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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

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NUTRITION u Evidence Based

What Are Licorice Root's Benefits and


Downsides?
Written by Kelli McGrane, MS, RD on June 12, 2020 — Medically reviewed by
Kathy W. Warwick, R.D., CDE

Uses Benefits Side effects Dosage & forms Bottom line

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Licorice root, which is considered one of the world’s oldest herbal


remedies, comes from the root of the licorice plant (Glycyrrhiza glabra)
(1  ).

Native to Western Asia and Southern Europe, licorice has long been used
to treat various ailments and flavor candies, drinks, and medicines (1  ,
2  ).

Despite this history, only some of its uses are backed by scientific
research. Furthermore, licorice may carry several health risks.

This article examines the uses, forms, benefits, side effects, and
recommended dosage of licorice root.

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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

How is licorice root used?


Medicinal use of licorice dates back to ancient Egypt, where the root was
made into a sweet drink for pharaohs (1  , 2  ).

It has also been used in traditional Chinese, Middle Eastern, and Greek
medicines to soothe an upset stomach, reduce inflammation, and treat
upper respiratory problems (2  , 3  ).

Contemporary uses

Today, many people utilize licorice root to treat ailments like heartburn,
acid reflux, hot flashes, coughs, and bacterial and viral infections. It’s
regularly available as a capsule or liquid supplement (2  ).

Additionally, licorice tea is said to soothe sore throats, while topical gels
are claimed to treat skin conditions like acne or eczema (4  ).

What’s more, licorice is used to flavor some foods and beverages (5  ).

Surprisingly, many licorice candies are flavored not with licorice root but
with anise oil — an essential oil from the anise plant (Pimpinella anisum)
that has a similar taste.

Plant compounds 

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While it contains hundreds of plant compounds, licorice root’s primary


active compound is glycyrrhizin (1  , 3  ).

Glycyrrhizin is responsible for the root’s sweet taste, as well as its


antioxidant, anti-inflammatory, and antimicrobial properties (1  , 3  , 6  ).

However, glycyrrhizin is also linked to many of the adverse effects of


licorice root. As a result, some products use deglycyrrhizinated licorice
(DGL), which has had the glycyrrhizin removed (1  ).

SUMMARY

Licorice root is used both as a flavoring agent and medicinal


treatment. It comes in many forms, including teas, capsules,
liquids, and even topical gels.

Potential benefits 
Current research shows promise for several of licorice root’s medicinal
uses.

May aid skin conditions

Licorice root contains over 300 compounds, some of which demonstrate


potent anti-inflammatory, antibacterial, and antiviral effects (3  , 7  , 8  ).

In particular, animal and test-tube studies link glycyrrhizin to anti-


inflammatory and antimicrobial benefits (1  , 3  , 5  ).

As a result, licorice root extract is used to treat a variety of skin conditions,


including acne and eczema.

In a 2-week study in 60 adults, applying a topical gel containing licorice


root extract significantly improved eczema (4  ).

Though topical licorice gels have also been used to treat acne, research

on its effectiveness is mixed and quite limited (9  ).

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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

May reduce acid reflux and indigestion

Licorice root extract is often used to relieve symptoms of indigestion,


such as acid reflux, upset stomach, and heartburn.

In a 30-day study in 50 adults with indigestion, taking a 75-mg licorice


capsule twice daily resulted in significant improvements in symptoms,
compared with a placebo (10  ).

Licorice root extract may also alleviate symptoms of gastroesophageal


reflux disease (GERD), including acid reflux and heartburn.

In an 8-week study in 58 adults with GERD, a low dose of glycyrrhetinic


acid in combination with standard treatment resulted in significant
improvements in symptoms (11  ).

Another study in 58 adults with GERD noted that the daily use of licorice
root was more effective at reducing symptoms over a 2-year period than
commonly used antacids (12).

While these results are promising, larger human studies are necessary.

