Licorice Root
Specifically for H. Pylori Infection
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Why it works for H. Pylori Infection:
Licorice root contains active compounds, particularly flavonoids and glycyrrhizin, that have demonstrated anti-bacterial effects against H. pylori bacteria. PubMed CentralScienceDirect The effectiveness stems from multiple mechanisms:
The active constituents have been shown to inhibit DNA gyrase (a crucial enzyme for bacterial replication and transcription) and dihydrofolate reductase enzyme blockage. Deglycyrrhizinated Licorice for Gastrointestinal Ulcers | Natural Medicine Journal Additionally, aqueous licorice root extract has shown anti-adhesion effects on H. pylori by interfering with the binding action between bacterial adhesins and human gastric tissue. Frontiers | Natural foods resources and dietary ingredients for the amelioration of Helicobacter pylori infection
Among licorice compounds, vestitol, licoricone, 1-methoxyphaseollidin and gancaonol C exhibited anti-H. pylori activity against both clarithromycin and amoxicillin-resistant strains as well as sensitive strains. Anti-Helicobacter pylori flavonoids from licorice extract - ScienceDirect Various flavonoids found in deglycyrrhizinated licorice (DGL) have also been shown to be bactericidal toward H. pylori and may account for some of the antiulcer activity. Deglycyrrhizinated Licorice for Gastrointestinal Ulcers | Natural Medicine Journal
How to use for H. Pylori Infection:
Based on clinical studies, several dosing protocols have shown effectiveness:
Standard Dosage Protocols:
- 380 mg twice daily (760 mg total per day) - used in clinical trials as part of quadruple therapy with amoxicillin, metronidazole, and omeprazole Effect of licorice versus bismuth on eradication of Helicobacter pylori in patients with peptic ulcer disease - PMC
- 250 mg three times daily (750 mg total per day) taken 30 minutes before meals for 30 days The healing effect of licorice (Glycyrrhiza glabra) on Helicobacter pylori infected peptic ulcers - PMC
- 150 mg once daily (GutGard extract) for 60 days in clinical studies Effect of GutGard in the Management of Helicobacter pylori: A Randomized Double Blind Placebo Controlled Study - Puram - 2013 - Evidence-Based Complementary and Alternative Medicine - Wiley Online Library
Treatment Duration: Most clinical studies used licorice for 2 weeks when combined with standard triple therapy (clarithromycin-based regimen) To evaluate of the effect of adding licorice to the standard treatment regimen of Helicobacter pylori - ScienceDirect, while standalone protocols used 30-60 day treatment periods.
Administration Method: Licorice should be taken 30 minutes before meals The healing effect of licorice (Glycyrrhiza glabra) on Helicobacter pylori infected peptic ulcers - PMC for optimal effectiveness. For DGL (deglycyrrhizinated licorice), 760-1520 mg should be taken orally before meals and must be mixed with saliva for 8-16 weeks. Deglycyrrhizinated Licorice for Gastrointestinal Ulcers | Natural Medicine Journal
Scientific Evidence for H. Pylori Infection:
Multiple peer-reviewed studies demonstrate licorice root's effectiveness:
Randomized Controlled Trials: A 2016 study of 120 patients showed that adding licorice to standard clarithromycin-based triple therapy increased H. pylori eradication rates to 83.3% compared to 62.5% in the control group. To evaluate of the effect of adding licorice to the standard treatment regimen of Helicobacter pylori - ScienceDirect
A clinical study found 70% eradication rates with licorice treatment compared to 45% in controls, with 95% showing peptic ulcer healing versus 70% in the control group. The healing effect of licorice (Glycyrrhiza glabra) on Helicobacter pylori infected peptic ulcers - PMC
A double-blind study of 60 patients showed that licorice (380 mg twice daily) was as effective as bismuth in H. pylori eradication, with 67% response rate in the licorice group compared to 57% in the bismuth group. Effect of licorice versus bismuth on eradication of Helicobacter pylori in patients with peptic ulcer disease - PMC
A randomized, double-blind, placebo-controlled study found that GutGard (150 mg daily) showed 56% H. pylori eradication by stool antigen test compared to 4% in the placebo group. Effect of GutGard in the Management of Helicobacter pylori: A Randomized Double Blind Placebo Controlled Study - Puram - 2013 - Evidence-Based Complementary and Alternative Medicine - Wiley Online Library
In Vitro Studies: Laboratory studies identified specific anti-H. pylori flavonoids from licorice extract that were effective against both antibiotic-resistant and sensitive bacterial strains. Anti-Helicobacter pylori flavonoids from licorice extract - ScienceDirect
