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Is cocamide diethanolamine causes cancer in humans?
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Skin and Hair Disorders
प्रश्न #31539
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Is cocamide diethanolamine causes cancer in humans? - #31539

Karthik Anil

I am planning to buy a shower gel from atrimed plant science brand which is a ayurvedic but i need to clarify that in that shower gel i find a chemical cocamide diethanolamine and sls or sles chemicals...through reasarch i found that it causes carcinogens in humans especailly cocamide dea...in that shower gel they using the quantity SLES -1.70g, Cocamide dea - 0. 30g, SLS-0.18g ....please clarify this..

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Dr. Khushboo
I am a dedicated Ayurvedic practitioner with a diverse foundation in both modern and traditional systems of medicine. My journey began with six months of hands-on experience in allopathic medicine at District Hospital Sitapur, where I was exposed to acute and chronic care in a high-volume clinical setting. This experience strengthened my diagnostic skills and deepened my understanding of patient care in an allopathic framework. Complementing this, I have also completed six months of clinical training in Ayurveda and Panchakarma, focusing on natural detoxification and rejuvenation therapies. During this time, I gained practical experience in classical Ayurvedic treatments, including Abhyanga, Basti, Shirodhara, and other Panchakarma modalities. I strongly believe in a patient-centric approach that blends the wisdom of Ayurveda with the clinical precision of modern medicine for optimal outcomes. Additionally, I hold certification in Garbha Sanskar, a specialized Ayurvedic discipline aimed at promoting holistic wellness during pregnancy. I am passionate about supporting maternal health and fetal development through time-tested Ayurvedic practices, dietary guidance, and lifestyle recommendations. My approach to healthcare emphasizes balance, preventive care, and customized wellness plans tailored to each individual’s constitution and health goals. I aim to create a nurturing space where patients feel heard, supported, and empowered in their healing journey. Whether treating seasonal imbalances, supporting women’s health, or guiding patients through Panchakarma therapies, I am committed to delivering care that is rooted in tradition and guided by compassion.
123 दिनों पहले
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This is an excellent and very important question. It shows that you’re being a smart and proactive consumer by looking at the ingredient list of a product. Let’s break down the chemicals you’ve identified and the concerns associated with them.

Cocamide DEA (Diethanolamine) You are right to be concerned about Cocamide DEA.

Carcinogen Link: The state of California has listed Cocamide DEA as a chemical “known to the state to cause cancer” under Proposition 65. The International Agency for Research on Cancer (IARC) also classifies “coconut oil diethanolamine condensate (cocamide DEA)” as a Group 2B carcinogen, meaning it’s “possibly carcinogenic to humans.”

How it works: Cocamide DEA is a foaming agent and thickener that gives products like shower gels, shampoos, and soaps their creamy, luxurious feel.

Mechanism of concern: The primary concern is that Cocamide DEA can react with other ingredients in a product to form nitrosamines, which are known carcinogens.

SLS and SLES (Sodium Lauryl Sulfate and Sodium Laureth Sulfate) SLS and SLES are very common surfactants used to create lather and clean. The safety of these ingredients is a frequent topic of debate.

SLS (Sodium Lauryl Sulfate): SLS is a strong detergent and can be a skin irritant, especially for people with sensitive skin, eczema, or other skin conditions. It can strip the skin of its natural oils, leading to dryness, redness, and itching.

SLES (Sodium Laureth Sulfate): SLES is a milder version of SLS. It is derived from SLS through a process called ethoxylation. This process can, however, lead to contamination with a byproduct called 1,4-dioxane, which is considered a probable human carcinogen.

Carcinogen Link: While SLS and SLES themselves have not been directly linked to cancer by major cancer organizations, the contamination of SLES with 1,4-dioxane is the primary health concern.

The Quantities in Your Shower Gel You mentioned the quantities:

SLES: 1.70g

Cocamide DEA: 0.30g

SLS: 0.18g

It’s difficult to determine the exact safety of these quantities without knowing the total volume of the product. The percentage of each ingredient is what matters most. For example, a 0.30g concentration of Cocamide DEA in a 100g shower gel is different than in a 500g one. However, it’s a good practice to be cautious, especially with an ingredient like Cocamide DEA that has been flagged by authoritative bodies.

