Page 99 - Pharmacognosy 02-06203
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Uses:
   1. Flavoring and sweetening agent.
   2. Demulcent (soothing and protection of mucus membrane).
   3. Mild expectorant (antitussive in cough mixtures)
   4. As anti-inflammatory due to its deoxycorticosterone effect, liquorice

       extract & glycyrrhizic acid are used in the treatment of rheumatoid
       arthritis, Addison’s disease (due to adrenocorticoid insufficiency) and
       other inflammatory conditions
   5. In treatment of gastric and duodenal ulcers (also due to its
       deoxycoticosterone effect similarity of chemical structure).
   6. Antiviral in viral infections, this may be indirect effect through
       stimulation of the interferon production by the T- cells. In Japan it is
       used in the treatment of viral hepatitis A, B ….

       Mechanism of action as antiulcer agent:
               Glycyrrhizin causes inhibition of the enzymes which cause the

       degradation of prostaglandins E & F. The increase in these
       prostaglandins produces the protective effect on the gastric mucosa
       through promoting the mucus secretion and increasing the mucosal
       blood flow supply, so promoting the healing of the ulcer.

   Undesirable side effects of glycyrrhizin and liquorice extract: Long
   term use of Glycyrrhizin increases fluid and sodium retention and promotes
   potassium depletion due to its mineralocorticoid effect. So persons with
   cardiac problems, hypertension and kidney diseases should avoid
   excessive quantities of liquorice.
- When used for short term treatment of cough these side effects are not
   develop ed.

   Alternatives to avoid the side effects of liquorice:

   1. Deglycyrrhizinised powder liquorice:

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