Organic Licorice Root 20:1 Extract Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Organic Licorice Root 20:1 Extract 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
Organic Licorice Root 20:1 Extract is a dietary supplement by Micro Ingredients 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 organic Licorice root extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Organic Licorice Root 20:1 Extract by Micro Ingredients
Ask about any prescription or over-the-counter medication and we check it for interactions with Organic Licorice Root 20:1 Extract by Micro Ingredients — 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 Organic Licorice Root 20:1 Extract by Micro Ingredients
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
This product contains one active ingredient: organic licorice root extract in a 20:1 concentration, meaning the extract is 20 times more potent than the raw root. The extract is delivered as a powder with no other active ingredients.
There are no inactive fillers or excipients listed.
Does it work?
Moderate evidence
Licorice root shows possibly effective evidence for two skin conditions: atopic dermatitis (eczema) and canker sores. For other uses like Addison disease and asthma, the evidence in our data is insufficient to rate whether it works.
If you're considering licorice for a specific health goal, talk it over with your doctor or pharmacist about what the science supports and whether it makes sense for you.
How safe is it?
Well-documented data
Licorice is generally well tolerated in small amounts, like what you'd get from food. The active compound glycyrrhizin, however, can cause serious problems if you take high doses or use the supplement long-term.
The most common mild side effects from oral licorice are headache, nausea, and vomiting. Serious side effects are rare but can include blood pressure changes and potassium loss with prolonged use.
Pregnancy and breastfeeding: Safety data advises against licorice in pregnancy because glycyrrhizin has been linked to harmful effects. There isn't enough reliable safety information for breastfeeding, so it's best avoided while nursing.
If you're pregnant or breastfeeding, talk with your doctor or pharmacist before taking this product.
Meds to double-check
Moderate interaction found
Before taking this product, double-check with your doctor or pharmacist if you take digoxin (a heart medication), warfarin or other blood thinners, sedatives like midazolam, chemotherapy drugs such as paclitaxel or cisplatin, loop diuretics (water pills), or any medication metabolized by your liver's CYP2B6 or CYP2C19 enzymes. Licorice can reduce the effect of some of these drugs, boost others, or increase the risk of heart problems — the direction depends on the medication.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
Licorice root may help with eczema or canker sores, but it's not a simple add-on if you take heart or blood-pressure medications, blood thinners, sedatives, or chemotherapy. The interaction list is long and real.
Clear it with your own doctor or pharmacist before starting, and avoid it altogether if you're pregnant or breastfeeding.
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 Aug 23, 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 Organic Licorice Root 20:1 Extract, straight from the product label.
| Brand | Micro Ingredients |
|---|---|
| Barcode (UPC) | X001P18JY3 |
| Net contents | 8 Oz(s); 227 Gram(s) |
| Market status | On market |
| Date entered into DSLD | Aug 23, 2020 |
| DSLD ID | 231739 |
| Product type | Botanical |
| Supplement form | Powder |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Organic, Gluten Free, Dairy 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 Organic Licorice Root 20:1 Extract by Micro Ingredients, sourced from the NIH Dietary Supplement Label Database.
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
Anti-inflammatory, boosts immune system
Vegan
Non-GMO Gluten-free
Free of: soy, dairy, yeast, gluten.
Certified organic by Organic Certifiers
Seals/Symbols
USDA Organic
FDA Statement of Identity
Dietary Supplement Powder
Suggested/Recommended/Usage/Directions
Directions: As a dietary supplement, take 1 scoop two times daily. For best results, please consult your physician.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.
Precautions
If pregnant/lactating or taking any medications, please consult your physician prior to use.
Keep out of the reach of children.
Storage
Keep in a cool, dry place.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Organic Licorice Root 20:1 Extract by Micro Ingredients 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 Organic Licorice Root 20:1 Extract by Micro Ingredients
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size0.6 Gram(s) Dosage formPowder Servings per container378 Amounts shown are per serving.
