⚠️ Safety Verdict: Consider Avoiding (Especially Children)
E124 (Ponceau 4R) is approved in the UK but banned in the US, Norway, and Finland. Studies link it to hyperactivity in children. UK products containing E124 must carry a warning: "May have an adverse effect on activity and attention in children".
🚨 Banned in the US & Nordic Countries
E124 is prohibited in:
- United States – FDA has never approved it
- Norway
- Finland
- Iceland
Concerns include hyperactivity, allergies, and potential cancer risk.
What is E124 (Ponceau 4R)?
E124 is Ponceau 4R (also called Cochineal Red A), a synthetic red dye made from petroleum (coal tar derivative).
Also known as:
- Cochineal Red A (not to be confused with natural cochineal E120)
- Brilliant Scarlet 4R
- New Coccine
- C.I. Food Red 7
Why it's used:
- Strawberry-red colour in desserts and sweets
- Cheap synthetic alternative to natural red dyes
- Stable – doesn't fade with heat or light
Where is E124 Found?
Sweets & Desserts:
- Red jelly sweets and gummies
- Strawberry-flavoured desserts
- Cake mixes and icing
- Candied cherries
Drinks:
- Strawberry milkshakes
- Red soft drinks and cordials
- Some energy drinks
Other Foods:
- Ice lollies
- Tinned strawberries and cherries
- Some sausages (to enhance red colour)
- Packet soups and sauces
Non-Food Uses:
- Medicines (particularly children's syrups)
- Cosmetics
Health Concerns
1. Hyperactivity in Children (Southampton Study)
E124 was one of six dyes tested in the 2007 Southampton Study, which found:
- Increased hyperactivity in children aged 3 and 8-9
- Reduced attention and focus
- Effects seen in general population, not just children with ADHD
Result: UK and EU now require warning labels on products containing E124.
2. Allergic Reactions
E124 can cause allergic reactions in some people:
- Skin rashes and hives
- Itching
- Facial swelling (rare)
- Asthma worsening in sensitive individuals
Cross-reactivity: People allergic to aspirin or other azo dyes (E102, E110, E122, E129) may also react to E124.
3. Possible Cancer Risk (Animal Studies)
- Some animal studies showed tumours at high doses
- Human evidence: No clear cancer link in humans
- Reason for US ban: FDA concerned about insufficient safety data
4. Azo Dye Breakdown
E124 is an azo dye, which breaks down in the gut into aromatic amines – some of which may be harmful:
- Gut bacteria metabolize azo dyes
- Some breakdown products have raised toxicity concerns
- Long-term health effects unclear
Why is E124 Banned in the US?
The FDA never approved E124 for use in food, citing:
- Insufficient safety data
- Concerns about azo dye breakdown products
- Availability of safer alternatives (natural dyes or other approved synthetics like E129)
UK Warning Label Requirement
Since 2010, UK products containing E124 must display:
"May have an adverse effect on activity and attention in children"
This followed the Southampton Study and EU Food Standards Agency recommendation.
Who Should Avoid E124?
❌ Must Avoid:
- Children with ADHD – may worsen hyperactivity
- People with aspirin allergy – cross-reactivity risk
- Known allergy to azo dyes
- People with asthma – may trigger symptoms
⚠️ Consider Limiting:
- All children – precautionary approach based on hyperactivity studies
- Anyone avoiding synthetic additives
Natural Alternatives
Many manufacturers now use safer alternatives:
- Beetroot extract – purple-red
- Carmine (E120) – from cochineal insects (not vegan)
- Paprika extract (E160c) – orange-red
- Anthocyanins – from berries
The Bottom Line
- ❌ Banned in the US, Norway, Finland
- ⚠️ UK warning label required – may affect children's behaviour
- ⚠️ Hyperactivity concerns – Southampton Study evidence
- ⚠️ Allergic reactions possible – especially aspirin-sensitive people
- ⚠️ Cancer risk unclear – animal studies inconclusive
- ⚠️ Azo dye breakdown – potential toxicity from metabolites
Our recommendation: Avoid E124, especially for children. The fact it's banned in the US and Nordic countries suggests significant safety concerns. Choose products with natural red colourings instead.
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Last updated: February 2026