Cosmeceuticals Drugs vs. Cosmetics edited by Peter Elsner Friedrich Schiller University,Jena,Germany Howard I. Maibach University of California,San Francisco,California Marcel Dekker, Inc. New York Basel • TM Copyright ©2000 by Marcel Dekker,Inc. All Rights Reserved. ISBN: 0-8247-0305-7 Thisbook isprintedonacid-freepaper. Headquarters MarcelDekker,Inc. 270MadisonAvenue, NewYork,NY10016 tel:212-696-9000; fax:212-685-4540 EasternHemisphere Distribution MarcelDekkerAG Hutgasse4,Postfach812,CH-4001 Basel,Switzerland tel:41-61-261-8482;fax:41-61-261-8896 WorldWideWeb http://www.dekker.com The publisher offers discounts on this book when ordered in bulk quantities. For more information, write to Special Sales/Professional Marketing at the headquarters address above. Copyright 2000byMarcelDekker,Inc. AllRightsReserved. Neitherthisbook noranypartmaybereproducedortransmittedinanyformorbyany means, electronic or mechanical, including photocopying, microfilming, and recording, or by any information storage and retrieval system, without permission in writing from thepublisher. Currentprinting(last digit): 10 9 8 7 6 5 4 3 2 1 PRINTED INTHEUNITEDSTATESOFAMERICA AbouttheSeries The CosmeticScienceand Technology series was conceived to permit discussion ofabroad rangeof current knowledge and theories of cosmeticscience and technology.Theseries is composed of both books written by asingleauthor and edited volumes with anumber of contributors.Authorities fromindustry,academia, and thegovernment participatein writing thesebooks. The aimof theseries is to cover the many facets of cosmeticscience and technology.Topics are drawn from a wide spectrumof disciplines ranging from chemistry,physics,biochemistry, and analytical and consumer evaluations to safety, efficacy,toxicity,and regulatory questions. Organic,inorganic,physical and polymer chemistry,emulsion and lipidtechnology, microbiology,dermatology,and toxicology all play important roles in cosmeticscience. Thereis littlecommonality in thescientific methods, processes, and formulations required for thewidevariety of cosmetics and toiletries in the market.Products range frompreparations for hair,oral, and skin careto lipsticks,nail polishes and extenders,deodorants,bodypowders and aerosols,to quasi-pharmaceutical over-the-counter products such as antiperspirants,dandruff shampoos,antimicrobial soaps,and acne and sun screen products. Cosmetics and toiletries represent ahighlydiversified field involving many subsections of scienceand “art.”Even in these days of high technology,art and intuitioncontinueto play an important part in thedevelopment of formulations,their evaluation,selection of raw materials, and,perhaps most importantly,thesuccessful marketing of new products.The application of more sophisticated scientific methodologies that gained steam in the1980s has increased in such areas as claimsubstantiation,safety testing,product testing,and chemical analysisand has led to abetter understanding of theproperties ofskin and hair.Molecular modeling techniques are beginning to beapplied to data obtained in skin sensory studies. Emphasis in theCosmetic Science and Technology series is placed on reporting thecurrent status of cosmetictechnology and scienceand changing regulatory climates and presenting historical reviews. Theseries has now grown to 26 books dealing with theconstantly changing technologies and trends in thecosmeticindustry,including globalization.Several of thevolumes havebeen translated into Japanese and Chinese.Contributionsrangefrom highly sophisticated and scientifictreatises to primers and presentations of practical applications.Authors are encouraged to present their own concepts as well as established theories.Contributors havebeen asked not to shy away fromfields that are in astate of transition,nor to hesitateto present detailed discussionsof their own work. Altogether,weintend to develop in this series a collection of critical surveys and ideas covering diversephases of thecosmeticindustry. The13 chapters in Multifunctional