Are Paper Receipts Toxic? What to Know

Are Paper Receipts Toxic? And Is It Safe to Touch Them?

Are Paper Receipts Toxic? And Is It Safe to Touch Them?
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Paper receipts have made headlines for their potential impact on your health, largely because they may contain bisphenol A (BPA), a widely used, potentially hazardous chemical found in plastics, resin linings, and beverage containers. They may also contain bisphenol S (BPS), a common replacement for BPA that may also pose health risks.

Some businesses in California were recently cited for exposing consumers to BPA from paper receipts without a warning.

 Here’s what to know about paper receipts — and tips on how to handle them safely.

What Are the Chemicals in Receipts?

Most store receipts use thermal paper, which is coated in chemicals like leuco dye (which turns dark when heated up), BPA or BPS to develop color, and stabilizers so the image stays intact.

The toxicology community hasn’t reached a consensus on the potential risks of paper receipts. Scientists are currently looking into BPA and BPS, which interfere with how your body’s hormones work. They’re interested to see how low-dose exposure can affect hormone-sensitive tissues like the brain, prostate, and breasts.

Although BPA has been used in receipts for decades, many companies switched to BPS as concerns about health risks grew. “Unfortunately, BPS appears to have similar health concerns,” says Don Thushara Galbadage, PhD, MPH, an associate professor of public health at Texas Christian University in Fort Worth, who studies microbiology and epidemiology.

Today, some safer alternatives like ascorbic acid appear to be gaining some traction, says Shannon Fitzgerald, PharmD, a toxicologist and pharmacist based in Haverfordwest, Wales. But “too often the more scrutinized BPA and BPS are merely substituted with other similar chemicals,” she says.

The Potential Health Risks of Receipts

Research shows BPA can mimic estrogen and bind to estrogen receptors, which can disrupt your hormonal signaling pathways. This poses risks to reproductive health, leading to irregular periods, ovulation issues, and decreased ovarian function or sperm quality. BPA may also cause inflammation and cell damage.

“Both chemicals act as endocrine disruptors, meaning they can mimic hormones and potentially interfere with reproductive, developmental, and metabolic processes,” says Dr. Galbadage. “The evidence is strong for BPA and increasingly convincing for BPS, raising concerns that replacing one with the other has not solved the problem.”

But do the levels of BPA and BPS in paper receipts cause enough exposure to be problematic? The research is not yet entirely clear. Just touching a receipt for a few seconds can transfer BPA to your skin, and the longer you’re in contact with it, the more exposure you’ll have. Using hand sanitizer before handling receipts can make matters worse, since the alcohol in hand sanitizer breaks down the skin’s natural barrier — meaning more BPA and BPS can be absorbed.

Research has also found links between exposure to endocrine-disrupting chemicals like BPA and other health issues, including cancer, metabolic disorders like diabetes, heart disease, and pregnancy problems.

Meanwhile, BPS has been linked to obesity, metabolic problems like gestational diabetes, reproductive harm, and hormone-related breast cancers.

 More research is needed to determine if the exposure you get from touching receipts is indeed a contributor to these issues.

Should I Be Worried About Handling Receipts?

While in most cases you likely don’t need to worry about everyday exposure to receipts, you may be at higher risk if you regularly touch a large volume of them. For instance, cashiers may be exposed at unsafe levels.

“For most consumers, occasional handling of receipts is a small and avoidable source of exposure,” says Galbadage. “The greater concern is for cashiers, servers, and other workers who handle receipts throughout the day. Their repeated, cumulative contact can result in much higher exposure, especially if their hands are moist or if they use sanitizer frequently.”

Even those who touch receipts at normal levels can spread the chemicals if they touch their face, food, or phone.

“Holding receipts with moist or greasy fingers and using hand sanitizers or lotions prior also enhances skin absorption of BPA and BPS,” says Dr. Fitzgerald.

There are environmental concerns with these chemicals, too, given that bisphenols also pose health risks to wildlife. “Depending on factors including water flow, temperature, and the nature of the material that they adhere to, these harmful chemicals can quickly spread throughout an ecosystem and persist for days in an aquatic setting,” says Fitzgerald.

By taking steps to reduce your exposure, you can limit the amount of BPA and BPS you’re potentially absorbing. “While we can’t eliminate every exposure, being informed allows us to reduce unnecessary risks, especially those with invisible, long-term health effects,” says Galbadage.

How to Handle Receipts Safely: 5 Tips

Receipts are a part of life for most people, but that doesn’t mean you have to accept the risks. With a few simple steps, you can avoid the toxic effects of receipts.

