Cresol/Cresylic Acid
(A)
CRESOL/CRESYLIC ACID
o-CRESOL
m-CRESOL
p-CRESOL
1319-77-3, 95-48-7, 108-39-4, 106-44-5
Hazard Summary
Ambient air contains low levels of cresols from automobile exhaust, power plants, and oil refineries. Acute
(short-term) inhalation exposure by humans to mixed cresols results in respiratory tract irritation, with
symptoms such as dryness, nasal constriction, and throat irritation. Mixed cresols are also strong dermal
irritants. No information is available on the chronic (long-term) effects of mixed cresols in humans, while
animal studies have reported effects on the blood, liver, kidney, and central nervous system (CNS), and
reduced body weight, from oral and inhalation exposure to mixed cresols. Several animal studies suggest
that o-cresol, m-cresol, and p-cresol may act as tumor promotors. EPA has classified o-cresol, m-cresol,
and p-cresol as Group C, possible human carcinogens.
Please Note: The main sources of information for this fact sheet are EPA's IRIS (4), which contains information on oral
chronic toxicity and the RfD, and the carcinogenic effects of cresols, and the Agency for Toxic Substances and
Disease Registry's (ATSDR's) Toxicological Profile for Cresols. (1)
Uses
•	Mixed cresols are used as disinfectants, preservatives, and wood preservatives. (1)
•	o-Cresol is used as a solvent, disinfectant, and chemical intermediate. (1)
•	m-Cresol is used to produce certain herbicides, as a precursor to the pyrethroid insecticides, to produce
antioxidants, and to manufacture the explosive, 2,4,6-nitro-m-cresol. (1)
•	p-Cresol is used largely in the formulation of antioxidants and in the fragrance and dye industries. (1)
Sources and Potential Exposure
•	Mixed cresols may be found in ambient air; sources are car exhaust, electrical power plants, municipal solid
waste incinerators, oil refineries, and cigarettes. (1)
•	People in residential areas where homes are heated with coal, oil, or wood may be exposed to mixed
cresols in the air. (1)
•	Some foods, such as tomatoes, ketchup, asparagus, cheeses, butter, bacon, and smoked foods, as well as
beverages, such as red wine, raw and roasted coffee and black tea, contain mixed cresols. (1)
•	Occupational exposure to mixed cresols may also occur at workplaces where mixed cresols and/or cresol
containing products are produced or used. (1)
Assessing Personal Exposure
•	Mixed cresols can be measured in the urine of exposed individuals.

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Health Hazard Information
Acute Effects:
•	Acute inhalation exposure by humans to mixed cresols results in respiratory tract irritation, with symptoms
such as dryness, nasal constriction, and throat irritation. Mixed cresols are also strong dermal irritants.
Ingestion of high levels of mixed cresols by humans has resulted in effects on the respiratory system,
gastrointestinal system, blood, liver, kidney, and CNS. (1,2)
•	Animal studies have reported respiratory tract and eye irritation, and effects on the liver, kidney, and CNS
from acute inhalation exposure to mixed cresols. (1)
•	Acute animal tests in rats have shown mixed cresols to have moderate acute toxicity, while o-cresol, tri-
cresol, and p-cresol have been shown to have high acute toxicity from oral exposure. (3)
Chronic Effects (Noncancer):
•	No information is available on the chronic effects of mixed cresols in humans. (1)
•	Animal studies have reported effects on the blood, liver, kidney, and CNS, as well as reduced body weight,
from oral and inhalation exposure to mixed cresols. (1,5)
•	EPA has not established a Reference Concentration (RfC) or a Reference Dose (RfD) for mixed cresols. (4)
a The California Environmental Protection Agency (CalEPA) has established a chronic reference exposure level
of 0.004 milligrams per cubic meter (mg/m ) for mixed cresols based on bone marrow effects in rats. The
CalEPA reference exposure level is a concentration at or below which adverse health effects are not likely to
occur. It is not a direct estimator of risk, but rather a reference point to gauge the potential effects. At
lifetime exposures increasingly greater than the reference exposure level, the potential for adverse health
effects increases. (5)
•	EPA has not established an RfC for o-, m-, or p-cresol. (5-7)
•	The RFD for o-cresol and m-cresol is 0.05 milligrams per kilogram body weight per day (mg/kg/d) based
on decreased body weights and neurotoxicity in rats. The RfD is an estimate (with uncertainty spanning
perhaps an order of magnitude) of a daily oral exposure to the human population (including sensitive
subgroups) that is likely to be without appreciable risk of deleterious noncancer effects during a lifetime.
(5,6)
•	EPA has high confidence in the studies on which the RfDs are based because they provided adequate
toxicological endpoints that included both general toxicity and neurotoxicity; medium confidence in the
database because there are adequate supporting subchronic studies but lacking chronic toxicity and
reproductive studies; and, consequently, medium confidence in the RfD. (5,6)
•	The provisional RfD for p-cresol is 0.005 mg/kg/d based on neurological and respiratory effects in rabbits.
The provisional RfD is a value that has had some form of Agency review, but it does not appear on IRIS. (8)
Re productive/Develop mental Effects:
•	No information is available on the reproductive or developmental effects of mixed cresols in humans. (1)
•	Animal studies have reported developmental effects, but only at maternally toxic doses, and no
reproductive effects from oral exposure to mixed cresols. (1)
Cancer Risk:
•	Only anecdotal information is available on the carcinogenic effects of mixed cresols in humans. (4-7)
•	The only available oral animal study is a 1 3-week study that suggested that p-cresol may act as a promotor
for tumors of the forestomach. (1)
•	Several dermal animal studies have suggested that o-cresol, m-cresol, and p-cresol may act as tumor
promotors. (1,4-7)
•	EPA has classified o-cresol, m-cresol, and p-cresol as Group C, possible human carcinogens. (5-7)
Physical Properties

