Skip to content

Is Licorice Root Inflammatory? An Evidence-Based Answer

4 min read

Native to Europe and Asia, licorice root has been a staple in traditional medicine for thousands of years, with ancient Egyptians even using it in sweet drinks for pharaohs. Far from being inflammatory, modern scientific research shows that licorice root actually possesses potent anti-inflammatory properties due to its key compounds.

Quick Summary

Licorice root contains bioactive compounds like glycyrrhizin that provide potent anti-inflammatory and antioxidant effects by regulating cellular signaling pathways and inhibiting pro-inflammatory cytokines, although excessive consumption can lead to serious side effects like hypertension.

Key Points

  • Not Inflammatory: Licorice root is not inflammatory; extensive research confirms it contains powerful anti-inflammatory and antioxidant compounds.

  • Contains Glycyrrhizin: The key compound responsible for its anti-inflammatory effects is glycyrrhizin, which acts on multiple cellular pathways to reduce inflammation.

  • Fights Oxidative Stress: Flavonoids in licorice act as antioxidants, neutralizing free radicals that contribute to chronic inflammation.

  • Supports Digestive Health: Licorice, including the DGL form, can soothe digestive tract inflammation and aid in healing conditions like ulcers and GERD.

  • Potential for High Blood Pressure: A major risk with prolonged or high intake is elevated blood pressure and low potassium levels due to glycyrrhizin.

  • DGL is a Safer Alternative: Deglycyrrhizinated licorice (DGL) is available, offering many benefits with significantly reduced risk of side effects.

  • Consult a Professional: Due to potential side effects and drug interactions, professional guidance is crucial for safe licorice root use.

In This Article

What Is Licorice Root?

Licorice root comes from the Glycyrrhiza glabra plant and has been used for millennia for its medicinal properties and sweet flavor. It is an esteemed crude drug in traditional Chinese medicine and has been used to treat a wide array of conditions, including gastrointestinal, respiratory, and liver issues. The root contains nearly 300 active compounds, primarily glycyrrhizin, which is responsible for both its sweet taste and its powerful anti-inflammatory effects.

The Anti-Inflammatory Effects of Licorice Root

Numerous studies confirm that licorice root is not inflammatory, but rather possesses strong anti-inflammatory and antioxidant properties. The core of its anti-inflammatory power lies in its bioactive compounds, particularly glycyrrhizin and its derivative, glycyrrhetinic acid.

  • Inhibits Inflammatory Pathways: Research shows that these compounds work by inhibiting key inflammatory signaling pathways, such as the NF-κB and MAPK pathways. By blocking these pathways, licorice compounds suppress the activation of genes responsible for producing pro-inflammatory substances in the body.
  • Reduces Pro-Inflammatory Cytokines: Glycyrrhizin and its derivatives significantly decrease the levels of pro-inflammatory cytokines, including TNF-α, IL-1β, and IL-6. In studies, this has been shown to reduce inflammatory responses in conditions like colitis and liver damage.
  • Acts as an Antioxidant: The root's flavonoids, such as glabridin, act as powerful antioxidants that combat oxidative stress, a key contributor to chronic inflammation. Oxidative stress is an imbalance of free radicals and antioxidants in the body, and by neutralizing these free radicals, licorice helps calm the inflammatory process.

Comparison of Licorice Types and Effects

To avoid certain side effects associated with high levels of glycyrrhizin, some licorice products undergo a process to remove the compound, resulting in deglycyrrhizinated licorice (DGL).

Feature Regular Licorice Root Deglycyrrhizinated Licorice (DGL)
Key Active Compound Glycyrrhizin, plus other flavonoids. Flavonoids (glycyrrhizin removed).
Anti-Inflammatory Potential Potent effects through multiple pathways, including inhibition of NF-κB and MAPK. Mild anti-inflammatory effects derived primarily from flavonoids.
Risk of Side Effects (e.g., Hypertension) High, with prolonged use or high doses. Very low risk of hypertension and other mineralocorticoid effects.
Primary Uses Treating respiratory, digestive, and hormonal imbalances. Supporting digestive health, soothing stomach lining.
Taste Intensely sweet due to glycyrrhizin. Not as sweet as traditional licorice.

Therapeutic Applications of Licorice Root

The anti-inflammatory power of licorice root has been leveraged for various therapeutic uses across different body systems.

Digestive Health

  • Peptic Ulcers and GERD: Licorice flavonoids can help relieve peptic ulcers and GERD symptoms by increasing mucus production and reducing inflammation in the gastrointestinal tract. Some studies show that licorice extract, even without glycyrrhizin (DGL), can effectively treat these conditions.

