Mechanism: Licorice is a weak inhibitor of CYP2C9, which decreases metabolism of CYP2C9 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of amiodarone (antiarrhythmics), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of amiodarone. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of carbamazepine (anticonvulsants), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of carbamazepine. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of cisapride (gi-prokinetics), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of cisapride. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of cyclosporine (immunosuppressants), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of cyclosporine. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of theophylline (theophylline), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of theophylline. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a weak inhibitor of CYP2C9, which decreases metabolism of CYP2C9 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of losartan (arb), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of losartan. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice causes potassium loss via pseudohyperaldosteronism, while ACE inhibitors can raise potassium. Complex interaction.
Effect: Hypokalemia from licorice may counteract ACE inhibitor potassium-sparing effect
Management: Avoid licorice supplements. Monitor potassium levels.
Evidence: well-established
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Amphotericin B (cholesteryl sulfate)
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Amphotericin B (lipid complex)
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Amphotericin B (liposomal)
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Amyl Nitrite
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of clarithromycin (antibiotics), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of clarithromycin. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of repaglinide (antidiabetic-drugs), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of repaglinide. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of fluconazole (antifungals), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of fluconazole. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
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.
Evidence: well-established
Mechanism: Licorice is a weak inhibitor of CYP2C19, which decreases metabolism of CYP2C19 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of clopidogrel (antiplatelet-drugs), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of clopidogrel. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of haloperidol (antipsychotics), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of haloperidol. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of midazolam (benzodiazepines), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of midazolam. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a weak inhibitor of CYP2C19, which decreases metabolism of CYP2C19 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of propranolol (beta-blockers), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of propranolol. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of salmeterol (beta2-agonists), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of salmeterol. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of ivacaftor (cftr-modulators), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of ivacaftor. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of nifedipine (calcium-channel-blockers), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of nifedipine. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of doxorubicin (chemotherapy), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of doxorubicin. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Hydrocortisone, Triamcinolone, Dexamethasone, Betamethasone, Budesonide, Prednisone, Prednisolone, Hydrocortisone, Triamcinolone, Dexamethasone, Betamethasone, Budesonide, Methylprednisolone, Prednisolone, Hydrocortisone, Triamcinolone, Dexamethasone, Betamethasone, Deflazacort, Methylprednisolone, Prednisone, Prednisolone, Fludrocortisone, Hydrocortisone, Triamcinolone, Dexamethasone, Betamethasone, Budesonide, Prednisolone, Prednisolone
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Corticotropin
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Diazoxide
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Epoprostenol
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Tolevamer
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Iloprost
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of montelukast (leukotriene-antagonists), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of montelukast. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Mannitol
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Licorice is a weak inhibitor of CYP2C9, which decreases metabolism of CYP2C9 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of ibuprofen (nsaids), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of ibuprofen. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Amphotericin B
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of methadone (opioids), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of methadone. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of ethinylestradiol (oral-contraceptives), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of ethinylestradiol. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of sildenafil (pde5-inhibitors), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of sildenafil. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of omeprazole (ppis), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of omeprazole. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Papaverine
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Phentolamine
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of venlafaxine (snri), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of venlafaxine. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of sertraline (ssri), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of sertraline. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of simvastatin (statins), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of simvastatin. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Tetracosactide
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Treprostinil
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Triamcinolone (ophthalmic)
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Licorice is a moderate inhibitor of CYP3A4, which decreases metabolism of CYP3A4 substrates, potentially increasing their plasma concentrations and risk of adverse effects.
Effect: Increased plasma levels of amitriptyline (tricyclic-antidepressants), potentially leading to toxicity or enhanced adverse effects.
Management: Monitor for increased adverse effects of amitriptyline. Dose reduction may be necessary. Consider alternative supplement or consult healthcare provider.
Evidence: cyp-inferred
Mechanism: Interaction identified from DDInter 2.0 database. Specific drugs: Urea
Effect: See mechanism description
Management: Consult healthcare provider before combining.
Evidence: ddinter-verified
Mechanism: Licorice may reduce warfarin efficacy through unknown mechanism.
Effect: Possible decreased INR
Management: Monitor INR. Minor clinical concern at dietary levels.
Evidence: possible
⚠️ This information is for educational purposes only and does not constitute medical advice. Always consult your healthcare provider before combining supplements with medications.