Fragrancehigh risk Common irritant

Fragrance Mix II

The second-generation fragrance patch test — six newer allergens that Fragrance Mix I misses

INCIParfum

Category
Fragrance
Risk level
high
What it is
A patch-test reagent — 6 "newer" fragrance allergens, used together with FM I
The 6 components
Lyral (HICC, now EU-banned), citral, farnesol, citronellol, hexyl cinnamal, coumarin
Why both mixes
FM I + FM II together catch the majority of fragrance allergy; testing both is standard
Natural-oil relevance
Citral (lemongrass/citrus) and citronellol (rose/geranium) make "natural" products relevant here
Names on labels

Look for these names on ingredient lists

This ingredient may appear under any of these names:

Fragrance Mix IIParfumFragrance Mix IIFM IIFM2
Check if your products contain Fragrance Mix II.

Commonly found in

Perfume & cologneCitrus-/floral-scented skincare & soap"Natural"/essential-oil productsDeodorant

Possible reactions

  • Allergic contact dermatitis at fragrance-contact sites
  • Facial and neck dermatitis from fragranced cosmetics
  • Airborne contact dermatitis from perfume
  • Hand dermatitis from fragranced soaps/washes
Quick checkers

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What is Fragrance Mix II?

Fragrance Mix II (FM II) is a patch-test reagent that complements Fragrance Mix I by screening for six fragrance allergens FM I doesn't cover. It was added to European and American standard series in the mid-2000s, once researchers recognised FM I was missing a chunk of clinically relevant reactions. Together, the two mixes catch the majority of fragrance allergy.

The six components (each with its own page here):

  1. Lyral / HICC — synthetic muguet; banned in EU cosmetics since 2019
  2. Citral — lemon note in citrus and lemongrass oils
  3. Farnesol — floral; also a deodorant antibacterial
  4. Citronellol — rose note in geranium/citrus oils
  5. Hexyl cinnamal — synthetic jasmine
  6. Coumarin — sweet hay/tonka note

Why it matters — including for "natural" products

Like FM I, these sensitise via Type IV hypersensitivity. Two features stand out:

  • Lyral was a huge problem — at restriction it affected ~2–3% of the European population and over 10% of dermatitis patients, which is exactly why the EU banned it (2019). It can still appear in older or non-EU products.
  • "Natural" relevance — citral is the main component of lemongrass and citrus oils, and citronellol comes from rose and geranium, so FM II is highly relevant to essential-oil and aromatherapy users, not just synthetic perfume.

Dual positivity (FM I and FM II) is common, and people sensitive to FM I components are more likely to react to FM II's too.

After a positive test

  1. Go fragrance-free, verifying the ingredient list.
  2. Mind citrus/"natural" products specifically if citral is your trigger.
  3. Check region for lyral — EU post-2019 products are lyral-free; non-EU products may not be.
  4. Component testing can identify which of the six is yours.

The bottom line

Fragrance Mix II is the essential companion to FM I — six newer allergens (including the now-banned lyral and the lemongrass allergen citral) that round out fragrance-allergy screening. If you clearly react to scent but FM I was negative, FM II is the next test to ask for.

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References & further reading

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