Last update July 16, 2025

Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis

Limited compatibility

Unsafe. Moderate/severe adverse effects. Compatible under certain circumstances. Follow-up recommended. Use safer alternative or discontinue breastfeeding from 5 to 7 T ½ . Read Commentary.

The root of this leguminous herb is used. It contains essential oil, coumarins, flavonoids, terpenoids (glycyrrhizin) and phytoestrogens. Attributed properties: anti-ulcer and expectorant. Indication Commission E German Ministry of Health (Blumenthal 1998): gastritis, ulcers, cough, bronchitis. Glycyrrhizin is a powerful sweetener used in the food industry.

Glycyrrhizin, responsible for many of the effects of liquorice, is excreted in small amounts in breast milk. (Shimada 1994)

Two infants under one month of age were severely intoxicated (lethargy) after their mothers drank an average of two litres per day of an infusion mixture of liquorice, fennel, aniseed and galega. The effect was attributed to the anethole in aniseed and fennel. (Rosti 1994)

Abuse or prolonged use of liquorice can cause serious health problems due to its mineralocorticoid effects: pseudoaldosteronism, hypokalaemic paralysis, hypernatraemia, oedema, cardiac arrhythmias and high blood pressure. (Robles 2013, Panduranga 2013, Oztürk 2013, Omar 2012, Cuzzolin 2006, Werner 1979)

When taken during pregnancy, it can cause miscarriage and premature birth. (Strandberg 2002)

It has oestrogenic (Powers 2015, Zava 1998) and antiprolactin effects, so it could decrease milk production during the first weeks of the postpartum period. (Le Moli 1999)

A case of hyperprolactinemia associated with chronic consumption of liquorice has been published (Werner 1979), and although it is used in some cultures to increase milk production (Chao 2021), there is no evidence of its effect as a galactagogue. In fact, it has oestrogenic (Powers 2015, Zava 1998) and antiprolactin effects (Yuan 2008, Le Moli 1999), so it could decrease milk production during the first weeks of the postpartum period. An infusion, a mixture of liquorice and other herbs, did not cause an increase in maternal prolactin or weight in infants whose mothers took it. (Sharma 1996)

It should not be consumed during breastfeeding. (Amir 2011, WHO 2010 & 1999)

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

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José María Paricio, founder of e-lactancia.

Other names

Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis is Liquorice in Latin, botanical name.

Is written in other languages:

Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis is also known as

Group

Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis belongs to this group or family:

Tradenames

Main tradenames from several countries containing Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition:

  • Amkesol (Амкесол)™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Bittner™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Bonningtons Irish Moss (New Zealand)™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Bonningtons Irish Moss (Australia)™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Buenafuente 9 Hierbas™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Candida Cleanse™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Depiderm
  • Duerme bien plus Pomapdour™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Futura Hostlet
  • Immune Formula™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Instalax™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Linkus™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Pastillas Juanola™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Pervivo™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Proctopure™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Tisane laxative™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Tisane pectorale et antitussive™. Contains other elements than Glycyrrhiza glabra; Glycyrrhiza inflata; Glycyrrhiza uralensis in its composition
  • Toynox (泰诺)
  • Trio D

Pharmacokinetics

Variable Value Unit
Theoretical Dose 0.17 (glicirricina) mg/Kg/d
Ped.Relat.Dose 2.5 %

