17/06/2026
A woman in a cardiac support group posted this week about drinking peppermint and licorice tea to help with recovery. Two cups sent her blood pressure through the roof. It took two days to come back down.
She'd also been told to avoid grapefruit, turmeric, and fish oil before leaving hospital. Nobody mentioned licorice.
Licorice root contains a compound called glycyrrhizin. It blocks an enzyme in your kidneys that normally keeps cortisol from activating your mineralocorticoid receptors. When that enzyme is blocked, cortisol behaves like aldosterone: your body retains sodium, loses potassium, and your blood pressure rises.
A 2024 randomised controlled trial published in the American Journal of Clinical Nutrition found that 100 mg of glycyrrhizic acid per day, for just two weeks, raised systolic blood pressure by more than 3 mmHg and suppressed renin and aldosterone in healthy young adults. That's the equivalent of a couple of cups of licorice-containing tea. For someone already on blood pressure medication or antiplatelet therapy, the margin for harm is much smaller.
The potassium loss matters separately. Low potassium prolongs the QT interval, which can trigger serious cardiac arrhythmias. If you're on digoxin, even modest potassium depletion can push you into toxicity territory.
Licorice is in more products than people realise: throat and digestive teas, herbal lollies, cough syrups, and some "adrenal support" supplements.
The thread also raised vitamin B6.
The TGA finalised a decision in November 2025 to make high-dose B6 products either pharmacist-only or prescription-only from June 2027. The reason: a sharp rise in reports of peripheral neuropathy, with tingling and numbness in the hands and feet, at doses well below what was once considered the danger zone. Some cases were documented at under 50 mg per day.
The problem isn't usually one large supplement. It's stacking: a multivitamin, a B-complex, a magnesium product, and an energy drink, each with a modest dose of pyridoxine, adding up to something significant over months.
This is exactly what naturopaths are for.
Not to scare you away from herbs and supplements. Quite the opposite. Many supplements are genuinely useful, and some, like fish oil at standard doses, have been shown to be safer alongside anticoagulants than the old warnings suggested.
But whether a supplement is right for you depends on what you're taking, what your body is doing, and what your specific history looks like. That context lives with a practitioner, not in a Facebook thread.
If you'd like to work through what's actually appropriate for your situation, book an Initial Clinical Assessment via the link in bio. Telehealth is available Australia-wide.