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Artificial additives

Carmine (cochineal extract)

Medium severityCovers a family of related label names

Definition

What it is

Carmine / cochineal extract: red dye derived from crushed cochineal insects; can trigger severe allergic reactions including anaphylaxis in sensitive individuals; not suitable for vegans or those with insect allergies.

On the label

Label names covered by this flag

  • carmine
  • cochineal
  • carminic acid
  • natural red 4
  • e120
  • crimson lake

Regulation

Regulatory status

No bans or restrictions are recorded for this ingredient in the jurisdictions clearlabel tracks (US, EU, UK, Canada, Japan, Australia/NZ, Brazil).

Explainer

In plain language

Carmine, also called cochineal extract or Natural Red 4, is a deep red coloring made from the dried bodies of cochineal insects. It has been used for centuries and gives a rich, stable red to foods, drinks, and cosmetics. Because it comes from insects, it is not suitable for vegans and often not considered vegetarian.

Assessment

Why it is flagged

The main documented concern is allergic reaction. Case reports and studies in the medical literature have linked carmine to hives, asthma, and in rare cases anaphylaxis, particularly in people with repeated exposure. Because of these reports, the FDA issued a rule in 2009 requiring cochineal extract and carmine to be declared by name on US labels rather than hidden under 'color added' or 'artificial color'. It is a naturally derived color, not a petroleum dye, and for most people it poses no known problem. Clear Label flags it at medium severity mainly because of the allergy risk for sensitive individuals and because some people avoid it for dietary or religious reasons.

In the aisle

Where it commonly shows up

  • Red and pink yogurts
  • Fruit juices and drinks
  • Candy and ice cream
  • Some processed meats and surimi
  • Certain alcoholic drinks like some aperitifs
  • Lipstick and other cosmetics

Practical

Reading the label

Since 2009 US labels must list it as 'carmine' or 'cochineal extract' by name. In the EU it appears as E120. Older or imported products may still use vaguer wording, so an unexplained natural red color is worth a second look.

Alternatives

If you want to avoid it

Some people choose products colored with beet juice, radish, or other plant-based reds, which are common in vegan and allergen-conscious brands. Checking for the words carmine, cochineal, or E120 is usually enough to tell the difference.

FAQ

Common questions

Is carmine really made from insects?

Yes. It is produced from cochineal insects, which is why it is not suitable for vegans and why many vegetarians choose to avoid it.

Can carmine cause allergic reactions?

Case reports have linked carmine to allergic reactions including hives, asthma, and rare anaphylaxis, mostly in people with repeated exposure. This is uncommon but is the main reason it is flagged.

Why must it be named on the label now?

The FDA issued a rule in 2009 requiring carmine and cochineal extract to be listed by name, partly so people with allergies could identify and avoid them.

Citations

Sources

Citation

Primary reference

fda.gov

About this page: the definition, label names, severity, and regulatory chips come from the clearlabel ingredient taxonomy, the same data the scanner uses to score products. Research summaries describe associations reported in published studies, not diagnoses; individual responses vary. Scan any product with clearlabel to see which of its ingredients carry flags.

Washington Health Data