Licorice Root
Specifically for Hepatitis
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Why it works for Hepatitis:
Antiviral & immunomodulatory actions (primarily in vitro/experimental): Glycyrrhizin can inhibit hepatitis C virus (HCV) replication in cell systems and shows broad antiviral/immunomodulating effects that may dampen liver inflammation. Proposed mechanisms include interference with viral entry/replication and modulation of inflammatory mediators. PLOS
Biochemical/hepatic effects in people: In several Japanese and European trials of IV glycyrrhizin (SNMC), patients with chronic hepatitis had reductions in ALT/AST and sometimes improved histology, consistent with anti-inflammatory/hepatoprotective effects. Journal of Hepatology
How to use for Hepatitis:
Classic randomized trial (Japan): SNMC 40 mL IV daily for 4 weeks lowered ALT/AST vs placebo in chronic hepatitis. (SNMC 40 mL contains ~80 mg glycyrrhizin.) Follow-on dosing studies compared 40 mL vs 100 mL/day (100 mL ≈ 200 mg glycyrrhizin) when response was inadequate. Europe PMC
Dose-finding/European phase I/II trial (interferon non-responders): 80, 160, or 240 mg glycyrrhizin IV, three times weekly for 4 weeks → ALT dropped within 2 days; short-term biochemical improvements noted. repub.eur.nl
Long-term/maintenance approaches (mostly Japan): Observational cohorts used repeated IV courses (often several times per week, long-term) aiming to keep ALT controlled; some analyses suggested possible reduction in progression to hepatocellular carcinoma (see next section), but these are not modern randomized data. SpringerLink
Scientific Evidence for Hepatitis:
Randomized, placebo-controlled trials (IV glycyrrhizin/SNMC):
- Suzuki et al. (Japan): 40 mL SNMC daily × 4 weeks significantly lowered liver enzymes in chronic hepatitis vs placebo. (English-language summaries/reviews report on the 1977 RCT.) Wiley Online Library
- European phase I/II RCT (interferon non-responders): 57 HCV patients randomized to 0, 80, 160, 240 mg IV three times weekly × 4 weeks → dose-responsive ALT reductions during treatment. repub.eur.nl
- 26-week double-blind trial: Long-course IV glycyrrhizin improved biochemical and histologic measures vs placebo; again, short-term enzyme control, not viral cure. Journal of Hepatology
Long-term outcomes (observational):
- In interferon-resistant chronic HCV, long-term glycyrrhizin injection therapy was associated with a lower incidence of hepatocellular carcinoma vs controls in cohort analyses. These were non-randomized and susceptible to bias. SpringerLink
Systematic/umbrella reviews & guidance:
- Reviews and the Cochrane Hepato-Biliary Group have examined glycyrrhizin in chronic hepatitis; while enzyme and histology improvements are reported, evidence for hard outcomes (viral clearance, cirrhosis, survival) is insufficient, and modern guidelines do not endorse it for HBV/HCV treatment. Cochrane Library
Specific Warnings for Hepatitis:
Licorice/glycyrrhizin has real risks, especially outside monitored settings:
- Pseudoaldosteronism (licorice toxicity): Glycyrrhizin (via its metabolite glycyrrhetinic acid) inhibits 11β-HSD2, causing sodium retention, hypokalemia, hypertension, edema, and arrhythmias; severe cases and deaths are reported. Risk rises with dose/duration and in older adults or those on interacting meds. MDPI
- Thresholds/“safe” intake (general food/supplement context, not therapy): WHO/JECFA and EU scientific reviews note many adults develop effects around ~100 mg glycyrrhizin/day, with some susceptible at lower intakes; therefore no ADI was set. WHO Apps
- Regulatory cautions you may see referenced: FDA consumer communications warn that even modest, sustained intake of black-licorice foods can trigger dangerous hypokalemia/arrhythmia, especially over age 40. (Food/candy warnings don’t translate to medical dosing, but they underscore risk.) Drugs.com
- Medication & condition interactions: Avoid/seek medical advice if you have hypertension, kidney disease, heart disease, or are on diuretics, digoxin, certain antihypertensives (e.g., spironolactone), insulin/anticoagulants—risk of serious electrolyte disturbances and drug interactions. NCCIH
- Pregnancy: Generally avoid—licorice can have estrogenic/uterotonic activity, and safety is not established. Drugs.com
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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