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Licorice
(Glycyrrhiza glabra)
 
 Plant Part Used  
Root
 Introduction Back to Top
Licorice originated in the Mediterranean and Middle East and has been used medicinally and as a flavoring agent since at least 500 B.C. It has been used traditionally for fatigue (in the case of adrenal gland insufficiency, 1) as an expectorant,(2) in gastrointestinal distress (particularly of benefit in ulcers, 3, 4, 5) and in inflammation.(6, 7) Licorice is used to flavor a wide variety of candies, gum, tobacco products, and beverages.
 Reported Uses Back to Top
Interactions
Herb/Nutrient Depletions
Electrolytes
Drug/Herb Interactions
Antihypertensive medications
Diuretic medications
digoxin
Laxatives
Corticosteroid medications
nitrofurantoin
Estrogen and estrogen-like medications
Oral contraceptives
lithium
Anticoagulant medications
Antiplatelet medications
Studies suggest that licorice has a supportive effect on the functions of the adrenal gland. This may result from its ability to help regulate the production of one of the chief steroids produced by the adrenal gland, cortisol.(8)

Other studies have found that licorice may inhibit the chemical processes that lead to inflammation in the body. What's more, licorice may also stimulate the production of antibodies and may therefore boost the body's immunity to viral and bacterial invaders.(9, 10, 11, 12)

Licorice has also been used as an expectorant. This is due to its ability to stimulate mucous production in the throat.(13) These benefits are related to licorice's application in the treatment of stomach ulcers. According to research, deglycyrrhizinated licorice, or DGL, has the ability to protect the irritated mucous membranes of the stomach lining and reduce symptoms of stomach ulcers.(14, 15)

Licorice root has demonstrated the ability to protect the liver from certain damaging chemicals.(16) These protective capabilities are reported to be due to antioxidant effects.(17, 18, 19)

 Dosage Info Back to Top
Dosage Range Most Common Dosage Standardization
250-500mg (standardized extract), 3 times a day
-OR-
15-30 drops of a liquid extract (1:4w/v), 3 times a day in favorite beverage.

DGL licorice: 250-500mg, 3 times a day; products should be chewed for optimal results.

Tea: One cup of hot water over one teaspoonful of herb after each meal.(20)

250mg (standardized extract), 3 times a day
-OR-
15-30 drops of a liquid extract (1:4w/v), 3 times a day in favorite beverage.

DGL licorice: 250mg, 3 times a day; products should be chewed for optimal results.

Tea: One cup of hot water over one teaspoonful of herb after each meal.

The most current available medical and scientific literature indicates that this dietary supplement should be standardized to 12-20% glycyrrhizin per dose (also known as glycyrrhizic or glycyrrhizinic acid); DGL (deglycyrrhizinated licorice) standardized to no greater than 1-2% glycyrrhizin per dose. Licorice supplements can be purchased in two forms. Regular licorice products with a glycyrrhizin (also known as glycyrrhizic or glycyrrhizinic acid)content usually of 12-20%, and then deglycyrrhizinated licorice (DGL), with a glycyrrhizin content usually not greater than 1-2%. The DGL product is recommended for peptic ulcer disease (chewable only) and those individuals susceptible to cardiovascular diseases such as hypertension. The products with a higher glycyrrhizin content are used as expectorants and for adrenal stress.
 
