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3Medicinal

Kava

Also sold as Piper methysticum

Effective for anxiety but carries documented liver-injury risk.

3TrustedSupp 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.

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 attached yet. Treat this as a starting point, not a citation, until reviewed.

Interactions to know about

  • Sedatives / sleep medicationBenzodiazepines, zopiclone, zolpidem, opioids
  • Liver disease or impairmentHepatitis, cirrhosis, fatty liver
  • AntidepressantsSSRIs, SNRIs, MAOIs, tricyclics

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.