TiO₂ is also used in oral pharmaceutical formulations, and the Pharmaceutical Excipients handbook considers nano-sized TiO₂ a non-irritant and non-toxic excipient. Despite the fact that TiO₂ submicron- and nano-sized particles are widely used as food and pharmaceutical additives, information on their toxicity and distribution upon oral exposure is very limited.

Titanium dioxide is a versatile material with a wide range of applications. Some of its most common uses include:
1. Pigment and Food Coloring
Titanium dioxide is one of the most widely used white pigments, often used to add whiteness and brightness to products. It is used in the production of paints, coatings, plastics and other products to provide a white color or opacity.
It’s also used in food products to provide a white color. Candies, cakes and creamers are examples of foods that may contain titanium dioxide for its color enhancing and bleaching properties.
2. Cosmetics
Titanium dioxide is often used as a UV absorber and pigment in cosmetic products, such as foundations, lipsticks, creams, sunscreens and other skin care products. It helps protect the skin from the harmful effects of UV rays by blocking them, while providing a brightening effect.
However, it can cause photosensitivity, which

Lithopone

European food safety regulators have since labeled titanium dioxide as no longer safe for human consumption, due to its potential toxicity. 

Lithopone: an alternative to titanium dioxide

This cytotoxic effect was also reported before; i.e. Natarajan et al. conducted an experiment that found a strong oxidative stress, morphological changes in mitochondria and substantial loss in the fusion of primary hepatocytes exposed to P25TiO₂NPs [52].

On November 23, 2022, the General Court of the European Union reversed the conclusion that titanium dioxide was carcinogenic and released a statement (1,2):

“First, the Commission made a manifest error in its assessment of the reliability and acceptability of the study on which the classification was based and, second, it infringed the criterion according to which that classification can relate only to a substance that has the intrinsic property to cause cancer.”
 
As part of our mission at CRIS we base our safety assessments on the currently available scientific evidence and consider many variables (e.g., study quality, journal of publication, etc.), even if it goes against previous conclusions. Evidence-informed decisions making is critical to ensure that the laws and regulations put into place are for the benefit of the population.
 
The EU General Court maintains that the scientific evidence presented wasn’t the complete picture for the ingredient, “in the present case, the requirement to base the classification of a carcinogenic substance on reliable and acceptable studies was not satisfied.”

Uses & Benefits