BALSAMOFPERU ____________________Name ____________________________________________DateDate alsocalled…Myroxylonpereirae ,Blackbalsam ,ToluiferaPereirabalsam ,Honduras balsam ,orChinaoil . Thiscomplexsubstancecontainsmanypotentialallergens:benzoic acid,benzylacetate,benzylbenzoate,benzylcinnamate,cinnamicacid,cinnamicalcohol, cinnamicaldehyde,cinnamylcinnamate,eugenol,farnesol,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,incense 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, Tinctureofbenzoin masseuse,andothersnottousefragranced scentedcleaningproduct productsinyourcare.Becautiousofexposure scentedcandle fromcontactwithapartnerwhousesfragranced airfreshener,deodorizer products.Ifyoumustusefragrancedproducts scentedpaperproduct asyoucareforchildren,elders,orpets,wear petcareproduct protectiverubber,nitrile,orvinylgloves. pesticide Ifthereisaparticularperfumedproductyou violinrosin 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 ginger.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.