What This Means for You Given your research and the information available, it is understandable that you have concerns. While the product may be marketed as “ayurvedic” and “plant science,” the presence of these synthetic chemicals, particularly Cocamide DEA, is a significant detail.

The “Ayurvedic” label: This often refers to the inclusion of certain botanical ingredients, but it does not guarantee that the product is free from synthetic chemicals. Many products blend traditional ingredients with modern chemical formulations.

The choice is yours: The decision to use this product depends on your personal risk tolerance. If you are concerned about the potential for carcinogens and skin irritation, you may want to look for a different product that is free from these ingredients. Many “sulfate-free” and “DEA-free” shower gels are available on the market.

In summary, your research is accurate. Cocamide DEA, SLS, and SLES are common cosmetic ingredients that have been associated with health concerns, including skin irritation and, in the case of Cocamide DEA and 1,4-dioxane (a potential contaminant in SLES), a possible link to cancer.

It is always a good idea to choose products with a transparent and clean ingredient list, especially if you have sensitive skin or are concerned about long-term chemical exposure.

Here are some brands and products you might consider, based on their claims and general reputation in the Indian market:

1. Kama Ayurveda:

Known for its high-end, authentic Ayurvedic products.

Their body cleansers are generally free from sulfates, parabens, and petrochemicals.

They have a range of options with traditional ingredients like rose and jasmine, Himalayan deodar, and lavender patchouli.

Look for their “Body Cleansers” line, which is specifically formulated as an alternative to conventional, chemical-laden body washes.

2. Forest Essentials:

Another luxury Ayurvedic brand that emphasizes natural and potent ingredients.

Their “Silkening Shower Washes” are formulated to be SLS-free and are known for their rich textures and authentic fragrances.

They have a wide variety of scents and ingredients, such as Indian Rose Absolute, Iced Pomegranate & Kerala Lime, and Mashobra Honey & Vanilla.

3. Khadi Natural:

A well-known brand that offers a range of Ayurvedic and herbal products at a more accessible price point.

They explicitly state that their products are free from parabens and sulfates.

You can find body washes with popular Ayurvedic and herbal ingredients like sandalwood, honey, rose, neem, and tulsi.

4. Just Herbs:

This brand focuses on herbal and Ayurvedic formulations that are also “cruelty-free” and “chemical-free.”

Their body washes are generally marketed as free from harsh chemicals, including sulfates and parabens.

They have options like Wild Indian Rose Body Wash and Tea Tree Anti-Acne Body Wash.

5. Sadhev:

This brand also prides itself on using powerful Ayurvedic ingredients and claims to be “Sulphate & Paraben Free.”

Their products are often vegan, cruelty-free, and ethically sourced.

They have unique blends like Ashwagandha, Oudh & Pomegranate.

6. Ashpveda:

This brand’s body washes are specifically marketed as being 100% free from sulfates, parabens, and synthetic fragrances.

They use traditional ingredients like Kashmiri saffron and neem.

What to Look for When Choosing:

Read the Ingredient List: Even if a product is marketed as “Ayurvedic,” always check the ingredient list to ensure it does not contain Cocamide DEA, SLS, or SLES. Look for a brand that clearly states its products are free from these specific chemicals.

Check for Substitutes: Brands that are truly sulfate-free will often use milder, plant-based cleansing agents. These might include names like Sodium Cocoyl Isethionate, Coco-Glucoside, or Decyl Glucoside. These are derived from coconut and are much gentler.

Certifications: While not always present, look for certifications that guarantee the product is organic, natural, or free of certain chemicals.

Your Skin’s Needs: Consider your specific skin type (dry, oily, sensitive) when choosing an Ayurvedic blend. Some ingredients are more hydrating (like honey or rose), while others are more purifying (like neem or tea tree).

