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> In case of allergy to sulfites/metabisulfites

Update February 2000

M. DROUET
A. SABBAH
S. DESPREZ
AM. FAVREAU
C. JOUAULT
C. POUPIN
Service d'Allergologie
Service Diététique
CHU
49033 ANGERS Cedex 01
France

ALIM'INTER
Vol 4 - n° 18
may 1999

Sulphites are food preservatives usually referred to by a number on the packaging :

E 220	Sulphurous anhydride
E 221	Sodium sulphite
E 222	Sodium acid sulphite
E 223	Sodium bisulphite
E 224	Potassium bisulphite
E 226	Calcium sulphite
E 227	Calcium acid sulphite
E 228	Potassium acid sulphite

	AUTHORIZED FOODS	FOOD LIKELY TO CONTAIN SULPHITES
MILK AND DAIRY PRODUCTS	• All milk • All cheeses
MILK AND DAIRY PRODUCTS	• All fresh dairy and milk products except…	…those containing prunes, raisins, candied fruits
MEAT	• All meats • All pork preparations	Hamburger meat containing vegetable products and/or cereals (in England)
EGGS	All
FISH, SHELLFISH AND SEAFOOD	• All fresh fish, preserved or frozen fish without seasoning • Shellfish	• Dried and salted fish • All fresh, preserved or frozen seafood (prawns, crabs, etc.)
BREAD CEREALS AND DERIVATIVES	• All breads • Danish pastries and cakes • Crackers, sandwich bread • Breakfast cereals • Pasta, rice, semolina, corn • Starch, flour, tapioca	All the products in this group containing dried or oleaginous fruits
POTATOES	Potatoes in their jackets	• Ready-prepared potatoes • Instant purée • Frozen potatoes and all preparations containing potatoes
DRIED VEGETABLES	All except…	…Haricot beans, chick peas and other white dried vegetables
GREEN VEGETABLES	• All fresh, preserved or frozen green vegetables and mushrooms, except…	• White vegetables (salsify, endives, asparagus, onions, etc.) preserved, frozen, ready-to-use or dry for onions. • Dried mushrooms in preserves or frozen • All vegetables preserved in vinegar, oil or brine, except olive. • Yellow peppers in brine • Dried tomato soup mix • Dried soup containing tomato.
GREEN VEGETABLES	• Les champignons sauf…	…les champignons déshydratés en conserve ou surgelés.
FRUITS	• All fresh fruit washed and peeled	• Table grapes, litchis
	• All cooked fruits	• Bigarreau litchis in preserves and rehydrated dried fruits
	• Fruits in syrup except Stewed fruit except…	• Compote containing prunes • All dried fruits (prunes, apricots, fig, raisins, banana, etc.) • All oleaginous fruits (walnuts, hazel nuts, peanuts, etc.) shelled or whole. • Candied fruits, candied fruit peel (crystallized or glacé)
FATS	• Butter, margarines, fresh cream All oils
SUGAR AND SWEET FOODS	• Sugar, honey • Jams and jellies Ice creams and sorbets except…	…sugar containing fruit pectin for jams Jams and jellies including those with low carbohydrate content except fine quality ones Industrial biscuits and cakes filled with fruit (Figolu, Pims, etc.) those with prunes, dried fruits or oleaginous fruits
DRINKS	• Eaux du robinet, de source, minérales, plates, gazeuses, pétillantes… • Eaux aromatisées (Perrier, Vitteloise, Volvic…) • Café, thé, infusions • Jus de fruits frais "maison" des fruits autorisés	Mélange pour salade avec des noix
	• 100% fruit juice, except…	• Grape juice • Orange, grapefruit, apple and pineapple juice sold in bulk for caterers • Lime and lemon juice (industrial products)
	• Fruit syrups • Drinks with vegetable extracts and sodas (lemonade, soda, bitter, tonic and cola) • Alcohols (whisky, aniseed drinks, liqueurs, etc.)	• Beer with or without alcohol • Wines with or without alcohol • Hydromel, cider, perry, fruit wines with or without alcohol, sparkling or flat
MISCELLANEOUS	• Seasoning, herbs, garlic, onions and fresh shallots • Alcohol vinegar • Spices	• Vinegars : lemon vinegar and other lemon-based seasoning • Mustards and any sauce containing mustard

You are also advised that some medicinal products may contain sulphites. These include :
• all capsules,
• all syrups,
• many injectable solutions,
• all local anesthetics including adrenalin.

Some medicines and cosmetics products may contain sulphites. It is therefore required that your physician or your pharmacist check up the composition before delivering any of them.

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