Specific Warnings for H. Pylori Infection:
Contraindications: Licorice contains glycyrrhizin, which can cause serious adverse effects such as irregular heartbeat and cardiac arrest, especially when consumed in large amounts or long-term. Licorice Root: Usefulness and Safety | NCCIH People with heart disease, kidney disease, or high blood pressure are more sensitive to these effects. LICORICE: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews
Dosage Limits: The FDA warns that consuming more than 2 ounces (56 grams) daily for at least 2 weeks may cause low potassium levels and irregular heart rhythm, with adults over 40 at higher risk. Licorice: Side Effects, Uses, Dosage, Interactions, Warnings Eating 5 grams or more daily for several weeks can cause severe side effects including heart attack. LICORICE: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews
Drug Interactions: Licorice can interact with ACE inhibitors, reducing their effectiveness, and with diuretics, potentially leading to dangerously low potassium levels. How does licorice interfere with medications? | Live Science It may interact with warfarin, making it less effective and increasing blood clot risk. It may also increase side effects of corticosteroids and affect estrogen medications. Licorice - Special Subjects - Merck Manual Consumer Version
Special Populations: Consuming large amounts of licorice during pregnancy (about 250 grams per week) is unsafe and can increase the risk of premature delivery. Licorice Root: Usefulness and Safety | NCCIH It should not be used by people with hormone-sensitive conditions such as breast, uterine, or ovarian cancer. LICORICE: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews
Side Effects: Licorice extract has mineralocorticoid-like effects and can cause hypokalemia (low potassium), hypertension, cardiac arrhythmia, and muscle weakness. Liquorice – All sorts of side effects and interactions
Safer Alternative: Deglycyrrhizinated licorice (DGL) products that have had glycyrrhizin removed might be safe for up to 4 months and avoid most of the serious side effects. Licorice Root: Usefulness and Safety | NCCIH
General Information (All Ailments)
What It Is
Licorice root comes from the Glycyrrhiza glabra plant, native to parts of Europe and Asia. It has been used for thousands of years in traditional medicine systems such as Traditional Chinese Medicine (TCM), Ayurveda, and ancient Greek and Egyptian healing. The root contains several bioactive compounds, most notably glycyrrhizin, which gives it both its characteristic sweet flavor and many of its pharmacological properties.
Licorice root can be consumed in various forms—such as teas, extracts, capsules, or tinctures—and is often found in herbal blends designed for digestive health, respiratory support, or adrenal balance.
How It Works
The key active compound, glycyrrhizin, has anti-inflammatory, antiviral, and antioxidant effects. It influences several physiological systems in the body:
- Endocrine and Adrenal Support: Glycyrrhizin inhibits the enzyme 11β-hydroxysteroid dehydrogenase, which breaks down cortisol. By slowing cortisol metabolism, licorice root can enhance and prolong the effects of this hormone, potentially helping with adrenal fatigue or chronic stress.
- Anti-inflammatory and Immune Effects: The compound modulates immune responses and suppresses pro-inflammatory cytokines. It can support conditions involving inflammation of the respiratory or digestive tract, such as sore throats, coughs, or gastritis.
- Antiviral and Antimicrobial Properties: Research has shown licorice extract may inhibit the replication of certain viruses, including hepatitis C and herpes simplex virus. Its saponins and flavonoids contribute to this protective effect.
- Digestive Protection: Deglycyrrhizinated licorice (DGL) is a modified form where glycyrrhizin has been removed to reduce side effects. DGL supports mucous membrane healing, making it popular for soothing stomach ulcers, heartburn, or gastritis.
Why It’s Important
Licorice root holds importance as both a therapeutic and preventive botanical:
- Adaptogenic-Like Benefits: It helps the body adapt to stress by supporting cortisol levels, improving energy, and reducing fatigue.
- Respiratory Health: Traditionally used as an expectorant and demulcent, it soothes sore throats, eases coughs, and reduces irritation in the bronchial passages.
- Digestive Wellness: It aids in the protection and repair of gastrointestinal tissues, which can benefit those with acid reflux or ulcers.
