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3Medicinal

Kava

Also sold as Piper methysticum

Effective for anxiety but carries documented liver-injury risk.

TrustedSupp Tier System™ · Tier 3Take as a defined course
Check before you startThis one has documented interactions with medication classes where the consequences are serious. If you take any prescription medicine, run it past a pharmacist before starting.

Evidence strength

65/100Moderate
WEAKLIMITEDMODERATESTRONGVERY STRONG

What the evidence supports: anxiety — effective, which is why the liver risk matters.

This scores how well-supported the claim above is — not how much benefit you personally would get. A high score on a narrow claim does not extend to everything the product is marketed for.

How long to take it

Short courses at most, and not if you drink regularly.

Who it's actually for

Anxiety, with genuine caution and ideally medical oversight.

Safe upper limit

Unverified
Restricted or banned in several countries; 250 mg kavalactones daily is a common cap
Documented cases of severe liver failure, some requiring transplant. Risk rises with alcohol and other liver-processed drugs.
No source or citation attached yet.

Interactions to know about

Other supplements:

Run your full list through the interaction check.

Practical notes

  • Do not combine with alcohol.
  • Avoid entirely with any liver condition.
  • Check whether it is even legal where you live.