Gan Cao Ingredients & Drug Interactions
by Herbal Terra
What is this page for?
First and foremost: checking Gan Cao against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Gan Cao is a dietary supplement by Herbal Terra with 1 active ingredient. Its ingredients are commonly taken for sore throat and cough, heartburn and stomach upset, mouth ulcers and digestive complaints.Based on those ingredients, 1,040 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Gan Cao (Glycyrrhiza uralensis) dried root liquid extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Gan Cao by Herbal Terra
Ask about any prescription or over-the-counter medication and we check it for interactions with Gan Cao by Herbal Terra — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Gan Cao by Herbal Terra
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Gan Cao by Herbal Terra is a liquid extract made from one active ingredient: the dried root of Gan Cao (Glycyrrhiza uralensis), commonly known as licorice. The product also contains menstruum as an inactive ingredient—the liquid used to concentrate the extract.
Does it work?
Moderate evidence
According to the evidence we hold, licorice root is possibly effective for two uses: atopic dermatitis (eczema) and canker sores. For Addison disease and asthma, the evidence is insufficient to rate whether it works.
If you're considering this product for one of those conditions, it's worth talking to your doctor about whether the current evidence supports it for your situation.
How safe is it?
Well-documented data
When taken by mouth in small amounts—like those found in foods—licorice is generally well tolerated. The most common mild side effects in oral use are headache, nausea, and vomiting.
However, the active compound glycyrrhizin can cause serious problems with high doses or long-term use, including dangerous drops in potassium and changes in blood pressure and heart rhythm. The safety data advises against using licorice supplements during pregnancy because glycyrrhizin has been linked to harmful effects.
There isn't enough reliable safety information to recommend it while breastfeeding either. Talk with your doctor or pharmacist before taking this product if you're pregnant, trying to become pregnant, or nursing.
Meds to double-check
Moderate interaction found
If you take digoxin for your heart, do not use this product without clearing it with your doctor first—licorice may increase the risk of heart toxicity. Also double-check before combining this with blood thinners like warfarin, loop diuretics (water pills), cancer medications such as cisplatin or paclitaxel, sedatives like midazolam, or any drugs metabolized by the liver enzymes CYP2B6 or CYP2C19.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Gan Cao may help with eczema or canker sores, but it's a medication-heavy product—it interacts with digoxin, blood thinners, cancer drugs, sedatives, and several other drug classes. If you take any prescription medications, check each one against the tool on this page before starting.
Avoid it in pregnancy and breastfeeding. Talk it over with your doctor or pharmacist to decide whether it's right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Sep 25, 2020.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Gan Cao, straight from the product label.
| Brand | Herbal Terra |
|---|---|
| Barcode (UPC) | 617503485359 |
| Net contents | 4 Fluid Ounce(s); 120 mL |
| Market status | On market |
| Date entered into DSLD | Sep 25, 2020 |
| DSLD ID | 233763 |
| Product type | Botanical |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years), Gluten Free, Sugar Free |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Gan Cao by Herbal Terra, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Gan Cao (Glycyrrhiza uralensis) dried root liquid extract | 970 mg | -- |
Other ingredients: Menstruum
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation
Origin of plant material: Russia.
Manufactured in the USA in an FDA registered facility
Sugar free
Dried herb/menstruum ratio: 1:3 Expertly extracted Laboratory tested 330 mg/1 mL Premium product Super concentrated liquid herbal extract
Non GMO
No artificial ingredients, GMO, gluten, color additives, fillers, preservatives or binders. Natural Gluten Free
Suggested/Recommended/Usage/Directions
Direction Shake well before use. Adults take up to 30 drops (1 mL, one full squeeze of the dropper bulb) in 3-4 fl. oz of juice or water up to 4 times a day. We recommend to seek expert medical advice before taking this or any other herbal supplements.
FDA Disclaimer Statement
Notice This product has not been evaluated by the FDA and is not intended to diagnose, treat, cure, or prevent any disease.
Precautions
Caution May have contraindications.
Do not use if you are allergic to any ingredients.
Consult a physician before using during pregnancy, if nursing, or if you are on any medications.
Keep out of the reach of children.
