Key takeaways:
In January 2025, the FDA banned FD&C Red No. 3 (Red Dye 3) in foods and oral medications. This decision was based on studies showing that high doses of the dye caused thyroid tumors in male rats. Other studies haven’t found this risk in humans or other animals.
Some over-the-counter and prescription oral medications currently contain Red Dye 3. Manufacturers must phase it out by January 18, 2028. Topical medications haven’t contained Red Dye 3 since 1990.
If you’re concerned about exposure to Red Dye 3 from your medication, talk to your healthcare team. Don’t stop your medication on your own. For generics, your pharmacist may be able to switch you to a different manufacturer that doesn’t use Red Dye 3.
In January 2025, the FDA banned FD&C Red No. 3 (Red Dye 3, erythrosine), a color additive found in foods and oral medications. This decision was in response to a 2022 petition to remove it from these products. Many consumer advocates see this as a positive move forward for public health. But it also raises questions for those who rely on medications containing Red Dye 3.
Red Dye 3 has long been used to enhance the appearance of medications, making them more visually appealing or helping to distinguish dosages. It was banned in cosmetics and topical medications decades ago. But its use in foods and oral medications were allowed to continue — until now.
Below, we explore why the FDA made this decision, identify which medications are affected, and discuss what it means for you.
Red Dye 3 is a synthetic (human-made) color additive that gives medications a bright red or pink hue. It may be found in dosage forms such as:
Liquid medications, like cough syrups
Chewable tablets for vitamins or allergy relief
Coated tablets for over-the-counter (OTC) and prescription medications
These visual enhancements make medications easier to identify or help differentiate between dosages. However, concerns about its safety have persisted for decades.
The FDA decided to ban Red Dye 3 for legal reasons. FDA regulations, specifically what’s known as the Delaney Clause, require the banning of any additive shown to cause cancer in humans or animals, no matter the dose.
Animal studies have linked Red Dye 3 to thyroid tumors. But this, the FDA explains, doesn’t necessarily mean that Red Dye 3 causes cancer in humans:
The animal studies were done in male rats exposed to large amounts of Red Dye 3. In one study, this amount was 4% of their diet over their lifetime. This is far greater than the amount that humans are exposed to.
The way that Red Dye 3 causes cancer in male rats is specific to rats. It doesn’t occur in humans.
Studies in other animals and humans haven’t shown the same cancer risk.
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Christina Madison, PharmD, founder and CEO of The Public Health Pharmacist, told GoodRx that the ban on Red Dye 3 “specifically applies to any food or ingested drugs that use it for manufacturing.” According to the FDA, manufacturers must phase out Red Dye 3 from foods by January 15, 2027, and from oral medications by January 18, 2028.
Red Dye 3 has been banned for use in topical medications since 1990. This was after animal studies in the 1980s showed a cancer risk. And as a result, the FDA intended to ban it in oral medications around that time, too.
But given the resources required for this task, the FDA didn’t move forward at the time. It wasn’t until 2022 when a group of 24 organizations and scientists submitted a petition to remove Red Dye 3 from these products. In response, the FDA decided to ban the additive to comply with their own regulations.
Even though the FDA has announced a ban on Red Dye 3 in oral medications, manufacturers have until 2028 to reformulate their products. “Since there is still time before these products are required to be reformulated, the dye is still present in some drug products,” said Madison.
To find out if your medication has Red Dye 3, you can:
Check the label: Inactive ingredients such as “Red No. 3,” “Red 3,” or “FD&C Red No. 3” will be listed. You can find this on the Drug Facts label on OTC medications.
Ask a healthcare professional: Your pharmacist can confirm if a medication contains Red Dye 3. You can also call the medication’s manufacturer, which should be listed on your prescription label. They usually have a customer service number that you can find online for assistance.