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•	Mixed cresols are colorless solids, but usually they occur as a brown liquid mixture. (1)
•	Mixed cresols have a medicinal odor; the odorthresold for m-cresol is 0.00028 parts per million (ppm).
(1,9)
•	The chemical formula for cresol is C H O, and the molecular weight is 1 08.1 4 g/mol. (1)
7 8
•	The primary synonym for o-cresol is 2-methylphenol; m-cresol is 3-methylphenol, and p-cresol is 4-
methylphenol. (5-7)
•	The vapor pressures, at 25 °C, for o-cresol, m-cresol, and p-cresol are 0.299 mm Hg, 0.1 38 mm Hg, and
0.1 1 mm Hg, respectively. (1)
¦ The octanol/water partition coefficients (log K ) for o-cresol, m-cresol, and p-cresol are 1.95, 1.96, and
ow
1.94, respectively. (1)
Conversion Factors:
3	3
To convert concentrations in air (at 2 5 °C) from ppm to^mg/m : mg/m = (ppm) x (molecular weight of the
compound)/(24.45). For cresols: 1 ppm = 4.42 mg/m .
Health Data from Inhalation Exposure
10000
1000
100
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1
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ai
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ACGIH TLV—American Conference of Governmental and Industrial Hygienists'threshold limit value expressed as a
time-weighted average; the concentration of a substance to which most workers can be exposed without adverse
effects.
NIOSH IDLH—National Institute of Occupational Safety and Health's immediately dangerous to life or health limit;
NIOSH recommended exposure limit to ensure that a worker can escape from an exposure condition that is likely to
cause death or immediate or delayed permanent adverse health effects or prevent escape from the environment.
NIOSH REL—NIOSH's recommended exposure limit; NIOSH-recommended exposure limit for an 8- or 1 0-h time-
weighted-average exposure and/or ceiling.
OSHA PEL—Occupational Safety and Health Administration's permissible exposure limit expressed as a time-
Cresols
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Health numbers
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weighted average; the concentration of a substance to which most workers can be exposed without adverse effect
averaged over a normal 8-h workday or a 40-h workweek.
The health and regulatory values cited in this factsheet were obtained in December 1 999.
a
Health numbers are toxicological numbers from animal testing or risk assessment values developed by EPA.
b
Regulatory numbers are values that have been incorporated in Government regulations, while advisory numbers
are nonregulatory values provided by the Government or other groups as advice. OSHA numbers are regulatory,
whereas NIOSH and ACGIH numbers are advisory.
c
This LOAEL is from the critical study used as the basis for the CalEPA reference exposure level.
Summary created in April 1 992; Updated in January 2000
References
1.	Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological Profile for Cresols. Public Health
Service, U.S. Department of Health and Human Services, Atlanta, GA. 1 990.
2.	U.S. Department of Health and Human Services. Hazardous Substances Data Bank (HSDB, online database).
National Toxicology Information Program, National Library of Medicine, Bethesda, MD. 1 993.
3.	U.S. Department of Health and Human Services. Registry of Toxic Effects of Chemical Substances (RTECS,
online database). National Toxicology Information Program, National Library of Medicine, Bethesda, MD.
1993.
4.	U.S. Environmental Protection Agency. Integrated Risk Information System (IRIS) on Tricresol. National
Center for Environmental Assessment, Office of Research and Development, Washington, DC. 1 999.
5.	U.S. Environmental Protection Agency. Integrated Risk Information System (IRIS) on 2-methylphenol.
National Center for Environmental Assessment, Office of Research and Development, Washington, DC.
1999.
6.	U.S. Environmental Protection Agency. Integrated Risk Information System (IRIS) on 3-methylphenol.
National Center for Environmental Assessment, Office of Research and Development, Washington, DC.
1999.
7.	U.S. Environmental Protection Agency. Integrated Risk Information System (IRIS) on 4-methylphenol.
National Center for Environmental Assessment, Office of Research and Development, Washington, DC.
1999.
8.	U.S. Environmental Protection Agency. Health Effects Assessment Summary Tables. FY 1 997 Update. Solid
Waste and Emergency Response, Office of Emergency and Remedial Response, Cincinnati, OH.
EPA/540/R-97-036. 1997.
9.	J.E. Amoore and E. Hautala. Odor as an aid to chemical safety: Odor thresholds compared with threshold
limit values and volatilities for 21 4 industrial chemicals in air and water dilution. Journal of Applied
Toxicology, 3(6):272-290. 1983.
1 0. California Environmental Protection Agency (CalEPA). Technical Support Document for the Determination of
Noncancer Chronic Reference Exposure Levels. Draft for Public Comment. Office of Environmental Health
Hazard Assessment, Berkeley, CA. 1997.
1 1. Occupational Safety and Health Administration (OSHA). Occupational Safety and Health Standards, Toxic
and Hazardous Substances. Code of Federal Regulations. 29 CFR 1 91 0.1 000. 1 998.
1 2. American Conference of Governmental Industrial Hygienists (ACGIH). 1 999 TLVs and BEIs. Threshold Limit
Values for Chemical Substances and Physical Agents. Biological Exposure Indices. Cincinnati, OH. 1 999.
1 3. National Institute for Occupational Safety and Health (NIOSH). Pocket Guide to Chemical Hazards. U.S.
Department of Health and Human Services, Public Health Service, Centers for Disease Control and
Prevention. Cincinnati, OH. 1 997.
A. x This fact sheet refers to the mixture of all three isomers of cresols as "mixed cresols" and the isomers by their
individual names.

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