BALSAMOFPERU ______Name ______DateDate alsocalled…Myroxylonpereirae ,Blackbalsam ,ToluiferaPereirabalsam ,Honduras balsam ,orChinaoil . Thiscomplexsubstancecontainsmanypotentialallergens:benzoic acid,benzylacetate,benzylbenzoate,benzylcinnamate,cinnamicacid,cinnamicalcohol, cinnamicaldehyde,cinnamylcinnamate,eugenol,,isoeugenol,nerolidol,andvanillin. Whatisit? BalsamofPeruisasweet-smellingnaturalsubstancederivedfromthebarkofatree nativetoCentralAmerica.Fordecadesithasbeenaddedtotopicalpreparationsforits aromaanditsantibacterialeffect. Wheremightitbefound? Howtoavoidit: hemorrhoidtreatment Fragrances,flavorings,andnaturalsubstances rectalsuppository arenotalwayslistedoningredientlabels.You burntreatmentorwoundspray mayneedto avoidusinganyproductwitha analgesicrub,liniment scentorfragrance .Beespeciallysuspiciousof antisepticlotionorcream thingsinyourenvironmentwithacinnamon, diaperormedicatedointment vanilla,orclovearoma.Chooseonly“fragrance- babypowder free ”products,since“unscented”onesmay Chineseointment,Tigerbalm actuallycontainamasking fragrance ! aromatherapyproduct Readcompleteingredientlists.Checkthe consecratedoil, originalboxorpackage.Someproducts’ dentalcement ingredientlistscanbefoundontheinternetat hairtonicorpomade themanufacturer’swebsite,thestore’swebsite, shampoo,conditioner or http://householdproducts.nlm.nih.gov , shavinglotion,aftershave http://www.cosmeticsdatabase.com ,orsiteslike perfume,cologne http://www.drugstore.com . cosmeticwithfragrance deodorant Forpossibleworkplaceexposure,checkthe femininehygienespray ingredientlabelsofallproductsencountered. sunscreen,tanninglotion Oftencommercialproductscontainasmall toothpaste,mouthwash amountoffragrancebutdonotlistit.Youmay lipbalms,chewinggum needtocontactthemanufacturertofindout. coughmedicine,lozenges scabiestreatment Askyourdoctor,nurse,attendant,hairdresser, Tinctureof masseuse,andothersnottousefragranced scentedcleaningproduct productsinyourcare.Becautiousofexposure scentedcandle fromcontactwithapartnerwhousesfragranced airfreshener,deodorizer products.Ifyoumustusefragrancedproducts scentedpaperproduct asyoucareforchildren,elders,orpets,wear petcareproduct protectiverubber,nitrile,orvinylgloves. pesticide Ifthereisaparticularperfumedproductyou violin mustuse,askyourdoctorhowyoucanperform histologyslidefixative arepeatopenapplicationtest(ROAT). scentedtobacco,coffee,tea (continued) Ifyouarenotsuccessfulinclearingyourskinrashbystrictlyavoidingcontactwiththis allergen,yourdoctormayrecommendyougoonaspecialdietforonemonthto eliminatefoodsthatmaycontainbalsamofPeruinflavorsandspices. DietaryRestrictionstoAvoid BalsamofPeru AVOIDthefollowing: Citrusfruit -andproductsthatcontaincitrusflavor,peel,zest,oroil—including orange,lemon,lime,grapefruit,bitterorange,tangerine,andMandarinorange. Avoidthesemarmalades,juices,andflavoredbakerygoods. Tomato –andtomato-containingproducts,suchasketchup,tomatosauce,Italian orMexicanredsauces,pizza,chili,ketchup,chilisauce,andbarbecuesauce. Spices –suchascinnamon,cloves,vanilla,curry,nutmeg,allspice,anise,and .Remembertoavoidspicycondiments,suchaschutney,liverpaste, pimento,andpickleditems,includingpickles. Sweetflavorings –suchasthosefoundinpastriesandotherbakerygoods,cakes, cookies,candy,chewinggum,chocolate,andicecream. Colas –softdrinks,suchasDr.Pepper,thatmaycontainsweetflavoringsand spices. Liquors –suchaswine,beer,gin,andvermouth. Finally,youmayshowacross-reactiontosomecloselyrelatedsubstancesthatare derivedfromplants.Ifyouarenotsuccessfulinclearingyourskinrashbystrictly avoidingsourcesofBalsamofPeru,youmayalsoneedtoavoidthese: RelatedSubstances Beeswax Coumarin Benzaldehyde Diethylstilbestrol Benzoicacid Resorcinmonobenzoate Benzoin Resorcinol Benzylsalicylate Propolis Colophony Storax Coniferylalcohol Tolubalsam Coniferylbenzoate Woodtars