  1. Ask for digital receipts. “These are expected to become the standard in the future, with many speculating a vast decrease in thermal printing within the next five years due to environmental concerns,” says Fitzgerald.
  2. Strategize your handwashing. Don’t use hand sanitizer before handling a receipt, but do wash your hands afterward, says Galbadage. A widely cited study found that when applied before handling a thermal receipt, some common hand sanitizers can increase absorption of BPA by up to 100 times.

  3. Take precautions if you work with receipts regularly. “Workers can reduce risk by using protective finger cots or gloves when changing receipt rolls and washing hands before meals or breaks,” says Galbadage.
  4. Support retailers that use alternate types of receipts. “You can help shift the market by supporting retailers that use safer alternatives, like phenol-free paper or electronic receipts, and advocating for transparency and safer chemical policies from manufacturers,” says Galbadage. Learn more about retailers that are (or are not) using BPS- or BPA-free receipts with the Green America Skip the Slip report.
  5. Avoid receipts if you’re pregnant or spend time around children. “Pregnant people and children are considered more vulnerable because their developing systems are more sensitive to hormone-disrupting chemicals,” says Galbadage. “For this reason, it’s best to limit unnecessary contact in these groups.”

The Takeaway

  • Paper receipts often contain the bisphenol chemicals BPA and BPS, which may disrupt hormone function. This may impact reproductive, developmental, and metabolic health.
  • Even brief contact can transfer these chemicals to your skin, and use of hand sanitizers can significantly increase absorption. Workers who frequently handle receipts, such as cashiers, face the highest exposure risks.
  • You can reduce exposure by choosing digital receipts, washing hands after handling paper receipts, supporting businesses that use safer alternatives, and avoiding contact, especially if you’re pregnant or caring for children.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. About BPA and BPS in Receipt Paper. Ecology Center.
  2. Bisphenol S in Thermal Receipt Paper. State of California Department of Justice Office of the Attorney General. February 10, 2025.
  3. Are Receipts Toxic? University of Pittsburgh Medical Center. July 16, 2025.
  4. Samova S et al. The Silent Threat of BPA: Its Pervasive Presence and Impact on Reproductive Health. Environmental Health Insights. June 28, 2025.
  5. Chen J et al. Endocrine disrupting chemicals exposure and health: An umbrella review. Ecotoxicology and Environmental Safety. September 1, 2025.
  6. Thoene M et al. Bisphenol S in Food Causes Hormonal and Obesogenic Effects Comparable to or Worse than Bisphenol A: A Literature Review. Nutrients. February 19, 2020.
  7. Hormann AM et al. Holding thermal receipt paper and eating food after using hand sanitizer results in high serum bioactive and urine total levels of bisphenol A (BPA). PLoS One. October 22, 2014.

Sanjai Sinha, MD

Medical Reviewer
Sanjai Sinha, MD, is a board-certified internal medicine physician and an assistant professor of clinical medicine and the director of the care management program at Weill Cornell Medical College. Helping patients understand health information and make informed decisions, and communicating health topics effectively both in person and through patient educational content, is a challenge that animates his daily life, and something he is always working to improve.

Dr. Sinha did his undergraduate training at the University of California in Berkeley, where he graduated magna cum laude. He earned his medical degree at the Albert Einstein College of Medicine in New York City in 1998 and completed his internship and residency training at the New York University School of Medicine in 2001. Subsequently, he worked with the Department of Veterans Affairs from 2001 to 2012 and held faculty appointments at both the Mount Sinai School of Medicine and Columbia University College of Physicians and Surgeons.

In 2006, he won the VISN3 Network Director Award for Public Service and a commendation from the secretary of Veterans Affairs for his relief work after Hurricane Katrina. He joined Weill Cornell Medical College in 2012, where he is an assistant professor of clinical medicine and the director of the care management program, as well as a practicing physician.

In addition to his work for Everyday Health, Sinha has written for various publications, including Sharecare and Drugs.com; published numerous papers in peer-reviewed medical journals, such as the Journal of General Internal Medicine; and presented at national conferences on many healthcare delivery topics. He is a fellow of the American College of Physicians.

Kelsey Kloss

Author

Kelsey Kloss is a health and wellness journalist with over a decade of experience. She started her career as an in-house editor for brands including Reader’s Digest, Elle Decor, Good Housekeeping, Prevention, Woman's Day, and Redbook, and her work has been featured in over 50 publications.