May help treat peptic ulcers

Peptic ulcers are painful sores that develop in your stomach, lower
esophagus, or small intestine. They’re commonly caused by inflammation
resulting from H. pylori bacteria (13  ).

Licorice root extract and its glycyrrhizin may help treat peptic ulcers.

One study in mice found that licorice extract doses of 91 mg per pound
(200 mg per kg) of body weight protected against these ulcers better
than omeprazole, a common peptic ulcer medication (14  ).

While more research is needed in humans, a 2-week study in 120 adults


showed that consuming licorice extract in addition to a standard
treatment significantly reduced the presence of H. pylori (15  ).

May have anticancer properties



Due to its content of numerous plant compounds with antioxidant and
anti-inflammatory effects, licorice root extract has been studied for its
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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

protective effects against certain types of cancer (16  ).

In particular, licorice extract and its compounds have been linked to


slowing or preventing cell growth in skin, breast, colorectal, and prostate
cancers (16  , 17  , 18  , 19  ).

As research is limited to test tubes and animals, its effects on human


cancers are unknown.

Yet, licorice root extract may help treat oral mucositis — very painful
mouth sores that people with cancer sometimes experience as a side
effect of chemotherapy and radiation (20  , 21  ).

A 2-week study in 60 adults with head and neck cancer revealed that a
topical licorice film was just as effective as the standard treatment for oral
mucositis (20  ).

May ease upper respiratory conditions

Due to their anti-inflammatory and antimicrobial effects, both licorice root


extract and tea may aid upper respiratory conditions.

In particular, animal studies conclude that glycyrrhizin extract from licorice


root helps relieve asthma, especially when added to modern asthma
treatments (22  , 23  , 24  ).

While limited human research shows similar results, more rigorous, long-
term studies are needed (25  ).

Additionally, limited test-tube and human studies suggest that licorice root
tea and extract may protect against strep throat and prevent sore throat
after surgery (26  , 27).

Still, further research is needed.

May protect against cavities

Licorice root may help protect against bacteria that can lead to cavities.

A 3-week study gave 66 preschool-aged kids sugar-free lollipops 


containing 15 mg of licorice root twice per day during the school week.
Consuming the lollipops significantly reduced the number of
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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

Streptococcus mutans bacteria, which are the main cause of cavities


(28  ).

Test-tube studies also show licorice root extract to be effective at


protecting against bacteria commonly linked to cavities and tooth decay
(29  , 30  ).

However, more research is needed on the optimal dose and form of


licorice root.

Other potential benefits

Licorice root extract is tied to several other potential benefits. It may:

Aid diabetes. In a 60-day study in rats, daily intake of licorice root


extract resulted in significant improvements in blood sugar levels
and kidney health. This effect has not been confirmed in humans
(31  ).

Reduce menopause symptoms. Licorice root extract has been


proposed as a treatment for hot flashes during menopause.
However, the evidence on its effectiveness for this purpose is
limited (32  , 33  ).

Boost weight loss. Some studies indicate that licorice root extract
lowers body mass index (BMI) and supports weight loss. Yet, other
studies have not found any effects on weight (34  , 35  ).

Help treat hepatitis C. One test-tube study noted that adding


glycyrrhizin to a standard hepatitis C treatment significantly reduced
the virus’s spread. While promising, these results have not been
confirmed in humans (36  , 37  ).

SUMMARY

Licorice root may have potent antioxidant, anti-inflammatory, and


antimicrobial effects. Early research suggests that, as a result, it
may ease upper respiratory infections, treat ulcers, and aid
digestion, among other benefits.

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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

Potential side effects and precautions


The Food and Drug Administration (FDA) has deemed licorice root to be
generally recognized as safe for use in foods (2  ).

However, the FDA does not currently evaluate or verify supplements for
purity, effectiveness, or accuracy of ingredient labeling.

Additionally, the short-term use of licorice root supplements and teas is


widely considered safe. However, large doses may produce adverse
effects, and individuals with certain health conditions may wish to avoid it.

