Liver accumulation and toxicity at high doses
Copper is an essential trace element but accumulates in the liver when intake is excessive. EFSA re-evaluated copper health-based guidance values in 2023 and set an acceptable daily intake of 0.07 mg per kilogram of body weight per day (roughly 5 mg per day for an adult), based on preventing copper retention in the liver as the earliest marker of harm. Acute overdose of copper sulphate causes nausea, vomiting, abdominal pain, and in severe cases liver and kidney failure.
EFSA set a health-based guidance value (acceptable daily intake) for copper of 0.07 mg/kg body weight per day, derived from liver copper accumulation as the critical endpoint, applying to copper from all dietary sources.
2023Regulatory reviewEFSA Scientific Committee, Re-evaluation of health-based guidance values for copper, EFSA Journal
Acute copper sulphate ingestion at doses above 1 g causes vomiting, gastrointestinal haemorrhage, hepatic necrosis, and renal failure; fatalities have been documented in case series.
1998EstablishedWHO Environmental Health Criteria 200: Copper
Wilson's disease and genetic copper overload
People with Wilson's disease have a genetic defect that prevents normal copper excretion, leading to copper accumulating in the liver, brain, and other organs. For this group, any additional copper source including copper sulphate in supplements poses serious risk. The condition affects roughly 1 in 30,000 people in the UK.
Wilson's disease (ATP7B gene mutations) causes progressive copper overload and liver damage; patients must avoid supplemental copper sources entirely.
2012RegulatoryEuropean Association for the Study of the Liver (EASL) Clinical Practice Guidelines: Wilson's disease
Not permitted in human food in the UK or EU
Copper sulphate does not appear in Annex II of the assimilated EU Regulation 1333/2008 on food additives, which is the legal basis for food additive use in the UK post-Brexit. It is therefore not a lawfully authorised food additive for human food in Great Britain or the EU. Its use is regulated separately as an animal feed additive and as an agricultural input. The FSA approved-additives database does not list E519.
E519 copper sulphate is not listed among approved food additives in the UK FSA approved-additives register.
RegulatoryUK Food Standards Agency, Approved Additives and E Numbers (food.gov.uk)
Cupric sulphate pentahydrate is authorised as a feed additive (source of copper, nutritional additive) for all animal species under EU feed additive regulations, with maximum copper levels set per animal category.
2015RegulatoryEFSA FEEDAP Panel, Scientific Opinion on copper compounds as feed additives (E4), EFSA Journal