Storage
Store in a cool, dry, dark place.
Formula
Glycyrrhiza uralensis
FDA Statement of Identity
Herbal Supplement
Seals/Symbols
Made in USA Made in an FDA registered facility Natural Gluten Free
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Gan Cao by Herbal Terra label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Gan Cao by Herbal Terra
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container120 Amounts shown are per serving.
Gan Cao (Glycyrrhiza uralensis) dried root liquid extract
Interacts with1,040 drugs
Licorice root is a traditional remedy used for sore throats, coughs, and digestive complaints, but solid human evidence is limited for most uses. Regu...
Gan Cao (Glycyrrhiza uralensis) dried root liquid extract monograph & interactionsOther (inactive) ingredients: Menstruum. These complete the product’s ingredient list but are not active constituents.
Gan Cao by Herbal Terra Drug Interactions
HelloPharmacist Interaction Report
Gan Cao by Herbal Terra contains licorice root extract, which interacts with a number of medications.
The most serious documented concern is with digoxin (a heart medication), where licorice may increase the risk of heart toxicity, especially if the product is overused. Beyond that, licorice can affect how your liver processes several drug classes, potentially raising or lowering their levels in your bloodstream.
Read the full breakdown — every affected drug type, severity by severity
Specifically, licorice may increase levels of drugs broken down by two liver enzymes (CYP2B6 and CYP2C19 substrates), which could make those medications stronger than intended. It can also decrease the effectiveness of blood thinners like warfarin, cancer drugs such as cisplatin and paclitaxel, and the sedative midazolam.
Water pills called loop diuretics may have their side effects amplified when combined with licorice, potentially causing dangerous potassium loss.
Additionally, licorice has no interactions documented in our data beyond those listed above. Altogether, these interactions span 1,041 individual medications.
Before you start this product, use the interaction checker on this page to look up each of your current prescriptions.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Gan Cao?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Gan Cao interact with 1,040 drugs. Click any drug to see the details.
1 of the 1 ingredient in Gan Cao interact with drugs. Each result below shows which ingredient is responsible. Gan Cao (Glycyrrhiza uralensis) dried root liquid extract
Acetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough
How Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps
How Acetaminophen, Dextromethorphan, Phenylpropanolamine, Pyrilamine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan, Phenylpropanolamine, Pyrilamine interactionAcetaminophen, Dextromethorphan, PseudoephedrineAlka-Seltzer PLUS Flu Liquid Gels, Non Aspirin Cold Caps, Tylenol Cold, Tylenol Flu Daytime Ex Strength, Tylenol Flu Ex Strength
How Acetaminophen, Dextromethorphan, Pseudoephedrine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, HydrocodoneAnexsia, Anodynos DHC, Azdone, Co-Gesic, Doucet, Lorcet +9 more
How Acetaminophen, Hydrocodone interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Hydrocodone interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 1a2 (cyp1a2) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Ibuprofen interactionAcetaminophen, OrphenadrineOrfenagesic
How Acetaminophen, Orphenadrine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 2b6 (cyp2b6) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Orphenadrine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Diuretic Drugs Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 1a2 (cyp1a2) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractDiuretic Drugs, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of licorice with diuretic drugs might increase the risk of hypokalemia.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Acetazolamide interactionAdagrasibKrazati
How Adagrasib interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Adagrasib interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase levels of drugs metabolized by CYP2C19.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAfatinib DimaleateGilotrif
How Afatinib Dimaleate interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Afatinib Dimaleate interactionAgomelatineValdoxan
How Agomelatine interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 2c19 (cyp2c19) Substrates, Cytochrome P450 2c9 (cyp2c9) Substrates +1 Moderate
Interaction Summary
Theoretically, licorice might increase levels of drugs metabolized by CYP2C19.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Agomelatine interactionAlfentanilAlfenta
How Alfentanil interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Alfuzosin interactionAliskirenTekturna
How Aliskiren interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Aliskiren interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Almotriptan interactionAlogliptinNesina
How Alogliptin interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 2c8 (cyp2c8) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase levels of drugs metabolized by CYP2C8.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Alogliptin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates, Cytochrome P450 2c8 (cyp2c8) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Alogliptin, Pioglitazone interactionAlpelisibPiqray
How Alpelisib interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Alpelisib interactionAlprazolamNiravam, Xanax
How Alprazolam interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Alprazolam interactionAlvimopanEntereg
How Alvimopan interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Alvimopan interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractP-glycoprotein Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +1 Moderate
Interaction Summary
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, licorice might reduce the effects of antihypertensive drugs.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractAntihypertensive Drugs, Diuretic Drugs Moderate
Interaction Summary
Theoretically, licorice might reduce the effects of antihypertensive drugs.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Amiloride, Hydrochlorothiazide interactionAmiodaroneCordarone, Pacerone
How Amiodarone interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 2c8 (cyp2c8) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase levels of drugs metabolized by CYP2C8.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Amiodarone interactionAmitriptylineElavil
How Amitriptyline interacts with Gan Cao — through 1 ingredient. Tap an ingredient for the detail:
Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid ExtractCytochrome P450 2c9 (cyp2c9) Substrates, Cytochrome P450 3a4 (cyp3a4) Substrates +2 Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP2C9.
