Yellow 5 (Tartrazine): Allergies, ADHD, and Controversy

Yellow 5 Tartrazine — scientific infographic poster

Yellow 5, known chemically as tartrazine and designated E102 in Europe, is a synthetic azo dye that gives a lemon-yellow colour to foods, drinks, medicines and cosmetics. In the United States it is listed as FD&C Yellow No. 5, every batch must be certified by FDA, and it is one of the six remaining synthetic dyes that HHS and FDA announced in April 2025 they would work with industry to remove from the food supply. Tartrazine sensitivity is described in FDA’s required drug-label statement as low in the general population but frequently seen in people with aspirin hypersensitivity; controlled challenge studies have found confirmed reactions to be uncommon. The 2007 Southampton trial, in which tartrazine was one of the colours tested together with a preservative, led the European Union to require a label stating that the colour “may have an adverse effect on activity and attention in children.” Laboratory genotoxicity results are mixed, and certified batches have been found to contain traces of combined benzidine, a known human carcinogen, as a manufacturing impurity. Older lists describe tartrazine as banned in Norway and Austria; both countries apply the EU food-additive regulation, under which tartrazine is authorised with the warning label.

Table of Contents

  1. Key Findings at a Glance
  2. Chemical Structure and Properties
  3. Common Products Containing Yellow 5 (Exposure Routes)
  4. Aspirin Sensitivity and Tartrazine
  5. Asthma
  6. Urticaria and Skin Reactions
  7. Hyperactivity in Children
  8. Genotoxicity Research
  9. Thyroid and Hormone Research
  10. Benzidine Contamination
  11. International Regulatory Status
  12. Safety Thresholds & ADI
  13. Information for People Sensitive to Tartrazine
  14. Key Research Papers
  15. Connections
  16. Featured Videos

Key Findings at a Glance

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Chemical Structure and Properties

FDA’s listing regulation describes FD&C Yellow No. 5 as principally the trisodium salt of 4,5-dihydro-5-oxo-1-(4-sulfophenyl)-4-[4-sulfophenyl-azo]-1H-pyrazole-3-carboxylic acid (CAS 1934-21-0) (21 CFR 74.705). PubChem gives its molecular formula as C16H9N4Na3O9S2.

Common Products Containing Yellow 5

FDA lists the typical food uses of FD&C Yellow No. 5 as confections, cereals, snack foods, beverages, condiments, baked goods and yogurt. It is also permitted in drugs and cosmetics.

Aspirin Sensitivity and Tartrazine

Allergic reactions to tartrazine were reported as early as 1959, in a paper on the dye’s use as a colouring agent in steroid tablets (Lockey 1959). A link with aspirin intolerance was then studied in a series of oral challenge studies, which reached different conclusions.

Asthma

A 2001 Cochrane review searched for randomized trials of tartrazine challenge or tartrazine-free diets in asthma. Six trials met its criteria, only three reported results in a form that could be analysed, and none could be combined; in none of them did tartrazine challenge or avoidance significantly alter asthma outcomes. The reviewers concluded that firm conclusions were not possible and that “routine tartrazine exclusion may not benefit most patients, except those very few individuals with proven sensitivity” (Ardern 2001). In a study of 28 people with chronic asthma, one responded to a double-blind tartrazine challenge, and a month on a tartrazine- and benzoate-free diet brought no improvement, including in those who had reacted to challenge (Tarlo 1982). In ten children whose cough or wheeze had followed orange drinks, 1 mg of tartrazine given double blind did not change baseline lung function, but airway sensitivity to inhaled histamine increased significantly in four (Hariparsad 1984). Challenge studies in people with aspirin-induced asthma are described in the previous section.

Urticaria (Hives) and Skin Reactions

Hyperactivity in Children

The 2007 Southampton trial (McCann et al., The Lancet) was a randomised, double-blinded, placebo-controlled crossover trial in 153 three-year-olds and 144 eight- and nine-year-olds from the general population. Children received a drink containing sodium benzoate and one of two artificial-colour mixes, or a placebo; a 2025 review lists one mix as containing tartrazine (E102) with sunset yellow, carmoisine and ponceau 4R (Visternicu 2025). Mix A had a significant adverse effect on a global hyperactivity score in the three-year-olds (effect size 0.20); in the older children who drank at least 85% of the drinks, both mixes did (0.12 and 0.17). The authors concluded that “artificial colours or a sodium benzoate preservative (or both)” increase hyperactivity in children in the general population; because every active drink contained sodium benzoate, the trial cannot attribute the effect to any single colour. Regulation (EC) No 1333/2008 then required foods containing tartrazine and five other colours to state that the colour “may have an adverse effect on activity and attention in children,” from 20 July 2010.

