⚠ Active warning — SupplementIndex Safety Review: Mercury sulfide. Neurotoxic.
Updated: 2026-05-29 · v2.0 · Prof. G. Pkhakadze, MD, MPH, PhDCiteEditorial
📰Read the full Cinnabar / Vermilion evidence review on GMJ News →Complete clinical article, references and updates on news.gmj.ge. This page is the structured safety summary.
5
Avoid
Cinnabar / Vermilion
Mercury(II) sulfide (HgS) — TCM: Zhu Sha
BannedStrongRestricted
RDA
TOXIC — mercury compound
Target
N/A
Upper limit
No safe dose
Products
—
Dosage by population group — reference
⚠ DANGEROUS — see overview [1]
ℹ️ Not obtained from food. Not applicable — this substance is not a dietary nutrient and should not be consumed as food.
🔬 Lab interpreter
ℹ️ No validated blood test. There is no established laboratory test to assess status or guide dosing for this ingredient. Clinical response and symptoms are the practical guide.
⚕ For professionals — confirm ranges against your local laboratory.
Clinical verdict
Cinnabar is MERCURY SULFIDE used intentionally in TCM/Ayurveda. Claims of 'insoluble = safe' are FALSE — gut bacteria convert to METHYLMERCURY (Minamata poison). Chronic use = mercury poisoning: neurological damage, renal failure. Documented toxic mercury levels in users. Intentionally consuming mercury [1].
1 How much do I need?
👤 Adults: Specific dosage data under clinical review
👴 Elderly: Specific dosage data under clinical review
🤰 Pregnancy: See guidance
ABSOLUTELY CONTRAINDICATED — mercury poisoning [1].
👦 Pediatric: See guidance
ABSOLUTELY NOT [1].
🏃 Athletes: Standard dose
⚖️ Obesity: Standard dose
Fat-soluble compounds may require dose adjustment in obesity.
🩺 Renal: Consult specialist
Dose adjustment may be needed in renal impairment.
🌱 Vegan: Standard dose

How to take

🍽 Timing: DO NOT USE [1].
💊 With food: N/A [1].
🚫 Avoid: COMPLETELY [1].
2 Which form?
FormBioavailabilityVeganCost
['See overview', 'restricted/banned', 'See overview [1].']StandardCheck label
3 Common questions
DANGER ▼
Cinnabar is MERCURY SULFIDE used intentionally in TCM/Ayurveda. Claims of 'insoluble = safe' are FALSE — gut bacteria convert to METHYLMERCURY (Minamata poison). Chronic use = mercury poisoning: neurological damage, renal failure. Documented toxic mercury levels in users. Intentionally consuming mercury [1].
4 Clinical evidence

Strong

See overview [1]. HIGH

Moderate

See overview [1]. MODERATE

Insufficient

See overview [1]. LOW
5 Safety, toxicity & adverse events

Absolute contraindications

✕ Should not be used — mercuric sulfide; mercury causes cumulative neurological and renal toxicity
✕ Pregnancy and children (developmental neurotoxicity)
✕ Renal impairment

Relative

⚠ Co-exposure to other heavy metals compounds harm

🚩 Red flags

● DANGEROUS — see overview [1]
6 Interactions

Drug interactions

See overview Lethal/major
Action: DO NOT USE [1].
7 Cite this page
Vancouver: Pkhakadze G. Cinnabar / Vermilion — safety profile [Internet]. Tbilisi: PHIG; 2026 [cited 2026 Oct 17]. Available from: https://supplement.ge/ingredients/cinnabar-vermilion/
APA 7th: Pkhakadze, G. (2026). Cinnabar / Vermilion — Safety profile. Public Health Institute of Georgia. https://supplement.ge/ingredients/cinnabar-vermilion/
📋 Editorial information
Author: Prof. G. Pkhakadze, MD, MPH, PhD
Affiliation: David Tvildiani Medical University (DTMU)
First published: January 2026
Last reviewed: 2026-05-29
Next review: April 2027
References: 1 cited sources
COI: SupplementIndex receives no funding from supplement manufacturers. All content independently authored by PHIG.
Process: Systematic literature review
📄 License & reuse
Published under Creative Commons Attribution 4.0 International (CC BY 4.0). You may share and adapt for any purpose with attribution.
Pkhakadze G. "Cinnabar / Vermilion — Safety Profile." SupplementIndex, PHIG, 2026. https://supplement.ge/ingredients/cinnabar-vermilion/ CC BY 4.0.
GP
Prof. G. Pkhakadze, MD, MPH, PhD
Professor of Public Health · Head of Department, DTMU
Editor-in-Chief, Georgian Medical Journal (ISSN 3088-4322)
Chair, Public Health Institute of Georgia · UEMS Public Health Section
Educational and public health purposes. CC BY 4.0. Consult your healthcare provider before starting any supplement. Corrections: info@accreditation.ge. Publisher: PHIG
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