Read the full Gan Cao (glycyrrhiza Uralensis) Dried Root Liquid Extract + Amitriptyline interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Gan Cao with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Gan Cao (Glycyrrhiza uralensis) dried root liquid extract
Antihypertensive Drugs
Theoretically, licorice might reduce the effects of antihypertensive drugs.
In human research, licorice increases blood pressure in a dose-dependent manner.
Cisplatin (Platinol-Aq)
Theoretically, licorice might reduce the effects of cisplatin.
In animal research, licorice diminished the therapeutic efficacy of cisplatin.
Corticosteroids
Theoretically, concomitant use of licorice and corticosteroids might increase the side effects of corticosteroids.
Case reports suggest that concomitant use of licorice and oral corticosteroids, such as hydrocortisone, can potentiate the duration of activity and increase blood levels of corticosteroids. Additionally, in one case report, a patient with neurogenic orthostatic hypertension stabilized on fludrocortisone 0.1 mg twice daily developed pseudohyperaldosteronism after recent consumption of large amounts of black licorice.
Cytochrome P450 2B6 (Cyp2B6) Substrates
Theoretically, licorice might increase levels of drugs metabolized by CYP2B6.
In vitro research shows that licorice extract and glabridin, a licorice constituent, inhibit CYP2B6 isoenzymes. Licorice extract from the species G. uralensis seems to inhibit CYP2B6 isoenzymes to a greater degree than G. glabra extract in vitro. Theoretically, these species of licorice might increase levels of drugs metabolized by CYP2B6; however, these interactions have not yet been reported in humans.
Cytochrome P450 2C19 (Cyp2C19) Substrates
Theoretically, licorice might increase levels of drugs metabolized by CYP2C19.
In vitro, licorice extracts from the species G. glabra and G. uralensis inhibit CYP2C19 isoenzymes in vitro. Theoretically, these species of licorice might increase levels of drugs metabolized by CYP2C19; however, this interaction has not yet been reported in humans.
Cytochrome P450 2C8 (Cyp2C8) Substrates
Theoretically, licorice might increase levels of drugs metabolized by CYP2C8.
In vitro, licorice extract from the species G. glabra and G. uralensis inhibits CYP2C8 isoenzymes. Theoretically, these species of licorice might increase levels of drugs metabolized by CYP2C8; however, this interaction has not yet been reported in humans.
Cytochrome P450 2C9 (Cyp2C9) Substrates
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP2C9.
There is conflicting evidence about the effect of licorice on CYP2C9 enzyme activity. In vitro research shows that extracts from the licorice species G. glabra and G. uralensis moderately inhibit CYP2C9 isoenzymes. However, evidence from an animal model shows that licorice extract from the species G. uralensis can induce hepatic CYP2C9 activity. Until more is known, licorice should be used cautiously in people taking CYP2C9 substrates.