References

  1. Chao J, Ko CY, Lin CY, Tomoji M, Huang CH, Chiang HC, Yang JJ, Huang SS, Su SY. Ethnobotanical Survey of Natural Galactagogues Prescribed in Traditional Chinese Medicine Pharmacies in Taiwan. Front Pharmacol. 2021 Feb 12;11:625869. Abstract Full text (link to original source)
  2. Powers CN, Setzer WN. A molecular docking study of phytochemical estrogen mimics from dietary herbal supplements. In Silico Pharmacol. 2015 Mar 22;3:4. Abstract Full text (link to original source)
  3. Panduranga P, Al-Rawahi N. Licorice-induced severe hypokalemia with recurrent torsade de pointes. Ann Noninvasive Electrocardiol. 2013 Abstract Full text (link to original source)
  4. Oztürk S, Karaman K, Cetin M, Erdem A. Polymorphic ventricular tachycardia (Torsades de pointes) due to licorice root tea. Turk Kardiyol Dern Ars. 2013 Abstract
  5. Flores-Robles BJ, Sandoval AR, Dardon JD, Blas CA. Lethal liquorice lollies (liquorice abuse causing pseudohyperaldosteronism). BMJ Case Rep. 2013 Abstract Full text (link to original source)
  6. Omar HR, Komarova I, El-Ghonemi M, Fathy A, Rashad R, Abdelmalak HD, Yerramadha MR, Ali Y, Helal E, Camporesi EM. Licorice abuse: time to send a warning message. Ther Adv Endocrinol Metab. 2012 Abstract Full text (link to original source)
  7. EMEA. Glycyrrhiza glabra L. and/or Glycyrrhiza inflata Bat. and/or Glycyrrhiza uralensis Fisch., radix. Community herbal monograph. 2012 Full text (in our servers)
  8. Amir LH, Pirotta MV, Raval M. Breastfeeding--evidence based guidelines for the use of medicines. Aust Fam Physician. 2011 Sep;40(9):684-90. Review. Abstract
  9. WHO. World Health Organization. WHO monographs on medicinal plants commonly used in the Newly Independent States (NIS). WHO monographs. 2010 Full text (in our servers)
  10. Yuan HN, Wang CY, Sze CW, Tong Y, Tan QR, Feng XJ, Liu RM, Zhang JZ, Zhang YB, Zhang ZJ. A randomized, crossover comparison of herbal medicine and bromocriptine against risperidone-induced hyperprolactinemia in patients with schizophrenia. J Clin Psychopharmacol. 2008 Jun;28(3):264-370. Abstract
  11. Cuzzolin L, Zaffani S, Benoni G. Safety implications regarding use of phytomedicines. Eur J Clin Pharmacol. 2006 Jan;62(1):37-42. Epub 2005 Dec 3. Abstract
  12. Strandberg TE, Andersson S, Järvenpää AL, McKeigue PM. Preterm birth and licorice consumption during pregnancy. Am J Epidemiol. 2002 Abstract
  13. Le Moli R, Endert E, Fliers E, Mulder T, Prummel MF, Romijn JA, Wiersinga WM. Establishment of reference values for endocrine tests. II: Hyperprolactinemia. Neth J Med. 1999 Abstract
  14. WHO. World Health Organization. Geneva. WHO monographs on selected medicinal plants. Volume I. WHO monographs 1999 Full text (link to original source) Full text (in our servers)
  15. Zava DT, Dollbaum CM, Blen M. Estrogen and progestin bioactivity of foods, herbs, and spices. Proc Soc Exp Biol Med. 1998 Abstract
  16. Blumenthal M, Busse WR, Goldberg A, Gruenwald J, Hall T, Riggins CW, Rister RS, editors. The American Botanical Council. The Complete German Commission E Monographs. Therapeutic Guide to Herbal Medicines. 1st ed. Integrative Medicine Com; Boston, MA, USA: 1998
  17. Sharma S, Ramji S, Kumari S, Bapna JS. Randomized controlled trial of Asparagus racemosus (Shatavari) as a lactogogue in lactational inadequacy. Indian Pediatr. 1996 Abstract
  18. Rosti L, Nardini A, Bettinelli ME, Rosti D. Toxic effects of a herbal tea mixture in two newborns. Acta Paediatr. 1994 Jun;83(6):683. No abstract available. Abstract
  19. Shimada K, Sakaguchi T, Sato Y, Moridaira H, Omata K. [Simultaneous determination of ephedrine and glycyrrhizin in human breast milk by high performance liquid chromatography]. Yakugaku Zasshi. 1984 Abstract
  20. Werner S, Brismar K, Olsson S. Hyperprolactinaemia and liquorice. Lancet. 1979 Abstract

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