Organic Licorice root 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...
Organic Licorice root extract monograph & interactionsOther (inactive) ingredients: None. These complete the product’s ingredient list but are not active constituents.
Organic Licorice Root 20:1 Extract by Micro Ingredients Drug Interactions
HelloPharmacist Interaction Report
Organic Licorice Root 20:1 Extract by Micro Ingredients interacts with medications through its licorice root extract content.
The most serious concern is with digoxin (Lanoxin), a heart medication — licorice can theoretically increase the risk of heart toxicity, especially if you're losing potassium or taking high doses of licorice for a long time.
Read the full breakdown — every affected drug type, severity by severity
Licorice also affects how your body metabolizes a wide range of other medications. It may decrease the effectiveness of warfarin (a blood thinner), midazolam (a sedative), and paclitaxel (a chemotherapy drug).
On the flip side, it may increase levels of drugs broken down by your liver's CYP2B6 and CYP2C19 enzymes — potentially making them stronger than intended. It can also enhance the effects of loop diuretics (water pills), and theoretically reduce the effectiveness of cisplatin (another chemotherapy agent).
Altogether, these interactions span 1,041 individual medications. Before you start this supplement, check your exact medications with the tool on this page — and if you take digoxin, warfarin, or any chemotherapy agent, talk with your doctor or pharmacist first.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Organic Licorice Root 20:1 Extract?
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 Organic Licorice Root 20:1 Extract interact with 1,040 drugs. Click any drug to see the details.
1 of the 1 ingredient in Organic Licorice Root 20:1 Extract interact with drugs. Each result below shows which ingredient is responsible. organic Licorice root extract
Acetaminophen, Dextromethorphan, Doxylamine, PseudoephedrineVicks NyQuil
How Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Dextromethorphan, Doxylamine, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylephrineConar-A
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylephrine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PhenylpropanolamineAnatuss
How Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Phenylpropanolamine interactionAcetaminophen, Dextromethorphan, Guaifenesin, PseudoephedrineRobitussin Cold, Severe Cold, Suphedrine Cold/Cough
How Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Dextromethorphan, Guaifenesin, Pseudoephedrine interactionAcetaminophen, Dextromethorphan, Phenylpropanolamine, PyrilamineTheracaps
How Acetaminophen, Dextromethorphan, Phenylpropanolamine, Pyrilamine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root 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 Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Dextromethorphan, Pseudoephedrine interactionAcetaminophen, HydrocodoneAnexsia, Anodynos DHC, Azdone, Co-Gesic, Doucet, Lorcet +9 more
How Acetaminophen, Hydrocodone interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Hydrocodone interactionAcetaminophen, IbuprofenCombogesic
How Acetaminophen, Ibuprofen interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Ibuprofen interactionAcetaminophen, OrphenadrineOrfenagesic
How Acetaminophen, Orphenadrine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Orphenadrine interactionAcetaminophen, Pamabrom, PyrilamineMidol Max Strength PMS, Pamprin, Pamprin ES
How Acetaminophen, Pamabrom, Pyrilamine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Pamabrom, Pyrilamine interactionAcetaminophen, Phenylephrine, ChlorpheniramineSuper Cold Tabs
How Acetaminophen, Phenylephrine, Chlorpheniramine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Acetaminophen, Phenylephrine, Chlorpheniramine interactionAcetazolamideAk-Zol, Diamox
How Acetazolamide interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractDiuretic Drugs, Antihypertensive Drugs Moderate
Interaction Summary
Theoretically, concomitant use of licorice with diuretic drugs might increase the risk of hypokalemia.