It isn’t comprehensive, but a few examples of oral medications with Red Dye 3 are included in the chart below:
Medication | Dose(s) or concentration | Manufacturer, distributor, or brand* |
---|---|---|
500 mg / 25 mg | ||
Benzocaine gel (all flavors) | 20% | Darby Dental Supply; Benco Dental |
50 mg, 100 mg | Torrent Pharmaceuticals; Yiling Pharmaceuticals, Chartwell Rx | |
120 mg, 180 mg, 240 mg | Alembic Pharmaceuticals | |
Ditiazem ER capsule | 120 mg, 180 mg, 240 mg, 300 mg, 360 mg | |
75 mg, 100 mg | Zydus Pharmaceuticals | |
Doxycycline capsule | 50 mg, 100 mg | |
10 mg, 20 mg, 40 mg | Westminster Pharmaceuticals; ScieGen Pharmaceuticals; Radha Pharmaceuticals | |
20 mg | L. Perrigo Company, Meijer Distribution, Health Mart, CVS Pharmacy | |
Esomeprazole DR capsule | 20 mg, 40 mg | |
80 mg, 120 mg | ANI Pharmaceuticals | |
10 mg, 30 mg, 40 mg, 50 mg, 60 mg | Ascent Pharmaceuticals; Camber Pharmaceuticals | |
Lisdexamphetamine capsule | 10 mg, 30 mg, 60 mg, 70 mg | |
Lisdexamphetamine capsule | 10 mg, 30 mg, 70 mg | |
20 mg | Haleon Holdings | |
10 mg, 40 mg | Zydus Pharmaceuticals | |
75 mg | Slate Run Pharmaceuticals | |
15 mg, 30 mg | KVK-Tech | |
60 mg, 80 mg, 120 mg | Lannett Company | |
10 mg, 30 mg, 70 mg | Takeda Pharmaceuticals |
*The information in this table is based on package inserts last updated in 2023, 2024, or 2025. The manufacturer or your pharmacist can confirm the specific ingredients in your medication based on the date they were manufactured.
Keep in mind: Just because a medication looks red or pink, doesn’t mean it contains Red Dye 3. Many contain a different color additive, such as Red Dye 40, instead. The FDA currently considers Red Dye 40 safe in small amounts. But there has been ongoing research and debates as to whether it also has health risks.
The FDA’s decision to ban Red Dye 3 is precautionary and based on legal requirements. As covered above, the same cancer risks in male rats haven’t been seen in humans. Even so, it’s understandable to be concerned about exposure.
When it comes to Red Dye 3 in oral medications, the actual exposure risk is likely low due to the small amounts used in these products. But it’s important to keep in mind that this ingredient isn’t just in medications. It’s also found in some foods, which may be easier to avoid. Look for the ingredient list under the nutritional label to find this information.
If you find that your medication contains Red Dye 3, don’t stop taking it without talking to your healthcare team. Some medications can have dangerous effects if you stop taking them abruptly. Instead, talk to them about your concerns and potential options. Keep in mind that the ban is precautionary and doesn’t mean Red Dye 3 causes cancer in people.
If you want to avoid Red Dye 3 before it’s phased out, your healthcare team can help. If you’re taking a generic, for example, your pharmacist may be able to switch you to a different manufacturer that doesn’t use this additive. Switching to a different manufacturer may not be possible for brand-name medications. In this case, your prescriber can discuss potential alternative medications.
In 2025, the FDA banned the use of FD&C Red No. 3 (Red Dye 3, erythrosine) as a color additive in foods and oral medications. This is because the agency is required to ban color additives shown to cause cancer in animals or humans, no matter the dose.
Animal studies have linked high doses of Red Dye 3 to thyroid tumors in male rats. But this same risk hasn’t been seen in other animals or humans.
Some over-the-counter and prescription medications currently contain Red Dye 3. This will no longer be the case after January 18, 2028. Until then, you can discuss your options with your healthcare team if you’re concerned about exposure.
Center for Science and Public Interest. (2022). Red 3 petition.
Crezo, A. (2025). Red 3: FDA finally bans cancer-causing food dye. Center for Science in the Public Interest.
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DailyMed. (2024). Acetaminophen and diphenhydramine hydrochloride tablet [package insert].
DailyMed. (2024). Celecoxib capsule [package insert].
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DailyMed. (2024). Diltiazem hydrochloride capsule, extended release [package insert].
DailyMed. (2024). Doxycycline capsule [package insert].
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L. Perrigo Company. (2024). Esomeprazole delayed-release capsule [package insert]
Torrent Pharmaceuticals Limited. (2024). Celecoxib capsules [package insert].
U.S. Food and Drug Administration. (1990). Color additives; denial of petition for listing of fd&c red no. 3 for use in cosmetics and externally applied drugs; withdrawal of petition for use in cosmetics intended for use in the area of the eye. Federal Register.
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Zydus Lifesciences Limited. (2024). Doxycycline capsules [package insert].
Zydus Pharmaceuticals USA Inc. (2023). Omeprazole delayed-release capsules [package insert].
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