Licorice root overdose

Both chronic use and large doses of licorice root products may lead to
glycyrrhizin accumulation in your body.

Elevated levels of glycyrrhizin have been shown to cause an abnormal


increase in the stress hormone cortisol, which may cause imbalances in
your fluid and electrolyte levels (38  ).

As a result, chronic and large doses of licorice root products may trigger
several dangerous symptoms, including (2  , 38  , 39  ):

low potassium levels

high blood pressure

muscle weakness

abnormal heart rhythms 

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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

While rare, licorice poisoning can occur. It may result in kidney failure,
congestive heart failure, or excess fluid accumulation in the lungs
(pulmonary edema) (2  ).

Thus, individuals with high blood pressure, congestive heart failure,


kidney disease, or low potassium levels are encouraged to avoid
glycyrrhizin-containing licorice products altogether.

Pregnancy and breastfeeding

Consuming lots of licorice — and glycyrrhizin in particular — during


pregnancy may negatively affect your baby’s brain development.

In one study, children born to mothers who ate large amounts of


glycyrrhizin-containing licorice products during pregnancy were more
likely to have brain impairments later in life (40).

Therefore, pregnant women should avoid licorice supplements and limit


their intake of licorice in foods and beverages.

Due to a lack of research, children and breastfeeding women should also


avoid licorice products.

Drug interactions

Licorice root has been shown to interact with several medications,


including (2  ):

blood pressure medications

blood thinners

cholesterol lowering medications, including statins

diuretics

estrogen-based contraceptives

nonsteroidal anti-inflammatory drugs (NSAIDs)

People taking any of these medications should avoid licorice root


products unless their healthcare provider instructs otherwise.

SUMMARY
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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

Chronic use and large doses of licorice root can cause severe
fluid and electrolyte imbalances. Children, pregnant and
breastfeeding women, and those with kidney disease, heart
disease, or high blood pressure should avoid licorice products.

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Dosage and forms of licorice root


As a supplement, licorice root extract comes in several forms, including
capsules, powders, tinctures, topical gels, and teas. The root itself can
also be purchased either fresh or dried.

There’s currently no standard dosage recommendation. However, the


World Health Organization (WHO) and European Scientific Committee of
Food (SCF) both recommend limiting glycyrrhizin intake to no more than
100 mg per day (41  ).

Notably, those who eat large amounts of licorice products may be getting
more than this amount.

Furthermore, as products don’t always indicate the amount of glycyrrhizin,


it can be difficult to identify a safe amount. As a result, it’s important to
discuss a safe and effective dose with your healthcare provider.

Another option is to look for deglycyrrhizinated licorice (DGL) powders or


capsules.


These supplements are free of glycyrrhizin, which is responsible for most
of licorice’s side effects. Still, as this compound also contributes

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6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

numerous benefits, it’s unclear whether DGL products have the same
positive health effects.

SUMMARY

You can consume licorice root as a tea, tincture, powder, or


supplement. It can also be applied topically as a gel. While
there’s no standard dosage for licorice root, you should limit your
total glycyrrhizin intake no more than 100 grams per day.

Shop for licorice root products online


licorice candy
licorice tea
licorice extract and tincture
licorice capsules
licorice powder
DGL licorice supplements

The bottom line


https://www.healthline.com/nutrition/licorice-root 10/16
6/14/2020 Licorice Root: Benefits, Uses, Precautions, and Dosage

Licorice root has been used for thousands of years to help treat a variety
of ailments, including respiratory conditions and digestive distress.

Its plant compounds demonstrate potent antioxidant, anti-inflammatory,


and antimicrobial effects. Though it may relieve acid reflux, eczema,
peptic ulcers, and other health issues, more comprehensive human
studies are needed.

Still, licorice has adverse effects if it’s overconsumed or eaten frequently.


Consult your healthcare provider before trying licorice root supplements
or teas.

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Last medically reviewed on June 12, 2020

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