Cytochrome P450 3A4 (Cyp3A4) Substrates
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Pharmacokinetic research shows that the licorice constituent glycyrrhizin, taken in a dosage of 150 mg orally twice daily for 14 days, modestly decreases the area under the concentration-time curve of midazolam by about 20%. Midazolam is a substrate of CYP3A4, suggesting that glycyrrhizin modestly induces CYP3A4 activity. Animal research also shows that licorice extract from the species G. uralensis induces CYP3A4 activity. However, licorice extract from G. glabra species appear to inhibit CYP3A4-induced metabolism of testosterone in vitro. It is thought that the G. glabra inhibits CYP3A4 due to its constituent glabridin, which is a moderate CYP3A4 inhibitor in vitro and not present in other licorice species. Until more is known, licorice should be used cautiously in people taking CYP3A4 substrates.
Digoxin (Lanoxin)
Theoretically, concomitant use of licorice with digoxin might increase the risk of cardiac toxicity.
Overuse or misuse of licorice with cardiac glycoside therapy might increase the risk of cardiac toxicity due to potassium loss.
Diuretic Drugs
Theoretically, concomitant use of licorice with diuretic drugs might increase the risk of hypokalemia.
Overuse of licorice might compound diuretic-induced potassium loss. In one case report, a 72-year-old male with a past medical history of hypertension, type 2 diabetes, hyperlipidemia, arrhythmia, stroke, and hepatic dysfunction was hospitalized with severe hypokalemia and uncontrolled hypertension due to pseudohyperaldosteronism. This was thought to be provoked by concomitant daily consumption of a product containing 225 mg of glycyrrhizin, a constituent of licorice, and hydrochlorothiazide 12.5 mg for 1 month.
Estrogens
Theoretically, licorice might increase or decrease the effects of estrogen therapy.
Theoretically, licorice might interfere with estrogen therapy due to estrogenic and anti-estrogenic effects.
Loop Diuretics
Theoretically, loop diuretics might increase the mineralocorticoid effects of licorice.
Theoretically, loop diuretics might enhance the mineralocorticoid effects of licorice by inhibiting the enzyme that converts cortisol to cortisone; however, bumetanide (Bumex) does not appear to have this effect.
Midazolam (Versed)
Theoretically, licorice might decrease levels of midazolam.
In humans, the licorice constituent glycyrrhizin appears to moderately induce the metabolism of midazolam. This is likely due to induction of cytochrome P450 3A4 by licorice. Until more is known, licorice should be used cautiously in people taking midazolam.
P-Glycoprotein Substrates
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
In vitro research shows that licorice can increase P-glycoprotein activity.
Paclitaxel (Abraxane, Onxol)
Theoretically, licorice might decrease plasma levels and clinical effects of paclitaxel.
Multiple doses of licorice taken concomitantly with paclitaxel might reduce the effectiveness of paclitaxel. Animal research shows that licorice 3 grams/kg given orally for 14 days before intravenous administration of paclitaxel decreases the exposure to paclitaxel and increases its clearance. Theoretically, this occurs because licorice induces cytochrome P450 3A4 enzymes, which metabolize paclitaxel. Notably, a single dose of licorice did not affect exposure or clearance of paclitaxel.
Warfarin (Coumadin)
Theoretically, licorice might decrease plasma levels and clinical effects of warfarin.
Licorice seems to increase metabolism and decrease levels of warfarin in animal models. This is likely due to induction of cytochrome P450 2C9 (CYP2C9) metabolism by licorice. Advise patients taking warfarin to avoid taking licorice.
Cytochrome P450 1A2 (Cyp1A2) Substrates
Theoretically, licorice might decrease the levels and clinical effects of CYP1A2 substrates.
In vitro research shows that licorice induces CYP1A2 enzymes.
Methotrexate (Trexall, Others)
Theoretically, licorice might increase levels of methotrexate.
Animal research suggests that intravenous administration of glycyrrhizin, a licorice constituent, and high-dose methotrexate may delay methotrexate excretion and increase systemic exposure, leading to transient elevations in liver enzymes and total bilirubin. This interaction has not yet been reported in humans.
Brand information
Manufacturer and brand details for Gan Cao, from the product label.
Gan Cao by Herbal Terra: Common Questions
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The Full Monographs Behind Gan Cao’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Gan Cao's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 92 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Licorice 92 references
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Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
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