By opting for brands that prioritize a clean ingredient list, you can enjoy the benefits of Ayurvedic herbs without the concerns associated with synthetic chemicals

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Dr. Prasad Pentakota
I am Dr. P. Prasad, and I have accumulated over 20 years of experience working across multiple medical specialties, including General Medicine, Neurology, Dermatology, and Cardiology. Throughout my career, I have had the opportunity to diagnose and manage a wide range of health conditions, helping patients navigate both acute and chronic medical challenges. My exposure to these diverse fields has given me a comprehensive understanding of the human body and its interconnected systems. Whether it is managing general medical conditions, neurological disorders, skin diseases, or heart-related issues, I approach every case with careful attention to detail and evidence-based practices. I believe in providing accurate diagnosis, patient education, and treatment that is both effective and tailored to the individual’s specific needs. I place great emphasis on patient-centered care, where listening, understanding, and clear communication play a vital role. Over the years, I have seen how combining clinical knowledge with empathy can significantly improve treatment outcomes and patient satisfaction. With two decades of continuous learning and hands-on experience, I am committed to staying updated with the latest medical advancements and integrating them into my daily practice. My goal has always been to deliver high-quality, ethical, and compassionate medical care that addresses not just the illness but the overall well-being of my patients.
123 दिनों पहले
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The presence of coco mice dietanolamine in a shower gel is a concern because its is classified as a possible carcinogen , even though it’s in very lower percentage it’s better to avoid

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Hello namasteh ,

I checked the ingredients of that shower gel you’re planning to buy. It does have some chemicals like SLS, SLES, and Cocamide DEA. These are mainly used to create foam and give that ‘clean’ feel. Now, the thing is they’re not immediately dangerous, but with long-term use, especially Cocamide DEA, there have been some safety concerns. SLS and SLES can also make the skin dry or irritated if your skin is a little sensitive.

Since it’s a shower gel, most of it washes off quickly, so the risk is less compared to creams or oils that stay on the skin. Still, because you want something really safe for daily use, I’d suggest looking for products that are free from these three chemicals. There are good Ayurvedic and herbal options made with ingredients like aloe vera, neem, or soapnut, which clean well and are much gentler on the skin.

So, it’s not that the one you chose is highly harmful right away but if you’re thinking long term, shifting to a cleaner option would be the safer choice.”

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आपका व्यक्तिगत उपचार तैयार है
हमने आपके डॉक्टर द्वारा सुझाई गई दवाएं जोड़ दी हैं।

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The concern about cocamide diethanolamine (DEA) and its potential carcinogenic effects primarily stems from studies where DEA was repeatedly applied in large quantities to animal skin, leading to cancer. The International Agency for Research on Cancer (IARC) classifies it as a possible human carcinogen based on limited evidence from animal studies, not humans directly. The cosmetic industry utilizes DEA derivatives like cocamide DEA in very small quantities to function as thickeners or foaming agents, typically deemed safe for general use. The used amount in your shower gel seems quite low, but given your concern, you may prefer opting for products without these chemicals.

From an Ayurvedic perspective, any external application should align with one’s dosha and prioritize overall wellbeing. These external agents can influence the body’s subtle energies and could potentially interfere with the skin’s natural state, if sensitive. Some individuals might find certain synthetic ingredients imbalancing to their skin’s prakriti, more particularly if they have sensitive or easily irritated skin.

You might consider a product that focuses on natural and herbal ingredients, acting gently without any unwanted side effects. Alternatives could include cleansers rich in neem, tulsi, or aloe vera, offering anti-bacterial, soothing, and nourishing properties. Ensure that your daily routine is balanced with an appropriate diet, soothing activities like regular self-massage, and maintaining hydration, which complements the skin’s health and vitality.

If any irritation or unusual reactions occur with the use of such products, immediate medical consultation is recommended. Lifestyle and environmental factors should always align with skin and body health, aiming for harmony and balance in every aspect of wellness.

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आपका व्यक्तिगत उपचार तैयार है
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Cocamide diethanolamine (DEA) has been classified by some health organizations as a potential carcinogen under certain conditions. The primary concern with cocamide DEA is its potential to form nitrosamines—a type of compound linked to cancer—when it reacts with certain other ingredients often present in personal care products. However, the risk is generally higher when cocamide DEA is used in large quantities over extended periods, as well as when it’s combined with nitrosating agents that can form nitrosamines.

As for shower gels, when used in moderation and as directed, the level of exposure to these ingredients is significantly lower. Many regulatory bodies allow the use of cocamide DEA in concentrations like those you’ve mentioned, which are below typical safety limits set for consumer use. Nonetheless, if you have concerns, it’s understandable to look for alternatives. If the ingredients do not align with your preferences or personal health goals, consider options without such chemicals.