Cosmetics cover multifunctional products forhair,nail, oral, and skin care, as well as products with enhanced sunscreen and antimicrobial properties Several chapters deal with thedevelopment of claimsupport data,the roleof packaging,and consumer research on theperception of multifunctional cosmeticproducts.The authors keep in mind that in thecase of cosmetics,it is not only thephysical effects that can be measured on theskin or hair,but also thesensory effects that have to betaken into account.Cosmetics can have a psychological and social impact that cannot beunderestimated. I want to thank all thecontributors for participating in this project and particularly theeditors, Perry Romanowski and Randy Schueller, for conceiving,organizing,and coordinating this book. It is thesecond bookthat they havecontributed to this series and we appreciate their efforts. Special thanks aredueto SandraBeberman and Erin Nihill oftheeditorial and production staff at Marcel Dekker,Inc.Finally, I would liketo thank my wife, Eva, without whoseconstant support and editorial help I would not haveundertaken this project. EricJungermann,Ph.D. COSMETICSCIENCEANDTECHNOLOGY SeriesEditor ERICJUNGERMANN JungermannAssociates,Inc. Phoenix,Arizona 1. Cosmetic and Drug Preservation: Principles and Practice, edited by JonJ.Kabara 2. The Cosmetic Industry: Scientific and Regulatory Foundations, edited byNormanF.Estrin 3. Cosmetic Product Testing: A Modern Psychophysical Approach, HowardR.Moskowitz 4. Cosmetic Analysis: Selective Methods and Techniques, edited by P. Boré 5. CosmeticSafety:APrimerforCosmeticScientists,editedbyJamesH. Whittam 6. OralHygieneProductsandPractice,MortonPader 7. Antiperspirants and Deodorants, edited by Karl Laden and Carl B. Felger 8. Clinical Safety and Efficacy Testing of Cosmetics, edited by William C. Waggoner 9. Methods for Cutaneous Investigation, edited by Robert L. Rietschel andThomasS.Spencer 10. Sunscreens:Development,Evaluation,andRegulatoryAspects,edited byNicholasJ.LoweandNadimA.Shaath 11. Glycerine: A Key Cosmetic Ingredient, edited by Eric Jungermann and NormanO.V.Sonntag 12. HandbookofCosmeticMicrobiology,DonaldS.Orth 13. Rheological Properties of Cosmetics and Toiletries, edited by Dennis Laba 14. Consumer Testing and Evaluation of Personal Care Products, Howard R.Moskowitz 15. Sunscreens: Development, Evaluation, and Regulatory Aspects. Sec- ond Edition, Revised and Expanded, edited by Nicholas J. Lowe, Na- dimA.Shaath,andMadhuA.Pathak 16. Preservative-Free and Self-Preserving Cosmetics and Drugs: PrinciplesandPractice,editedbyJonJ.KabaraandDonaldS.Orth 17. HairandHairCare,editedbyDaleH.Johnson 18. CosmeticClaimsSubstantiation,editedbyLouiseB.Aust 19. Novel Cosmetic Delivery Systems, edited by Shlomo Magdassi and ElkaTouitou 20. Antiperspirants and Deodorants: Second Edition, Revised and Ex- panded,editedbyKarlLaden 21. Conditioning Agents for Hair and Skin, edited by Randy Schueller and PerryRomanowski 22. Principles of Polymer Science and Technology in Cosmetics and Per- sonalCare,editedbyE.DesmondGoddardandJamesV.Gruber 23. Cosmeceuticals: Drugs vs. Cosmetics, edited by Peter Elsner and HowardI.Maibach 24. CosmeticLipidsandtheSkinBarrier,editedbyThomasFörster 25. Skin Moisturization, edited by James J. Leyden and Anthony V. Raw- lings 26. MultifunctionalCosmetics,editedbyRandySchuellerandPerryRoma- nowski ADDITIONALVOLUMESINPREPARATION Preface Theterm‘‘cosmeceuticals,’’coinedbyAlbertKligman20 yearsago,hasright- fullyprovokedthoughtanddiscussionamongscientists,industry,andregulating authorities. Basically, the controversy revolves around the question of whether there areany substances applied tothe skin thatdo not modify itsstructure and function. Since scientific evidence shows that even purportedly ‘‘inert’’ sub- stances such as water may profoundly change the structure and function of the skin,thisdoes notseemhelpfulindistinguishingcosmeticsfromdrugs.Indeed, thereisalegalproblemwiththedefinitionofcosmeticsintheUnitedStates,but not in other major countries such as Europe and