products, there are some steps you can take to help protect yourself:
Replace benzoyl peroxide products frequently, about every 3 to 6 months.
Store benzoyl peroxide products in the refrigerator. If you’re unable to refrigerate the product, keep it at room temperature away from any heat sources, such as a steamy bathroom.
Choose an alternative OTC product to help manage breakouts, such as salicylic acid or adapalene (Differin). You can also talk to your dermatologist about prescription treatment options.
In March 2024, an independent lab found that over-the-counter (OTC) benzoyl peroxide products contained high levels of benzene. Benzene is known to cause cancer, so this has raised concerns over the safety of these OTC acne treatments.
At this time, no OTC benzoyl peroxide products have been recalled. And we don’t know for sure how these lab findings apply to your safety if you use them. If you’re concerned about the presence of benzene in OTC benzoyl peroxide products, talk to your pharmacist or dermatologist for more information. They can also recommend alternative treatments if you prefer to avoid benzoyl peroxide until we have more information about their risk to your health.
Agency for Toxic Substances and Disease Registry. (2015). Public health statement for benzene.
Andrus, E., et al. (2024). Breaking news: Benzene found in various acne products; Valisure files petition With FDA to recall treatments.
Bader, K. (2024). FDA provides new industry recommendations for the reformulation of drug products containing carbomers manufactured with benzene. Dermatology Times.
Bader, K. (2024). Updates on benzene in benzoyl peroxide products at AAD. Dermatology Times.
Centers for Disease Control and Prevention. (2018). Facts About benzene.
Kucera, K., et al. (2024). Benzoyl peroxide drug products form benzene. Environmental Health Perspectives.
Light, D., et al. (2024). Valisure Citizen Petition on benzene in benzoyl peroxide drug products. Valisure.
National Cancer Institute. (2022). Benzene.
National Toxicology Program. (2021). Benzene. 15th Report on Carcinogens.
U.S. Food and Drug Administration. (2023). Reformulating drug products that contain carbomers manufactured with benzene.
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