In the context of Ayurveda and maintaining dosha balance, let me suggest that if you have vata-pitta prakriti, skin irritants could exacerbate imbalances, leading to dryness or irritation. Look for products with more natural emollients like neem, turmeric, or sandalwood which can harmonize skin without compromising safety. Additionally, implementing internal balance through hydration, a vata-pacifying diet, and including cooling foods like cucumber or coconut water may improve your skin’s resilience externally and internally.

For further peace of mind, you might explore brands that fully disclose their ingredient sourcing and production processes, ensuring no nitrosating agents are present that might interact with cocamide DEA. But, if serious health concerns persist, consult a healthcare provider to address any urgent questions about products’ safety based on your medical history.

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4 समीक्षाएँ
Dr. Sara Garg
I am someone who believes Ayurveda isn’t just some old system — it’s alive, and actually still works when you use it the way it's meant to be used. My practice mostly revolves around proper Ayurvedic diagnosis (rogi & roga pariksha types), Panchakarma therapies, and ya also a lot of work with herbal medicine — not just prescribing but sometimes preparing stuff myself when needed. I really like that hands-on part actually, like knowing where the herbs came from and how they're processed... changes everything. One of the things I pay a lot of attention to is how a person's lifestyle is playing into their condition. Food, sleep, bowel habits, even small emotional patterns that people don't even realize are affecting their digestion or immunity — I look at all of it before jumping to treatment. Dietary therapy isn’t just telling people to eat less fried food lol. It’s more about timing, combinations, seasonal influence, and what suits their prakriti. That kind of detail takes time, and sometimes patients don’t get why it matters at first.. but slowly it clicks. Panchakarma — I do it when I feel it's needed. Doesn’t suit everyone all the time, but in the right case, it really clears the stuck layers. But again, it's not magic — people need to prep properly and follow instructions. That's where strong communication matters. I make it a point to explain everything without dumping too much Sanskrit unless they’re curious. I also try to keep things simple, like I don’t want patients feeling intimidated or overwhelmed with 10 things at once. We go step by step — sometimes slow, sometimes quick depending on the case. There’s no “one protocol fits all” in Ayurveda and frankly I get bored doing same thing again and again. Whether it’s a fever that won’t go or long-term fatigue or gut mess — I usually go deep into what's behind it. Surface-level fixes don’t last. I rather take the time than rush into wrong herbs. It’s more work, ya, but makes a diff in long run.
5
82 समीक्षाएँ
Dr. Akshay Negi
I am currently pursuing my MD in Panchakarma, and by now I carry 3 yrs of steady clinical experience. Panchakarma for me is not just detox or some fancy retreat thing — it’s the core of how Ayurveda actually works to reset the system. During my journey I’ve handled patients with arthritis flares, chronic back pain, migraine, digestive troubles, hormonal imbalance, even skin and stress-related disorders... and in almost every case Panchakarma gave space for deeper healing than medicines alone. Working hands-on with procedures like Vamana, Virechana, Basti, Nasya, and Raktamokshana gave me a lot of practical insight. It's not just about performing the therapy, but understanding timing, patient strength, diet before and after, and how their mind-body reacts to cleansing. Some respond quick, others struggle with initial discomfort, and that’s where real patient support matters. I learnt to watch closely, adjust small details, and guide them through the whole process safely. My approach is always patient-centric. I don’t believe in pushing the same package to everyone. I first assess prakriti, agni, mental state, lifestyle, then decide what works best. Sometimes full Panchakarma isn’t even needed — simple modifications, herbs, or limited therapy sessions can bring results. And when full shodhana is required, I plan it in detail with proper purvakarma & aftercare, cause that’s what makes outcomes sustainable. The last few years made me more confident not just in procedures but in the philosophy behind them. Panchakarma isn’t a quick fix — it demands patience, discipline, trust. But when done right, it gives relief that lasts, and that’s why I keep refining how I practice it.
5
98 समीक्षाएँ
Dr. Atul Painuli