Genotoxicity Research

Laboratory studies of whether tartrazine damages DNA have produced mixed results, and the regulatory assessments have changed as newer guideline studies were added.

Thyroid and Hormone Research

Research on tartrazine and hormones is at the laboratory and computer-modelling stage.

Benzidine Contamination

Benzidine is classified by the International Agency for Research on Cancer (IARC) as carcinogenic to humans (Group 1). It is not part of the tartrazine molecule but can occur as a manufacturing impurity, either free or chemically bound in other dye compounds (“combined” benzidine), which can be released by chemical reduction.

International Regulatory Status

Safety Thresholds & ADI

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Information for People Sensitive to Tartrazine

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Key Research Papers

  1. McCann D, Barrett A, Cooper A, et al. (2007). Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial. The Lancet 370(9598):1560-1567 — PubMed PMID: 17825405 (Southampton Study)
  2. EFSA Panel on Food Additives and Nutrient Sources Added to Food (2009). Scientific Opinion on the re-evaluation Tartrazine (E 102). EFSA Journal 7(11):1331 — doi:10.2903/j.efsa.2009.1331 (full text not retrieved for this review; its conclusions are stated here as summarised in EFSA FEEDAP 2024 and Amchova 2024)
  3. Bateman B, Warner JO, Hutchinson E, et al. (2004). The effects of a double blind, placebo controlled, artificial food colourings and benzoate preservative challenge on hyperactivity in a general population sample of preschool children. Archives of Disease in Childhood 89(6):506-511 — PubMed PMID: 15155391
  4. Schab DW, Trinh NH (2004). Do artificial food colors promote hyperactivity in children with hyperactive syndromes? A meta-analysis of double-blind placebo-controlled trials. Journal of Developmental and Behavioral Pediatrics 25(6):423-434 — PubMed PMID: 15613992
  5. Nigg JT, Lewis K, Edinger T, Falk M (2012). Meta-analysis of attention-deficit/hyperactivity disorder or attention-deficit/hyperactivity disorder symptoms, restriction diet, and synthetic food color additives. Journal of the American Academy of Child and Adolescent Psychiatry 51(1):86-97.e8 — PubMed PMID: 22176942
  6. Lockey SD (1959). Allergic reactions due to F D and C Yellow No. 5, tartrazine, an aniline dye used as a coloring and identifying agent in various steroids. Annals of Allergy 17:719-721 — PubMed PMID: 14417794
  7. Stenius BS, Lemola M (1976). Hypersensitivity to acetylsalicylic acid (ASA) and tartrazine in patients with asthma. Clinical Allergy 6(2):119-129 — PubMed PMID: 1277437
  8. Settipane GA, Chafee FH, Postman IM, et al. (1976). Significance of tartrazine sensitivity in chronic urticaria of unknown etiology. The Journal of Allergy and Clinical Immunology 57(6):541-546 — PubMed PMID: 777074
  9. Gerber JG, Payne NA, Oelz O, et al. (1979). Tartrazine and the prostaglandin system. The Journal of Allergy and Clinical Immunology 63(4):289-294 — PubMed PMID: 429706
  10. Vargaftig BB, Bessot JC, Pauli G (1980). Is tartrazine-induced asthma related to inhibition of prostaglandin biosynthesis? Respiration 39(5):276-282 — PubMed PMID: 7414107
  11. Tarlo SM, Broder I (1982). Tartrazine and benzoate challenge and dietary avoidance in chronic asthma. Clinical Allergy 12(3):303-312 — PubMed PMID: 7105394
  12. Hariparsad D, Wilson N, Dixon C, Silverman M (1984). Oral tartrazine challenge in childhood asthma: effect on bronchial reactivity. Clinical Allergy 14(1):81-85 — PubMed PMID: 6365354
  13. Morales MC, Basomba A, Pelaez A, et al. (1985). Challenge tests with tartrazine in patients with asthma associated with intolerance to analgesics (ASA-Triad). A comparative study with placebo. Clinical Allergy 15(1):55-59 — PubMed PMID: 3978777
  14. Virchow C, Szczeklik A, Bianco S, et al. (1988). Intolerance to tartrazine in aspirin-induced asthma: results of a multicenter study. Respiration 53(1):20-23 — PubMed PMID: 3387687
  15. Ardern KD, Ram FS (2001). Tartrazine exclusion for allergic asthma. Cochrane Database of Systematic Reviews (4):CD000460 — PubMed PMID: 11687081