Japan. InEurope,theCouncilDirective76/768/EECof27July1976,asamended by six Directives, defines cosmetic products in Article 1: Acosmeticproductmeansanysubstanceorpreparationintendedforplacing intocontactwiththevariouspartsofthehumanbody(epidermis,hairsystem, nails,lipsand externalgenitalorgans)orwiththe teethandmucousmem- branesoftheoralcavitywithaviewexclusivelyorprincipallytocleaning them, perfuming them or protecting them, in order to keep them in good condition,changetheirappearanceorcorrectbody odours. Thus,acosmeticisdefinedbyitsmode ofapplicationandbytheintention with whichitisused.Whilecosmeticsareusedonnormalornearlynormalskin,drugs are defined as preparations to be used for the treatment of diseased skin. Obvi- ously, there remains a gray zone between what is considered ‘‘normal’’ as op- posedto‘‘diseased’’skin.Thismayvarydependingontheindividual,thesociety, and over time. In this situation, Article 2 of the Council Directive is helpful. AcosmeticproductputonthemarketwithintheCommunitymustnotcause damagetohumanhealthwhenappliedundernormalorreasonablyforesee- ableconditions ofuse. Therefore,consumersafetyisofutmostimportanceincosmetics,whileitisarela- tiveissueindrugs,whereabalancedbenefit–riskassessmenthastobemadede- v vi Preface pending on the severity of the disease. This is reflected by a recent decision of theScientificCommitteeonCosmeticsandNon-FoodProducts(SCCNFP)ofthe European Commission regarding the use of the antifungal ketoconazole in cos- metics. Following a thorough review of the safety profile of the substance, the SCCNFPdecidedthattherewerenosafetyconcernsinusingupto2%ketocona- zoleincosmeticproducts.Obviously,thisonlyreferstothecosmeticuseofketa- conazole-containingproducts(e.g.,asantidandruffpreparations);whenusedtotreat fungalskindisease,theywouldbeconsidereddrugsfromaregulatorypointofview. TheCouncilofEuropeisanintergovernmentalinstitutionthatfosterscoop- erationbetween Europeancountries.Membersarenot onlytheEuropeanUnion memberstates,butalsonearlyallothercountriesontheEuropeanContinent.Its PublicHealth Committee/Committee of Expertson CosmeticProducts statesin a recent document (Comparative Study on Borderline Products and Borderline Situations,RD4-1/32/1999)thatacosmeticproducthastofulfillthefourcriteria offunction(Art.1asabove);presentation(i.e.,theclaimsmadefortheproduct); mode of application (i.e., externally or on the mucous membranes of the oral cavity);andcomposition(i.e.,notcontainingaprohibitedsubstanceortoomuch ofaregulatedsubstance).TheCommitteehasanalyzedthesecriteriaforanumber of cosmetic designations and substances and found that remarkable differences existintheregulatoryapproachbetweencountries.Forexample,inSwitzerland, productscontainingupto10%αhydroxyacidsareconsideredcosmetics,whereas concentrationsabove10%leadtotheclassificationofpharmaceutical.InAustria, theconcentrationlimitis30%,whilethereisnolimitinBelgium,Finland,Ger- many,theNetherlands,andtheU.K.(RD4-1/32/1999).Sincedifferentclassifi- cationofthesameproductshindersfreemovementofgoodsandhasanegative effectontheestablishmentandfunctioningofacommonmarket,theCommittee rightfully proposes to start a harmonization process regarding these borderline products, and states Such a harmonisation process may come to the benefit of all parties in- volved—includingtheconsumer. We hope that this book will contribute to a sincere discussion of the status of ‘‘cosmeceuticals,’’productsthatareintendedforcosmeticusebutcontainactive substances. Since people worldwide are getting older, becoming more aware of their skin health and appearance, and more committed to use safe and effective products to achieve this goal, this debate is a timely one. Finally,wewouldliketo taketheopportunitytothankthecontributorsto thisbook,allexpertsintheirfields,whodevotedtimeandefforttotheirchapters. We are also indebtedto SandraBeberman and ElyceMisher ofMarcel Dekker, Publishers, who were more than helpful in the editorial process. Peter Elsner Howard I. Maibach
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