Read the full Organic Licorice Root Extract + Acetazolamide interactionAdagrasibKrazati
How Adagrasib interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Organic Licorice Root Extract + Adagrasib interactionAerosphere Budesonide, Formoterol Fumarate, GlycopyrrolateBreztri
How Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Aerosphere Budesonide, Formoterol Fumarate, Glycopyrrolate interactionAfatinib DimaleateGilotrif
How Afatinib Dimaleate interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
Read the full Organic Licorice Root Extract + Afatinib Dimaleate interactionAgomelatineValdoxan
How Agomelatine interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Agomelatine interactionAlfentanilAlfenta
How Alfentanil interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Organic Licorice Root Extract + Alfentanil interactionAlfuzosinUroxatral
How Alfuzosin interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Organic Licorice Root Extract + Alfuzosin interactionAliskirenTekturna
How Aliskiren interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Aliskiren interactionAlmotriptanAlmogran, Axert
How Almotriptan interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Organic Licorice Root Extract + Almotriptan interactionAlogliptinNesina
How Alogliptin interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Alogliptin interactionAlogliptin, PioglitazoneOseni
How Alogliptin, Pioglitazone interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Alogliptin, Pioglitazone interactionAlpelisibPiqray
How Alpelisib interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Organic Licorice Root Extract + Alpelisib interactionAlprazolamNiravam, Xanax
How Alprazolam interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractCytochrome P450 3a4 (cyp3a4) Substrates Moderate
Interaction Summary
Theoretically, licorice might increase or decrease levels of drugs metabolized by CYP3A4.
Read the full Organic Licorice Root Extract + Alprazolam interactionAlvimopanEntereg
How Alvimopan interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractP-glycoprotein Substrates Moderate
Interaction Summary
Theoretically, licorice might decrease the absorption of P-glycoprotein substrates.
Read the full Organic Licorice Root Extract + Alvimopan interactionAmbrisentanLetairis, Volibris
How Ambrisentan interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Ambrisentan interactionAmilorideAmilamont, Midamor
How Amiloride interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractAntihypertensive Drugs Moderate
Interaction Summary
Theoretically, licorice might reduce the effects of antihypertensive drugs.
Read the full Organic Licorice Root Extract + Amiloride interactionAmiloride, HydrochlorothiazideAmil-Co, Amilzide, Moduret 25, Moduretic
How Amiloride, Hydrochlorothiazide interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root ExtractAntihypertensive Drugs, Diuretic Drugs Moderate
Interaction Summary
Theoretically, licorice might reduce the effects of antihypertensive drugs.
Read the full Organic Licorice Root Extract + Amiloride, Hydrochlorothiazide interactionAmiodaroneCordarone, Pacerone
How Amiodarone interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Amiodarone interactionAmitriptylineElavil
How Amitriptyline interacts with Organic Licorice Root 20:1 Extract — through 1 ingredient. Tap an ingredient for the detail:
Organic Licorice Root 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 Organic Licorice Root Extract + Amitriptyline interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Organic Licorice Root 20:1 Extract 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.
organic Licorice root 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 Organic Licorice Root 20:1 Extract, from the product label.
Micro Ingredients
See all Micro Ingredients products- Name
- Micro Ingredients
- Street Address
- 21660 Copley Dr.
- City
- Diamond Bar
- State
- CA
- ZipCode
- 91765
- Phone Number
- 1-844-836-8200
- Web Address
- www.microingredients.com
Organic Licorice Root 20:1 Extract by Micro Ingredients: Common Questions
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Is licorice safe to use long-term?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Organic Licorice Root 20:1 Extract’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Organic Licorice Root 20:1 Extract'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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- Chen, M. F., Shimada, F., Kato, H., Yano, S., and Kanaoka, M. Effect of oral administration of glycyrrhizin on the pharmacokinetics of prednisolone. Endocrinol Jpn 1991;38(2):167-174. PubMed
- Lee, C. K., Park, K. K., Lim, S. S., Park, J. H., and Chung, W. Y. Effects of the licorice extract against tumor growth and cisplatin-induced toxicity in a mouse xenograft model of colon cancer. Biol Pharm Bull 2007;30(11):2191-2195. PubMed
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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.
© 2021 Therapeutic Research Center, LLC