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Herbs, Vitamins & Supplements; Photo of herbs and vitamins

Licorice Root

Botanical Name(s):

Glycyrrhiza glabra l. Family: Fabaceae

Other Name(s):

sweet root

General Description:

Licorice is a herbaceous perennial commonly grown in southeastern Europe and western Asia. It has been used since ancient times as a flavoring agent and as an expectorant.

The medicinal parts of the licorice plant are the unpeeled dried roots and runners, and the rhizome (underground stem). Licorice contains the compound glycyrrhizin, which is 50 times sweeter than sugar. Excessive glycyrrhizin glycoside from eating too much licorice can result in fluid retention and hypertension.

Medically Valid Uses:

The primary use of licorice is as a flavoring agent in products such as toothpaste, throat lozenges and tobacco. (Currently, most "licorice" candy is actually flavored with anise oil and not real licorice.)

Licorice is no longer used to treat ulcers, as it once was, although carbenoxolone, a semi-synthetic derivative of licorice, is marketed as an anti-ulcer drug outside the United States.

Unsubstantiated Claims:

Please note that this section reports on claims that have NOT yet been substantiated through scientific studies.

Licorice has been associated with a wide range of claims, including its possible use as an expectorant or anti-tussive (for cough and bronchitis), as an anti-allergenic or anti-inflammatory, as a hypolipidemic (for lowering cholesterol and triglyceride levels), as a preventative for plaque and tooth decay, as an anti-microbial or antiviral, as an anti-hepatotoxic (for protecting the liver), as an anti-cocaine hydrochloride and chloral hydrate, as an anti-snake venom, tetanus and globefish toxins, and as an immunosuppressive.

Licorice has also been used in the management of inflammation of the stomach (gastritis), viral liver disease and skin conditions (when used topically).

Dosing Format:

The common dosage is 5 to 15 grams of licorice root daily (200 to 600 mg of glycyrrhizin) for no longer than four to six weeks. Serious side effects can result from higher dosages.

Licorice root is often taken as a hot beverage: 2 to 3 g of the herb steeped in a half cup of hot water, simmered five minutes, strained and drunk three times a day after meals.

Side Effects, Toxicity and Interactions:

The side effects seen with high or prolonged dosages of licorice can be very serious. Licorice has an aldosterone-like effect, causing the sodium retention and potassium loss.

Excessive use of licorice can lead to hypertension, which can be severe. Edema (swelling due to excess water retention), headache, lethargy (fatigue) and eventually heart failure or cardiac arrest can result from taking too much of this herb.

Poisoning from over-consumption of real licorice-containing candy or licorice-containing tobacco has been reported.

Do not take this herb in the presence of low serum potassium, chronic hepatitis, cholestatic liver disease, liver cirrhosis, abnormalities of heart rhythm and other cardiovascular diseases, hypertension, severe renal insufficiency, hypokalemia, pheochromocytoma, aldosteronism, untreated hypothyroidism or chronic alcohol use.

Women who are pregnant or breast-feeding should not use this herb.

Do not take licorice while fasting, as serious electrolyte imbalances may occur.

Thiazide diuretics may increase potassium loss when used in combination with licorice. The effects of digitalis can be indirectly increased since digitalis sensitivity is increased by low serum potassium levels.

Licorice may interfere with the effects of aldactone, a drug used to treat hypertension. Talk to your health care provider before you take licorice.

Additional Information:

Click here for a list of reputable Web sites with general information on nutrition.

References:

  1. Gruenwald J, Brendler T, Jaenicke C, eds. PDR for Herbal Medicines. Montvale, NJ: Medical Economics Company; 1998.

  2. Tyler V. The Honest Herbal: A Sensible Guide to the Use of Herbs and Related Remedies. New York, NY: Haworth Press, Inc.; 1993.

  3. Navarra T, Lipkowitz MA. Encyclopedia of Vitamins, Minerals, and Supplements. New York, NY: Facts on File, Inc.; 1996:122.

  4. Robbers JE, Tyler VE. Tyler's Herbs of Choice: The therapeutic use of phytomedicinals. Binghamton, NY: Haworth Press, 1999.

  5. Miller LG, Murray WJ. Herbal Medicinals. Binghamton, NY: Pharmaceutical Products Press, Haworth Press Inc.; 1998:82-85.

  6. Klepser TB, Klepser ME. Unsafe and potentially safe herbal therapies. Am J Health Syst Pharm. 1999;52(2):125-138.

  7. Belinky PA, Aviram M, Fuhrman B, et al. The antioxidative effects of the isoflavan glabridin on endogenous constituents of LDL during its oxidation. Atherosclerosis. 1998;137(1):49-61.

  8. Cantelli-Forti G, Raggi MA, Bugamelli F, et al. Toxicological assessment of liquorice: biliary excretion in rats. Pharmacol Res. 1997;35(5):463-470.

  9. Kroes BH, Beukelman CJ, VanDenBerg AJJ, et al. Inhibition of human complement by beta-glycyrrhetinic acid. Immunology. 1997;90(1):115-120.

  10. Arase Y, Ikeda K, Murashima N, et al. The long term efficacy of glycyrrhizin in chronic hepatitis C patients. Cancer. 1997;79(8):1494-500.

  11. van Rossum TG, Vulto AG, de Man RA, Brouwer JT, Schalm SW. Review article: glycyrrhizin as a potential treatment for chronic hepatitis C. Aliment Pharmacol Ther. 1998;12(3):199-205.

  12. Wu P, Zhang Y, Liu Y, et al. Effects of glycyrrhizin on production of vascular aldosterone and corticosterone [In Process Citation]. Horm Res. 1999;51(4):189-92.

Online Editor: Joann Eudes RN MS
Online Medical Reviewer: Eudes, Joann RN, MS
Online Medical Reviewer: Harrell, Jennifer MA, RD, LD
Date Last Reviewed: 10/24/2009
Date Last Modified: 8/5/2009