Licorice × Antihypertensives

Severity: MODERATE Evidence: well-established

Mechanism

Glycyrrhizin in licorice inhibits 11β-HSD, causing cortisol to activate mineralocorticoid receptors, increasing sodium retention and potassium excretion.

Effect

Hypertension; hypokalemia; counteracts antihypertensive drugs

Management

Avoid licorice supplements with antihypertensives. Monitor blood pressure and potassium.

Source

Farese RV Jr et al. Endocrinol Metab Clin North Am 1991; FDA licorice warnings

⚠️ MODERATE INTERACTION: Monitor closely if this combination is used.

Disclaimer

This interaction record is for informational purposes only and does not constitute medical advice. Always consult a healthcare provider before starting or stopping any supplement or medication.