  16. Nettis E, Colanardi MC, Ferrannini A, Tursi A (2003). Suspected tartrazine-induced acute urticaria/angioedema is only rarely reproducible by oral rechallenge. Clinical and Experimental Allergy 33(12):1725-1729 — PubMed PMID: 14656361
  17. Kalinke DU, Wüthrich B (1999). [Purpura pigmentosa progressiva in type III cryoglobulinemia and tartrazine intolerance. A follow-up over 20 years]. Der Hautarzt 50(1):47-51 (in German) — PubMed PMID: 10068932
  18. Sasaki YF, Kawaguchi S, Kamaya A, et al. (2002). The comet assay with 8 mouse organs: results with 39 currently used food additives. Mutation Research 519(1-2):103-119 — PubMed PMID: 12160896
  19. Poul M, Jarry G, Elhkim MO, Poul JM (2009). Lack of genotoxic effect of food dyes amaranth, sunset yellow and tartrazine and their metabolites in the gut micronucleus assay in mice. Food and Chemical Toxicology 47(2):443-448 — PubMed PMID: 19095036
  20. Mpountoukas P, Pantazaki A, Kostareli E, et al. (2010). Cytogenetic evaluation and DNA interaction studies of the food colorants amaranth, erythrosine and tartrazine. Food and Chemical Toxicology 48(10):2934-2944 — PubMed PMID: 20667460
  21. Soares BM, Araújo TM, Ramos JA, et al. (2015). Effects on DNA repair in human lymphocytes exposed to the food dye tartrazine yellow. Anticancer Research 35(3):1465-1474 — PubMed PMID: 25750299
  22. Atlı Şekeroğlu Z, Güneş B, Kontaş Yedier S, et al. (2017). Effects of tartrazine on proliferation and genetic damage in human lymphocytes. Toxicology Mechanisms and Methods 27(5):370-375 — PubMed PMID: 28264634
  23. Bastaki M, Farrell T, Bhusari S, et al. (2017). Lack of genotoxicity in vivo for food color additive Tartrazine. Food and Chemical Toxicology 105:278-284 — PubMed PMID: 28454783
  24. Abo-El-Sooud K, Hashem MM, Badr YA, et al. (2018). Assessment of hepato-renal damage and genotoxicity induced by long-term exposure to five permitted food additives in rats. Environmental Science and Pollution Research International 25(26):26341-26350 — PubMed PMID: 29981020
  25. Axon A, May FE, Gaughan LE, et al. (2012). Tartrazine and sunset yellow are xenoestrogens in a new screening assay to identify modulators of human oestrogen receptor transcriptional activity. Toxicology 298(1-3):40-51 — PubMed PMID: 22562034
  26. Hoang NM, Park K (2026). Integrated approaches to testing and assessment for the endocrine disrupting activity of tartrazine based on adverse outcome pathways and OECD frameworks. Food and Chemical Toxicology 208:115867 — PubMed PMID: 41297657
  27. Prival MJ, Peiperl MD, Bell SJ (1993). Determination of combined benzidine in FD & C yellow no. 5 (tartrazine), using a highly sensitive analytical method. Food and Chemical Toxicology 31(10):751-758 — PubMed PMID: 8225134
  28. Lancaster FE, Lawrence JF (1999). Determination of benzidine in the food colours tartrazine and sunset yellow FCF, by reduction and derivatization followed by high-performance liquid chromatography. Food Additives and Contaminants 16(9):381-390 — PubMed PMID: 10755129
  29. Amchova P, Siska F, Ruda-Kucerova J (2024). Safety of tartrazine in the food industry and potential protective factors. Heliyon 10(18):e38111 — PubMed PMID: 39381230
  30. EFSA Panel on Additives and Products or Substances used in Animal Feed (FEEDAP), Villa RE, Azimonti G, et al. (2024). Safety and efficacy of a feed additive consisting of tartrazine for its use in baits for freshwater fish (GIFAP). EFSA Journal 22(10):e9021 — PubMed PMID: 39478975
  31. Visternicu M, Săvucă A, Rarinca V, et al. (2025). Toxicological Effects of Tartrazine Exposure: A Review of In Vitro and Animal Studies with Human Health Implications. Toxics 13(9):771 — PubMed PMID: 41012392

Regulatory Documents

PubMed Topic Searches

  1. PubMed topic search: tartrazine hyperactivity children
  2. PubMed topic search: tartrazine aspirin sensitivity asthma
  3. PubMed topic search: tartrazine genotoxicity lymphocyte
  4. PubMed topic search: tartrazine urticaria chronic
  5. PubMed topic search: azo dye benzidine contamination
  6. PubMed topic search: food dye ADHD meta-analysis
  7. PubMed topic search: tartrazine thyroid rat
  8. PubMed topic search: tartrazine oxidative stress rodent

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Connections

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