*Standardization represents the complete body of information and controls that serve to enhance the batch to batch consistency of a botanical product, including but not limited to the presence of a marker compound at a defined level or within a defined range.(21)
 Toxicities & Precautions Back to Top
Be sure to tell your pharmacist, doctor, or other health care providers about any dietary supplements you are taking. There may be a potential for interactions or side effects.
Health Conditions
If you have hypertension,(22) kidney(22) or liver problems,(23) talk to your doctor before taking this dietary supplement.
Side Effects
Side effects are possible with any dietary supplement. The non-DGL form of this dietary supplement may cause increased blood pressure, potassium loss, weakness and edema.(24, 25, 26) It is safest to use a DGL form of licorice to avoid these side effects. Tell your doctor if these side effects become severe or do not go away.(27)
Pregnancy/Breast-Feeding
To date, the medical literature has not reported any adverse effects related to fetal development during pregnancy or to infants who are breast-fed. Yet little is known about the use of this dietary supplement while pregnant or breast-feeding. Therefore, it is recommended that you inform your healthcare practitioner of any dietary supplements you are using while pregnant or breast-feeding.
Age Limitations
To date, the medical literature has not reported any adverse effects specifically related to the use of this dietary supplement in children. Since young children may have undiagnosed allergies or medical conditions, this dietary supplement should not be used in children under 10 years of age unless recommended by a physician.
 Footnotes Back to Top
1 Gibson MR. Glycyrrhiza in Old and New Perspectives. Lloydia. 1978;41(4):348-54.
View Abstract
2 Bradley PR, ed. British Herbal Compendium. Dorset, England: Bournemouth; 1992:145-48.
3 Wilson JA. A Comparison of Carbenoxolone Sodium and Deglycyrrhizinated Liquorice in the Treatment of Gastric Ulcer in the Ambulant Patient. Br J Clin Pract. 1972;26:563-66.
4 Van Marle J, et al. Deglycyrrhizinated Liquorice (DGL) and the Renewal of Rat Stomach Epithelium. European Journal of Pharmacology. 1981;72:219-25.
View Abstract
5 Morgan AG, et al. Comparison between Cimetidin and Caved-S in the Treatment of Gastric Laceration, and Subsequent Maintenance Therapy. Gut. 1982;23:545-51.
View Abstract
6 Tangri KK, et al. Biochemical Study of Anti-inflammatory and Anti-arthritic Properties of Glycyrrhetic Acid. Biochemical Pharmacology. 1965;14:1277-81.
7 Akamatsu H, et al. Mechanism of Anti-inflammatory Action of Glycyrrhizin: Effect on Neutrophil Functions Including Reactive Oxygen Species Generation. Planta Medica. 1991;57:119-21.
View Abstract
8 MacKenzie MA, et al. The Influence of Glycyrrhetinic Acid on Plasma Cortisol and Cortisone in Healthy Young Volunteers. J Clin Endocrin Metab. 1990;70:1637-43.
View Abstract
9 Kimura Y, et al. Effects of Chalcones Isolated from Licorice Roots on Leukotriene Biosynthesis in Human Polymorphonuclear Neutrophils. Phytotherapy Res. 1988;2:140-45.
10 Shinada M, et al. Enhancement of Interferon-gamma Production in Glycyrrhizin-Treated Human Peripheral Lymphocytes in Response to Concanavalin A and to Surface Antigen of Hepatitis B Virus. Proc Soc Exp Biol Med. 1986;181(2):205-10.
View Abstract
11 Abe N, et al. Interferon Induction by Glycyrrhizin and Glycyrrhetinic Acid in Mice. Microbiol Immunol. 1982;26:535-39.
12 Li W, Asada Y, Yoshikawa T. Antimicrobial Flavonoids from Glycyrrhiza glabra Hairy Root Cultures. Planta Med. Dec1998;64(8):746-7.
View Abstract
13 Bradley PR, ed. British Herbal Compendium. Dorset, England: Bournemouth; 1992:145-48.
14 Van Marle J, et al. Deglycyrrhizinated Liquorice (DGL) and the Renewal of Rat Stomach Epithelium. European Journal of Pharmacology. 1981;72:219-25.
View Abstract
15 Van Marle J, et al. Deglycyrrhizinated Liquorice (DGL) and the Renewal of Rat Stomach Epithelium. European Journal of Pharmacology. 1981;72:219-25.
View Abstract
16 Kiso Y, et al. Mechanism of Antihepatotoxic Activity of Glycyrrhizin. I: Effect on Free Radical Generation and Lipid Peroxidation. Planta Med. Aug1984;50(4):298-302.
17 Luper S. A Review of Plants Used in the Treatment of Liver Disease: Part Two. Altern Med Rev. Jun1999;4(3):178-88.
View Abstract
18 Konovalova GG, et al. Antioxidant Activity of Parapharmaceutics Containing Natural Inhibitors of Free Radical Processes. Bull Exp Biol Med. Jul2000;130(7):658-60.
View Abstract
19 Haraguchi H, et al. Protection of Mitochondrial functions against oxidative stresses by isoflavans from Glycyrrhiza glabra. J Pharm Pharmacol. Feb2000;52(2):219-23.
View Abstract
20 PDR for Herbal Medicines, 2nd ed. Montvale, NJ: Medical Economics Company; 2000:473.
21 American Herbal Products Association. Use of Marker Compounds in Manufacturing and Labeling Botanically Derived Dietary Supplements. Silver Spring, MD: American Herbal Products Association; 2001.
22 Folkersen L. Licorice. A basis for precautions one more time! Ugeskr Laeger. Dec1996;158(51):7420-1.
View Abstract
23 PDR for Herbal Medicines, 2nd ed. Montvale, NJ: Medical Economics Company; 2000:473.
24 Epstein MT, et al. Effect of Eating Liquorice on the Renin-angiotensin-aldosterone Axis in Normal Subjects. Br Med J. 1977;1:488-90.
View Abstract
25 Takeda R, et al. Prolonged Pseudoaldosteronism Induced by Glycyrrhizin. Endocrinology Japan. 1979;26(5):541-47.
View Abstract
26 Farese RV, et al. Licorice-induced Hypermineralocorticoidism. New England J Med. 1991;325:1223-27.
27 Glick L. Deglycyrrhizinated Liquorice for Peptic Ulcer. Lancet. 1982;2(8302):817.

 

About Licorice
Introduction
Reported Uses
Dosage Info
Precaution
Footnotes

Health Conditions Related to Licorice
Bronchitis, Chronic
Crohn's Disease
Peptic Ulcer Disease (PUD)

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