I am Vaidya Atul Painuli, currently working as an Ayurvedic Consultant at Patanjali Chikitsalaya, Delhi... been here a while now. My focus from the start—over 10+ yrs in this field—has been to stay true to what Ayurveda *actually* is, not just surface-level remedies or buzzwords. I’ve treated a wide mix of patients, from people battling chronic illnesses to those just looking to fix their lifestyle before it leads to disease (which is v underrated tbh). During these years, I kinda shaped my practice around the idea that one solution never fits all. Whether it’s diabetes, gut disorders, stress-related problems or hormone issues—everything goes back to the root, the *nidana*. I usually go with classic Ayurvedic meds, but I mix it up with Panchakarma, diet tweaks and daily routine correction, depending on the case. Most of the time, ppl don’t even realize how much their habits are feeding into the problem. It’s not just about herbs or massages... though those are important too. At Patanjali Chikitsalaya, I see patients from literally all walks of life—office-goers, elderly, even young kids sometimes. Everyone’s got something diff going on, which keeps me grounded. What I try to do is not just treat the symptoms but help ppl *see* what’s happening in their bodies and minds. Like Ayurveda says—if your digestion, sleep and emotions are off... then eventually health’s gonna wobble. I don’t promise quick results but I do stay with my patients through the process, adjusting things based on how they respond. That part makes a big difference I think. For me, Ayurveda isn’t a “last resort” kinda thing—it’s a system that can prevent 80% of the lifestyle diseases ppl suffer from today, if done right. My goal? Just to keep doing this in a way that feels real, grounded, and actually helps ppl—not overwhelm them with too much jargon or fear. Just practical, clean, honest healing.
5
94 समीक्षाएँ
Dr. Anjali Sehrawat
I am Dr. Anjali Sehrawat. Graduated BAMS from National College of Ayurveda & Hospital, Barwala (Hisar) in 2023—and right now I'm doing my residency, learning a lot everyday under senior clinicians who’ve been in the field way longer than me. It’s kind of intense but also really grounding. Like, it makes you pause before assuming anything about a patient. During my UG and clinical rotations, I got good hands-on exposure... not just in diagnosing through Ayurvedic nidan but also understanding where and when Allopathic tools (like lab reports or acute interventions) help fill the gap. I really believe that if you *actually* want to heal someone, you gotta see the whole picture—Ayurveda gives you that depth, but you also need to know when modern input is useful, right? I’m more interested in chronic & lifestyle disorders—stuff like metabolic imbalances, stress-linked issues, digestive problems that linger and slowly pull energy down. I don’t rush into giving churnas or kashayams just bcz the texts say so... I try to see what fits the patient’s prakriti, daily habits, emotional pattern etc. It’s not textbook-perfect every time, but that’s where the real skill grows I guess. I do a lot of thinking abt cause vs symptom—sometimes it's not the problem you see that actually needs solving first. What I care about most is making sure the treatment is safe, ethical, practical, and honest. No overpromising, no pushing meds that don’t fit. And I’m always reading or discussing sth—old Samhitas or recent journals, depends what the case demands. My goal really is to build a practice where people feel seen & understood, not just “managed.” That's where healing actually begins, right?
5
430 समीक्षाएँ

नवीनतम समीक्षाएँ

Charlotte
33 मिनटों पहले
Really detailed and honest answer! Appreciate the breakdown and guidance. It's comforting to know what to expect and not rely solely on Shilajit. Thanks!
Really detailed and honest answer! Appreciate the breakdown and guidance. It's comforting to know what to expect and not rely solely on Shilajit. Thanks!
Makayla
14 घंटे पहले
Thanks a ton for the advice! It's reassuring to have a clear plan now, feeling hopeful with these suggestions. Appreciate it!
Thanks a ton for the advice! It's reassuring to have a clear plan now, feeling hopeful with these suggestions. Appreciate it!
Rowan
14 घंटे पहले
This answer was super clear and helpful. Feelin' a lot better knowing what's going on and how to tackle it. Thanks a bunch!
This answer was super clear and helpful. Feelin' a lot better knowing what's going on and how to tackle it. Thanks a bunch!
Rae
14 घंटे पहले
Thanks a ton for the reply, it was really detailed! Feeling more reassured with your suggestions, especially about my hair and sleep issues.
Thanks a ton for the reply, it was really detailed! Feeling more reassured with your suggestions, especially about my hair and sleep issues.