Liquid paraffin, also known as ''paraffinum liquidum'', paraffin oil, liquid paraffin oil or Russian mineral oil, is a very highly refined

mineral oil Mineral oil is any of various colorless, odorless, light mixtures of higher alkanes from a mineral source, particularly a distillate of petroleum, as distinct from usually edible vegetable oils. The name 'mineral oil' by itself is imprecise, ...

used in

cosmetics Cosmetics are substances that are intended for application to the body for cleansing, beautifying, promoting attractiveness, or altering appearance. They are mixtures of chemical compounds derived from either Natural product, natural source ...

and

medicine Medicine is the science and Praxis (process), practice of caring for patients, managing the Medical diagnosis, diagnosis, prognosis, Preventive medicine, prevention, therapy, treatment, Palliative care, palliation of their injury or disease, ...

. Cosmetic or medicinal liquid paraffin should not be confused with the paraffin (i.e.

kerosene Kerosene, or paraffin, is a combustibility, combustible hydrocarbon liquid which is derived from petroleum. It is widely used as a fuel in Aviation fuel, aviation as well as households. Its name derives from the Greek (''kērós'') meaning " ...

) used as a fuel. The generic sense of paraffin meaning

alkane In organic chemistry, an alkane, or paraffin (a historical trivial name that also has other meanings), is an acyclic saturated hydrocarbon. In other words, an alkane consists of hydrogen and carbon atoms arranged in a tree structure in whi ...

led to regional differences for the meanings of both ''paraffin'' and ''paraffin oil''. It is a transparent, colorless, nearly odorless, and oily liquid that is composed of saturated

hydrocarbons In organic chemistry, a hydrocarbon is an organic compound consisting entirely of hydrogen and carbon. Hydrocarbons are examples of group 14 hydrides. Hydrocarbons are generally colourless and hydrophobic; their odor is usually faint, and may b ...

derived from

petroleum Petroleum, also known as crude oil or simply oil, is a naturally occurring, yellowish-black liquid chemical mixture found in geological formations, consisting mainly of hydrocarbons. The term ''petroleum'' refers both to naturally occurring un ...

. The term ''paraffinum perliquidum'' is sometimes used to denote light liquid paraffin, while the term ''paraffinum subliquidum'' is sometimes used to denote a thicker mineral oil.

History

Petroleum is said to have been used as a medicine since 400 BC, and has been mentioned in the texts of classical writers

Herodotus Herodotus (; BC) was a Greek historian and geographer from the Greek city of Halicarnassus (now Bodrum, Turkey), under Persian control in the 5th century BC, and a later citizen of Thurii in modern Calabria, Italy. He wrote the '' Histori ...

Plutarch Plutarch (; , ''Ploútarchos'', ; – 120s) was a Greek Middle Platonist philosopher, historian, biographer, essayist, and priest at the Temple of Apollo (Delphi), Temple of Apollo in Delphi. He is known primarily for his ''Parallel Lives'', ...

Dioscorides Pedanius Dioscorides (, ; 40–90 AD), "the father of pharmacognosy", was a Greek physician, pharmacologist, botanist, and author of (in the original , , both meaning "On Materia medica, Medical Material") , a 5-volume Greek encyclopedic phar ...

, Pliny, and others. It was used extensively by early Arabians and was important in early Indian medicine. Its first use internally is attributed to Robert A. Chesebrough, who patented it in 1872 for the manufacture of a "new and useful product from petroleum."

Usage in medicine

Liquid paraffin is primarily used as a pediatric laxative in medicine and is a popular treatment for

constipation Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. The Human feces, stool is often hard and dry. Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the ...

and

encopresis Encopresis () is voluntary or involuntary passage of feces outside of toilet-trained contexts (fecal soiling) in children who are four years or older and after an organic cause has been excluded. Children with encopresis often leak stool into ...

. Because of its ease of

titration Titration (also known as titrimetry and volumetric analysis) is a common laboratory method of Quantitative research, quantitative Analytical chemistry, chemical analysis to determine the concentration of an identified analyte (a substance to be ...

, the drug is convenient to synthesize. It acts primarily as a stool lubricant, and is thus not associated with abdominal cramps, diarrhea, flatulence, disturbances in electrolytes, or tolerance over long periods of usage, side effects that

osmotic Osmosis (, ) is the spontaneous net movement or diffusion of solvent molecules through a selectively-permeable membrane from a region of high water potential (region of lower solute concentration) to a region of low water potential (region o ...

and stimulant laxatives often engender (however, some literature suggests that these may still occur). The drug acts by softening the feces and coats the intestine with an oily film. Because of this it reduces the pain caused by certain conditions such as piles (haemorrhoids). These traits make the drug ideal for chronic childhood constipation and encopresis, when large doses or long-term usage is necessary. Consensus has not been entirely reached on the safety of the drug for children. While the drug is widely accepted for the management of childhood constipation in North America and Australia, the drug is used much less in the United Kingdom. The drug is endorsed by the American Academy of Pediatrics and the North American Society for Gastroenterology and Nutrition, with the latter organization outlining it as a first choice for the management of pediatric constipation. The drug is suggested to never be used in cases in which the patient is neurologically impaired or has a potential swallowing dysfunction due to potential respiration complications.

Lipoid pneumonia Lipoid pneumonia, also known as lipid pneumonia, is a rare form of lung inflammation (pneumonia) that develops when lipids (fats) enter the bronchial tree through aspiration or inhalation. Signs and symptoms Lipoid pneumonia can present as a fore ...

due to mineral oil aspiration is thus a recognized severe complication of this medication, and there is a need for a heightened awareness among caregivers about the potential dangers of inappropriate mineral oil use. Some go as far as saying that it should never be used with children due to this risk. Liquid paraffin is also used in combination with

magnesium Magnesium is a chemical element; it has Symbol (chemistry), symbol Mg and atomic number 12. It is a shiny gray metal having a low density, low melting point and high chemical reactivity. Like the other alkaline earth metals (group 2 ...

as an

osmotic laxative Laxatives, purgatives, or aperients are substances that loosen stools and increase bowel movements. They are used to treat and prevent constipation. Laxatives vary as to how they work and the side effects they may have. Certain stimulant, lubri ...

, sold under the trade name ''Mil-Par'' (among others). Additionally, it may be used as a release agent, binder, or lubricant on capsules and tablets.

Usage in cosmetics

Liquid paraffin is a hydrating and cleansing agent. Hence, it is used in several cosmetics both for skin and hair products. It is also used as one of the ingredients of after wax wipes.

Health

Upon being taken orally, liquid paraffin might interfere with the absorption of fat-soluble vitamins, though evidence does not seem to fully support this. It can be absorbed into the intestinal wall and may cause foreign-body granulomatous reactions in some rat species. These reactions might not occur in humans, however. Some evidence suggests that it engenders a lack of

carcinogenicity A carcinogen () is any agent that promotes the development of cancer. Carcinogens can include synthetic chemicals, naturally occurring substances, physical agents such as ionizing and non-ionizing radiation, and Biological agent, biologic agent ...

. If liquid paraffin enters the lungs, it can cause

lipoid pneumonia Lipoid pneumonia, also known as lipid pneumonia, is a rare form of lung inflammation (pneumonia) that develops when lipids (fats) enter the bronchial tree through aspiration or inhalation. Signs and symptoms Lipoid pneumonia can present as a fore ...

. If injected, it can cause granulomatous reactions.

References

{{Laxatives Excipients Laxatives

History

Usage in medicine

Usage in cosmetics

Health

See also

References