Respiratory Conditions

  • Asthma and Bronchitis: Licorice has traditionally been used as an expectorant and demulcent to soothe sore throats and clear airways. The anti-inflammatory actions of glycyrrhizin can help ease upper respiratory conditions like asthma by reducing irritation and inflammation.

Skin Conditions

  • Eczema and Dermatitis: Applied topically, licorice root extract's anti-inflammatory and antimicrobial properties can effectively treat skin conditions such as eczema and dermatitis. A study found a cream with licorice root to be as effective as a hydrocortisone cream for eczema symptoms.

Liver Support

  • Hepatitis: Glycyrrhizin has shown promise in treating inflammatory liver conditions like hepatitis by reducing viral activity and protecting liver cells from damage. Its antioxidant effects further support liver function.

Potential Risks and Side Effects

While generally safe in moderation, high or prolonged consumption of licorice root can pose serious health risks due to the compound glycyrrhizin. Glycyrrhizin inhibits an enzyme that regulates cortisol levels, leading to an aldosterone-like effect.

  • Hypertension: The most well-known side effect is a significant increase in blood pressure, which can be severe.
  • Hypokalemia: It causes the body to retain sodium and excrete potassium, potentially leading to dangerously low potassium levels. This can result in muscle weakness, fatigue, and heart rhythm irregularities.
  • Hormonal Imbalance: By affecting cortisol metabolism, licorice can disrupt hormonal balance, potentially causing issues like edema and affecting menstrual cycles.
  • Drug Interactions: Licorice can interact with various medications, including those for blood pressure and heart conditions, requiring consultation with a healthcare professional.

The Importance of Moderation and DGL

For most people, moderate intake of licorice as a flavoring or in occasional herbal teas is safe. The World Health Organization recommends a safe daily limit of glycyrrhizin, though some sensitive individuals may react at lower levels. For those with pre-existing conditions like hypertension or heart disease, or for prolonged use, deglycyrrhizinated licorice (DGL) is a safer alternative. DGL provides many of the digestive and soothing benefits without the risk of the serious glycyrrhizin-related side effects. For internal use, consulting a healthcare professional is always advisable.

Conclusion

Contrary to the implication that it could be inflammatory, licorice root is a well-established anti-inflammatory agent with a long history of traditional use and an increasing body of modern scientific evidence supporting its therapeutic effects. Its potent compounds, particularly glycyrrhizin, combat inflammation by modulating key cellular pathways and acting as powerful antioxidants. However, these benefits come with notable risks, especially with high or chronic consumption, which can lead to serious side effects like hypertension. For internal consumption, it is crucial to use licorice in moderation and to consider deglycyrrhizinated forms for prolonged use or if sensitive to glycyrrhizin. As with any herbal supplement, a healthcare professional should be consulted to ensure safe and appropriate use, leveraging its anti-inflammatory power without incurring its potential risks.

Note: This article is for informational purposes only and should not be considered medical advice. Always consult a healthcare professional before starting any new supplement regimen.

Frequently Asked Questions

Long-term use of traditional licorice root is generally not recommended due to the potential for serious side effects caused by glycyrrhizin, such as high blood pressure and low potassium. For prolonged use, deglycyrrhizinated licorice (DGL), which has had the glycyrrhizin removed, is a safer alternative.

Yes, research indicates that licorice root, including the DGL form, can help soothe symptoms of gastroesophageal reflux disease (GERD) by increasing protective mucus production in the stomach and reducing inflammation.

Licorice root reduces inflammation by inhibiting pro-inflammatory cytokines like TNF-α and IL-6 and blocking key cellular signaling pathways such as NF-κB and MAPK. Its flavonoid compounds also provide antioxidant effects that combat oxidative stress.

The primary side effects are linked to glycyrrhizin and can include high blood pressure (hypertension), low potassium levels (hypokalemia), and fluid retention (edema). Excessive consumption can also lead to more severe cardiovascular and hormonal problems.

Yes, licorice root can be beneficial for skin conditions, particularly when applied topically. Its anti-inflammatory and antimicrobial properties can help reduce redness, itching, and swelling associated with issues like eczema and dermatitis.

No, certain individuals, such as those with pre-existing conditions like hypertension, heart disease, or kidney disease, should be cautious with or avoid licorice root. Pregnant or nursing women should also avoid it. It is crucial to consult a doctor before use.

The main difference is the removal of glycyrrhizin in DGL (deglycyrrhizinated licorice). While both offer anti-inflammatory and digestive benefits, DGL is considered a safer long-term option as it does not carry the risk of blood pressure elevation and other glycyrrhizin-related side effects.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.