- Liver and Skin Health: Licorice root’s antioxidant and detoxifying properties may support liver function and help manage skin conditions like eczema or acne.
Its broad range of uses makes it a cornerstone herb in both traditional and modern herbal medicine.
Considerations
Despite its benefits, licorice root must be used carefully due to its potency:
- Glycyrrhizin-Related Side Effects: Excessive intake of glycyrrhizin can lead to a condition called pseudoaldosteronism, characterized by sodium retention, potassium loss, high blood pressure, and swelling (edema).
- Deglycyrrhizinated Licorice (DGL) as a Safer Option: DGL provides many of the digestive benefits without affecting mineral balance or blood pressure, making it preferable for long-term use.
- Interactions and Contraindications: Licorice root can interact with diuretics, corticosteroids, antihypertensive drugs, and certain heart medications. It is not recommended for individuals with high blood pressure, kidney disease, or heart conditions unless supervised by a healthcare provider.
- Duration of Use: Continuous use of glycyrrhizin-containing licorice for more than a few weeks is generally discouraged without medical guidance.
- Pregnancy and Hormonal Effects: Licorice may affect hormone levels and is generally advised against during pregnancy due to potential risks to fetal development.
Helps with these conditions
Licorice Root is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Acid Reflux (GERD)
Mucosal-protective effect. Licorice contains flavonoids and other compounds that appear to stimulate mucus production and strengthen the protective mu...
Constipation
Stimulates gut motility and mucus secretion. Licorice root contains glycyrrhizin and several flavonoids that appear to increase intestinal secretion a...
Stomach Ulcers
Licorice root, particularly in its deglycyrrhizinated form (DGL), has been utilized in traditional medicine for centuries to address digestive issues,...
Asthma
Anti-inflammatory & immunomodulatory actions. Key licorice constituents (e.g., glycyrrhizin/glycyrrhizic acid and flavonoids like liquiritigenin/i...
Eczema
Anti-inflammatory action. The main actives (glycyrrhizin → glycyrrhetinic acid; plus flavonoids like licochalcone A) reduce inflammatory signaling and...
Tooth Decay
Targets cariogenic bacteria and virulence. Licorice flavonoids such as licoricidin and glabridin inhibit S. mutans growth, biofilm formation, acid pro...
Rosacea
Anti-inflammatory + barrier-calming effects (esp. licochalcone A). In keratinocyte models and small clinical programs, licochalcone A down-regulates p...
H. Pylori Infection
Licorice root contains active compounds, particularly flavonoids and glycyrrhizin, that have demonstrated anti-bacterial effects against H. pylori bac...
Gastritis
Stimulates protective mucus / mucosal defence. DGL appears to increase gastric mucus and bicarbonate secretion and promote mucosal blood flow and cell...
Hepatitis
Antiviral & immunomodulatory actions (primarily in vitro/experimental): Glycyrrhizin can inhibit hepatitis C virus (HCV) replication in cell syste...
Temporomandibular Joint Disorder
Licorice contains bioactive compounds (notably glycyrrhizin and 18β-glycyrrhetinic acid, plus flavonoids like liquiritigenin/isoliquiritigenin) with w...
Bronchitis
Expectorant & antitussive actions (traditional + preclinical): European regulators list licorice root as a traditional herbal expectorant for “col...
Hives
Anti-inflammatory activity. Licorice constituents (glycyrrhizin/glycyrrhetinic acid; flavonoids like licochalcone A) down-regulate inflammatory mediat...
Ovarian Cysts
Mechanistic ideas (theories):Licorice contains glycyrrhizin/glycyrrhetinic acid, flavonoids (e.g., isoliquiritigenin, glabridin) and other compounds t...
Adrenal Insufficiency
The active licorice constituents (glycyrrhizin → glycyrrhetinic acid) inhibit the enzyme 11β-hydroxysteroid dehydrogenase type 2 (11β-HSD2). That enzy...
Laryngitis
Soothing (demulcent) + expectorant effects. Traditional pharmacopeias classify licorice as an expectorant for upper-respiratory catarrh/cough, which i...
Whooping Cough
Licorice root (Glycyrrhiza spp.) can help relieve cough symptoms because it contains demulcent/expectoral and anti-inflammatory compounds (notably gly...
Colic
Antispasmodic activity (theory): Several licorice constituents (e.g., isoliquiritigenin, licochalcone A) relax gastrointestinal smooth muscle in lab a...
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