Understanding the Link Between Licorice and Blood Pressure
The connection between consuming black licorice and a rise in blood pressure is well-documented in medical literature. The primary culprit is a compound called glycyrrhizin, which is derived from the licorice root (Glycyrrhiza glabra). When ingested in sufficient quantities, glycyrrhizin can trigger a chain reaction that leads to hypertension.
The Mechanism of Glycyrrhizin
Glycyrrhizin's effect on blood pressure stems from its ability to inhibit an enzyme called 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2). This enzyme's normal function is to inactivate cortisol, a hormone that circulates in the body. When 11β-HSD2 is blocked, cortisol can act on the same receptors as aldosterone, a hormone that regulates salt and water balance in the kidneys.
This interaction leads to a cascade of effects:
- Increased Sodium Retention: The excess cortisol and subsequent mineralocorticoid activity cause the kidneys to retain more sodium.
- Potassium Loss: Concurrently, the body begins to excrete potassium, potentially leading to abnormally low levels (hypokalemia).
- Fluid Retention: The increased sodium retention leads to fluid buildup in the body, which increases blood volume.
- Elevated Blood Pressure: The combination of increased blood volume and sodium retention puts more pressure on the blood vessel walls, resulting in hypertension.
Australian Licorice and its Glycyrrhizin Content
So, does Australian licorice raise blood pressure in the same way? The answer depends on the specific product and its manufacturing process. Authentic black licorice, including many Australian varieties, is made with real licorice root extract and therefore contains glycyrrhizin. For example, one major brand states that its Australian-style licorice contains a measurable percentage of glycyrrhizin. However, other types of licorice-flavored candies, particularly red ones, may use anise oil for flavoring instead of licorice extract, and these do not pose the same risk.
It's important to remember that not all licorice is created equal. The concentration of glycyrrhizin can vary widely based on the licorice root species, its origin, and how it was processed. This makes it difficult for consumers to know the exact amount of the compound they are ingesting without specific product information.
Potential Health Risks and Sensitive Individuals
While an occasional serving of licorice candy is unlikely to cause issues for most people, excessive consumption can lead to severe health problems, especially for sensitive individuals. The US Food and Drug Administration (FDA) and other health organizations have issued warnings about the risks associated with overconsumption.
- Existing Hypertension: People with pre-existing high blood pressure are particularly vulnerable to the effects of licorice, as it can worsen their condition.
- Heart or Kidney Disease: Individuals with heart disease or kidney problems should also exercise caution, as the fluid retention and electrolyte imbalance can put a dangerous strain on these organs.
- Over 40: The FDA specifically notes that individuals over 40 may be more sensitive and can experience an irregular heart rhythm if they consume more than 2 ounces of black licorice daily for two weeks or more.
- Drug Interactions: Glycyrrhizin can interfere with certain medications, including diuretics, heart failure drugs, and blood thinners like warfarin. Anyone taking medication should consult with a doctor before consuming licorice regularly.
Glycyrrhizin Content: Licorice Products vs. Anise-Flavored Candies
| Feature | Real Licorice Products (e.g., Authentic Black Licorice) | Anise-Flavored Candies (e.g., Red Licorice) | 
|---|---|---|
| Source of Flavor | Licorice root extract (Glycyrrhiza glabra) | Anise oil, artificial flavorings, and sweeteners | 
| Contains Glycyrrhizin | Yes, concentration varies by product | No, anise oil does not contain glycyrrhizin | 
| Effect on Blood Pressure | Can potentially raise blood pressure, especially with high consumption | Does not have a direct effect on blood pressure | 
| Health Warning | Often carry warnings about excessive consumption for those with hypertension | Generally not associated with blood pressure risks | 
| Targeted Consumers | Traditional black licorice enthusiasts | General candy consumers | 
How to Enjoy Licorice Safely
For those who love the distinctive flavor of licorice but are concerned about their health, there are several steps you can take:
- Read Labels Carefully: Always check the ingredient list. If it mentions "licorice extract" or "glycyrrhizin," the product has the potential to affect blood pressure.
- Practice Moderation: The key to avoiding adverse effects is to consume licorice in small, infrequent amounts. The FDA and other health agencies recommend avoiding consistent, high-volume intake.
- Choose Alternatives: Consider opting for licorice-flavored candies that use anise oil instead of licorice root, particularly if you have risk factors for high blood pressure.
- Know Your Health: If you have high blood pressure, heart disease, or kidney issues, or if you are over 40, you should be particularly cautious with licorice consumption.
- Consult a Professional: When in doubt, consult a healthcare provider, especially if you take medication or have an existing health condition.
Conclusion
In short, the answer to "does Australian licorice raise blood pressure?" is a qualified yes. The potential for elevated blood pressure is tied directly to the presence of glycyrrhizin, which is found in authentic licorice root extract. While the glycyrrhizin content in Australian licorice may vary, the risk remains for those who consume it excessively or have underlying health conditions. The effects of licorice on blood pressure, though often reversible with discontinuation, can be serious and should not be ignored. By understanding the science behind glycyrrhizin and practicing mindful consumption, individuals can make informed choices to protect their health.
For more in-depth medical information on licorice-induced hypertension, you can review this article from the Canadian Medical Association Journal on a case involving licorice tea: https://pmc.ncbi.nlm.nih.gov/articles/PMC6538495/.
Sources
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- American Heart Association. (2022, October 28). Black licorice is a candy that should inspire caution. [News article]. Retrieved October 12, 2025.
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- PMC. (2019, May 27). Hypertensive emergency induced by licorice tea. [Case study]. Retrieved October 12, 2025.
- University of Rochester Medical Center. (n.d.). Licorice Root. [Reference entry]. Retrieved October 12, 2025.
About the Author
This article was prepared by a content specialist focusing on consumer health topics. The information is based on analysis of medical literature and is not intended to provide medical advice. Consult a healthcare professional for diagnosis and treatment. All cited materials were reviewed on October 12, 2025.