Considerations

• Contamination Concerns Because diethanolamine is created by combining ethylene oxide and ammonia, traces of ethylene oxide (a carcinogen) can remain in the product, as well as its carcinogenic by-product 1,-4 dioxide. Because Cocamide DEA is an amide, it also has the potential for being contaminated with or forming a class of carcinogenic chemicals called nitrosamines under certain conditions. Cocamide DEA can also contain free diethanolamide either from original processing or as a by-product that releases over time. It's estimated that Cocamide DEA can contain 1-33% diethanolamide. Diethanolamide is a suspected blood toxin, liver toxin, kidney toxin, neurotoxin, and carcinogen. • Contact Allergen Uncommon, but it can be a contact allergen in some individuals. • Skin Irritation Animal studies showed incidences of epidermal and sebaceous gland hyperplasia, hyperkeratosis, chronic inflammation, and parakeratosis at the site of application.