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Glycyron: glycyrrhizin with glycine and methionine — where it helps and who should not take it

Glycyron: glycyrrhizin with glycine and methionine — where it helps and who should not take it

in pictures and a few words

What it is and why it matters

Glycyron is a Japanese tablet with a substance from licorice root. In Japan it has been made since 1954.

  • Each tablet has 25 mg of the licorice-root substance plus two amino acids, glycine and methionine
  • In Japan: for eczema, alopecia areata, mouth inflammation, and one type of hives in children
  • And to improve liver test results in long-lasting liver disease

Helps together with treatment

Almost everywhere it was added to the main treatment, not given instead of it. That is how the benefit was shown.

  • Most studies were done in China on a product with the same formula
  • There it is called “compound glycyrrhizin”
  • In most studies, people knew what they were getting
Main treatmentPlus the same formulaBetter result more often

Honestly. The authors of the pooled reviews say themselves that the quality of the studies is not high.

Alopecia areata

In alopecia areata, hair falls out in patches. A product with the same formula, together with usual treatment, more often led to full hair regrowth.

  • Together with minoxidil, hair loss shrank more than with minoxidil alone
  • Swelling happened more often with it than without it

Honestly. We did not find comparisons with a dummy pill in alopecia: so the benefit was not shown this way, but that is not the same as “does not help”.

Eczema: a blinded test

Among the skin studies we found, only in eczema were the capsules compared with a dummy pill in a blinded way: neither patients nor doctors knew who got what.

  • All adults with long-lasting eczema used the same steroid ointment
  • With the capsules, strong skin improvement happened more often, and eczema came back less often
  • There was no clear difference in side effects; the most common was leg swelling
Steroid ointment for allCapsules or dummy pillCapsules: better more often

Tested in people. Tested in people: capsules of the same formula with the ointment versus a dummy pill with the same ointment.

Hives, psoriasis, vitiligo

Pooled reviews showed a benefit when a product with the same formula was added to the main treatment.

  • Hives: with an anti-allergy medicine, they cleared fully more often and came back less often
  • Psoriasis: skin cleared noticeably more often, with the same amount of side effects
  • Vitiligo (white patches on the skin): the overall treatment result was better

Honestly. It is unknown what was studied, tablets or injections: the short summaries of these reviews do not say.

Liver

In a Japanese study of long-lasting liver inflammation, Glycyron itself was compared with a dummy pill in a blinded way. With it, liver test results clearly improved more often.

  • Improvement was judged by broad categories, not by exact test numbers
  • The study is old and is not in the database of scientific papers; the data come from the package insert
  • In a summary of different licorice products, including injections, liver test results also went down

Tested in people. Tested in people: Glycyron itself versus a dummy pill, blinded.

How it is taken

According to the Japanese package insert, after meals. The doctor chooses the dose based on age and symptoms.

  • Adults: 2–3 tablets 3 times a day after meals
  • Children: 1 tablet 3 times a day
  • While you take it, your doctor checks your blood pressure and blood potassium
Doctor sets the doseTablets after mealsCheck pressure, potassium

Honestly. According to the insert, glycine and methionine reduce fluid retention, but this has only been studied in animals. Blood pressure and potassium are checked anyway.

Who should see a doctor first

It is taken only when a doctor prescribes it. According to the insert, it must not be used with low potassium, muscle diseases, too much of the hormone that makes the body hold sodium, or end-stage liver cirrhosis.

  • The medicine itself can cause swelling and higher blood pressure; if you already have these, tell your doctor
  • Loop and thiazide diuretics (potassium drops more), moxifloxacin (heart rhythm problems)
  • Older age (low potassium is more common), pregnancy, breastfeeding

Important. Do not combine it with other products that contain licorice: the substance adds up. In pregnancy, only if the doctor decides the benefit outweighs the risk.

When to see a doctor right away

The main risk is that the body may start holding on to sodium and water. Muscle breakdown is also possible. How often either happens is unknown.

  • Swelling, higher blood pressure, weight gain, less urine, weakness: see a doctor right away
  • Weakness, muscle pain, cramps: also see a doctor right away
Swelling, weakness, painDoctor right awayDoctor decides what next

Important. If you have swelling, weakness or muscle pain, see a doctor right away.

In one sentence

Together with the main treatment, a product with the same formula helped in alopecia, eczema, hives, psoriasis and vitiligo, and Glycyron improved liver test results. It is taken as prescribed by a doctor, with blood pressure and potassium checks.

Honestly. The quality of most studies is not high, and for some it is unknown whether tablets or injections were used.

Frequently asked questions

It is a Japanese tablet (グリチロン配合錠, Minophagen): each contains 25 mg of glycyrrhizic acid from licorice root, 25 mg of glycine and 25 mg of DL-methionine. In Japan it is approved for eczema and dermatitis, papular urticaria in children, alopecia areata, stomatitis and for improving liver test results in chronic liver disease.

In alopecia areata, chronic eczema, chronic urticaria, psoriasis, vitiligo and liver disease. Almost everywhere the drug was added to standard treatment. Among the studies found, the only double-blind placebo-controlled study in dermatology is in eczema, and for Glycyron itself in liver disease there is a 1989 Japanese study in chronic hepatitis.

The formula is the same: 25 mg of glycyrrhizin, 25 mg of glycine and 25 mg of methionine in a tablet or capsule. Most studies were done with it. But the abstracts of the pooled analyses in urticaria, psoriasis and vitiligo do not say whether tablets or injections were used.

According to the Japanese label, adults take 2–3 tablets 3 times a day after meals, children 1 tablet 3 times a day; the doctor adjusts the dose for age and symptoms. The adult dose provides 150–225 mg of glycyrrhizic acid a day, so it is taken under a doctor’s supervision.

Pseudoaldosteronism: swelling, rising blood pressure, weight gain, less urine, low potassium and weakness; its frequency is unknown. Rhabdomyolysis (muscle breakdown) is possible, its frequency is also unknown. In 0.1–5% of people, low potassium, raised blood pressure, abdominal pain and headache occur. With swelling, weakness or muscle pain, see a doctor right away.

According to the label, they reduce the sodium and fluid retention caused by glycyrrhizin. But this has been studied only in animals: such an effect has not been shown in humans, so blood pressure and potassium monitoring is needed on Glycyron too.

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This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician before making health decisions. Full disclaimer

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